A 30-year-old woman presents after a condom split during intercourse. She is using no other contraception. She is on day 20 of a regular 28-day cycle....

Question

A 30-year-old woman presents after a condom split during intercourse. She is using no other contraception. She is on day 20 of a regular 28-day cycle. She attends 6 hours later. She declines a Cu-IUD. She has no medical conditions. What oral EC should she be offered?

Accepted Answer

Ulipristal Acetate 30 mg - UPA-EC is the recommended first-line oral EC and may be particularly important as she is likely post-ovulatory (day 20)

Answer

Levonorgestrel 1.5 mg - she is well within 72 hours

Answer

Either LNG-EC or UPA-EC; both are equally effective

Answer

No EC is needed as she is past ovulation

Answer

Double-dose LNG-EC

uk-dfsrh MCQ (SBA): UPA-EC Day 20 Post-Ovulation Likely

A 30-year-old woman presents after a condom split during intercourse. She is using no other contraception. She is on day 20 of a regular 28-day cycle. She attends 6 hours later. She declines a Cu-IUD. She has no medical conditions. What oral EC should she be offered?