Flow Chart to Aid Emergency Contraception Decision Making Abbreviations: EC Emergency Contraception – LNG 1500 Levonorgestrel 1500mcg – Check concomitant medication: UPA 30mgs Ulipristal Acetate 30mg – Cu IUD Copper containing intra-uterine device – UPSI Unprotected Sexual Intercourse (including If using PPIs or antacid within – advise for missed pill use) previous 24 hours use LNG 1500 – LNMP Last Normal Menstrual Period – instead of UPA 30mg at all times Earliest Expected Ovulation EEO – Refer to GP or CASH Clinic to ‘quick start’ future contraception Offer Cu-IUD to all unless contraindications – If Client considers Cu-IUD refer to CASH – Tel: 0300 7900 165 References: FSRH Clinical Guidance Emergency Contraception 2011 (updated 2012) Prabakar I (2012) Emergency Contraception BMJ 2012; 344:e1492doi:10.1136/bmj.e1492. Adapted from Sexual Health in Practice (SHIP) Pathway
Flow Chart to Aid Emergency Contraception Decision Making Abbreviations: EC – Emergency Contraception LNG 1500 – Levonorgestrel 1500mcg UPA 30mgs – Ulipristal Acetate 30mg Cu IUD – Copper containing intra-uterine device UPSI – Unprotected Sexual Intercourse (including advise for missed pill use) LNMP – Last Normal Menstrual Period EEO – Earliest Expected Ovulation Check concomitant medication: If using PPIs or antacid within previous 24 hours – use LNG 1500 instead of UPA 30mg at all times Refer to GP or CASH Clinic to ‘quick start’ future contraception Offer Cu-IUD to all – unless contraindications If Client considers Cu-IUD – refer to CASH Tel: 0300 7900 165 References: FSRH Clinical Guidance Emergency Contraception 2011 (updated 2012) Prabakar I (2012) Emergency Contraception BMJ 2012; 344:e1492doi:10.1136/bmj.e1492. Adapted from Sexual Health in Practice (SHIP) Pathway
Flowchart_to_aid_emergency_contraception_decision_making3.docx