Unprotected intercourse

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  • Although not specifically referred to as quick starting, previous Faculty guidance has advised that contraceptive methods can be started at any point in the menstrual cycle if a practitioner is reasonably certain that the woman is not currently pregnant (Box 1)8 or at risk of pregnancy. As sperm may be viable in the female reproductive tract for up to 7 days, health professionals should consider if a woman is at risk of becoming pregnant as a result of unprotected sexual intercourse (UPSI) within the last 7 days.

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  • Apart from mifepristone (RU486) – a ‘hot potato’ politically, so still unavailable for this use – three methods have now been shown to be effective contraceptives when initiated after unprotected sexual intercourse (UPSI): • • • the insertion of a copper IUD the combined oral emergency contraceptive (COEC) using LNG 500 µg + EE 100 µg repeated in 12 hours the levonorgestrel progestogen-only emergency contraceptive (LNG EC), given as a stat dose of LNG 1500 µg.

    pdf10p lananhanh123 27-08-2011 14 3   Download

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