A 22-year-old woman presents 30 hours after UPSI requesting EC. She has been taking her desogestrel POP correctly except she missed yesterday's pill e...

Question

A 22-year-old woman presents 30 hours after UPSI requesting EC. She has been taking her desogestrel POP correctly except she missed yesterday's pill entirely (took today's as normal). She weighs 60 kg with no medical conditions. What is the most appropriate EC?

Accepted Answer

A Cu-IUD is the most effective option and should be offered first

Answer

No EC needed as she is on the POP

Answer

Ulipristal Acetate 30 mg - she has had UPSI during a missed POP window. However, she took a progestogen yesterday (before missing), so check: her last progestogen was >24 hours ago. UPA-EC efficacy may be reduced if progestogen taken within 7 days. As she took her POP the day before yesterday (within 7 days), a Cu-IUD or LNG-EC would be preferable

Answer

Levonorgestrel 1.5 mg

Answer

She should simply resume her POP and no EC is needed

uk-dfsrh MCQ (SBA): EC After Missed POP with Recent Progestogen UPA Concern

A 22-year-old woman presents 30 hours after UPSI requesting EC. She has been taking her desogestrel POP correctly except she missed yesterday's pill entirely (took today's as normal). She weighs 60 kg with no medical conditions. What is the most appropriate EC?