USMLE Forum Archives - USMLE Step 2 CK - Emergency contraception
Emergency contraception
bingousmle - 05-01-10 14:56
A 28-year-old monogamous married woman comes to you for emergency contraception. She and her husband typically use condoms to prevent pregnancy, but when they had sex 2 evenings ago, the condom broke. She does not want to start a family at this time. Which of the following statements is true regarding the use of emergency contraception pills (ECPs)?
a. She is too late to use ECPs in this case
b. ECPs are 90–100% effective when used correctly
c. There are no medical contraindications to the use of ECPs, other than allergy or
hypersensitivity to the pill components
d. ECPs disrupt the pregnancy, if given within days of implantation
e. Clinicians should perform a pregnancy test before prescribing ECPs
bingousmle - 05-01-10 14:56
A 28-year-old monogamous married woman comes to you for emergency contraception. She and her husband typically use condoms to prevent pregnancy, but when they had sex 2 evenings ago, the condom broke. She does not want to start a family at this time. Which of the following statements is true regarding the use of emergency contraception pills (ECPs)?
a. She is too late to use ECPs in this case
b. ECPs are 90–100% effective when used correctly
c. There are no medical contraindications to the use of ECPs, other than allergy or
hypersensitivity to the pill components
d. ECPs disrupt the pregnancy, if given within days of implantation
e. Clinicians should perform a pregnancy test before prescribing ECPs
The correct answer and explanation will be available after you answer.
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#3
Re: Emergency contraception mtniharika - 05-02-10 06:11 My answer is: d.
Emergency contraception (EC), or emergency postcoital contraception, refers to contraceptive measures that, if taken after sex, may prevent pregnancy.
#7
Re: Emergency contraception
bingousmle - 05-03-10 16:06 My answer is: c.
Emergency contraception
is appropriate when no contraception was used (including cases of sexual
assault), or when there is contraceptive failure. They should be used within
72 hours of intercourse, well before implantation (implantation occurs 5–7
days after intercourse).
#10
Re: Emergency contraception fugeran - 05-04-10 11:02 
posted by fugeran on 05-04-10 10:59
[ANSWER d]
[ANSWER d]
Pregnancy is a contraindication too. But may be it is not MEDICAL.
#11
Re: Emergency contraception babbu5508 - 05-20-10 15:29 My answer is: c.
c. There are no medical contraindications to the use of ECPs, other than allergy or
hypersensitivity to the pill components.........................
#13
Re: Emergency contraception ammulufy - 05-20-10 19:59 Dont you think she is too late to use ECPs.....ECP is supposed to be given in the immediate post-coital period within 24 hrs....but here she is giving the history of intercourse being 2 evenings back.......could kindly enlighten me on this....regards....Amritha.
#14
Re: Emergency contraception mtniharika - 05-25-10 04:29 posted by ammulufy on 05-20-10 19:59
Dont you think she is too late to use ECPs.....ECP is supposed to be given in the immediate post-coital period within 24 hrs....but here she is giving the history of intercourse being 2 evenings back.......could kindly enlighten me on this....regards....Amritha.
Dont you think she is too late to use ECPs.....ECP is supposed to be given in the immediate post-coital period within 24 hrs....but here she is giving the history of intercourse being 2 evenings back.......could kindly enlighten me on this....regards....Amritha.
hi amritha...emergency contraception should be given within 72 hours of unprotected intercourse rather than 24 hrs as u said..that is the standard regimen
#15
Re: Emergency contraception bingousmle - 05-25-10 06:50 posted by ammulufy on 05-20-10 19:59
Dont you think she is too late to use ECPs.....ECP is supposed to be given in the immediate post-coital period within 24 hrs....but here she is giving the history of intercourse being 2 evenings back.......could kindly enlighten me on this....regards....Amritha.
Dont you think she is too late to use ECPs.....ECP is supposed to be given in the immediate post-coital period within 24 hrs....but here she is giving the history of intercourse being 2 evenings back.......could kindly enlighten me on this....regards....Amritha.
she can still use the pills as the pills can be effectively used until 72 hours as the idea is to disrupt implantation which happens between 5th and 7th day
#17
Re: Emergency contraception bingousmle - 05-25-10 08:22 posted by bingousmle on 05-25-10 06:50
she can still use the pills as the pills can be effectively used until 72 hours as the idea is to disrupt implantation which happens between 5th and 7th day
she can still use the pills as the pills can be effectively used until 72 hours as the idea is to disrupt implantation which happens between 5th and 7th day
sorry i forgot writing " not through disruption "
#19
Re: Emergency contraception babbu5508 - 05-25-10 17:17 posted by bingousmle on 05-25-10 06:50
she can still use the pills as the pills can be effectively used until 72 hours as the idea is to disrupt implantation which happens between 5th and 7th day
she can still use the pills as the pills can be effectively used until 72 hours as the idea is to disrupt implantation which happens between 5th and 7th day
yes...
#20
Re: Emergency contraception bingousmle - 05-28-10 05:45 posted by babbu5508 on 05-25-10 17:17
yes...
yes...
hope you saw the subsequent correction to the thread..
#22
Re: Emergency contraception babbu5508 - 05-29-10 02:02 posted by bingousmle on 05-28-10 05:45
hope you saw the subsequent correction to the thread..
hope you saw the subsequent correction to the thread..
yes..i've seen..
#30
Re: Emergency contraception sudha2015 - 01-20-11 11:36 There are no medical contraindications to the use of ECPs, other than allergy or
hypersensitivity to the pill components
#31
Re: Emergency contraception babbu5508 - 01-20-11 11:52 The combined or Yuzpe regimen uses large doses of both estrogen and progestin, taken as two doses at a 12-hour interval. This method is now believed to be less effective and less well-tolerated than the progestin-only method
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