If hormonal contraception (2 or more pills, a patch or a ring) is missed ANYTIME during the cycle, AND recent sexual activity (within 5 days), copper IUD or levonorgestrel should be given.
Patient on, but missed OCP, patch or ring?
No contraindications & desires IUD?
Consider adolescent medicine or OBGYN consultation
< 120 hours since sexual activity?
Consensual sexual activity?
Begin sexual assault managment
Consider adolescent medicine or OBGYN consultation
Ulipristal (Ella)
Effectiveness
Advantages
Disadvantages
Note
Pregnancy testing
Initiation of therapy
Vomiting of oral emergency contraception
Indications for using emergency contraception
Probability of pregnancy after unprotected intercourse by timing of coitus
Days from ovulation | Probability of pregnancy |
- 3 | 15% |
- 1 to 2 | 30% |
0 | 12% |
+ 1 to 2 | ~0% |
Overweight and obese patients
Copper IUD
Levonorgestrel (Plan B One Step or lots of generics 1.5 mg)
Advantages
Disadvantages
Notes