encourage use of a back-up method for 7 days. For those who use ulipristal acetate as ECP a back-up method is encouraged until her next menses. Emergency contraception does not protect from pregnancy going forward (except for use of Paragard as EC) and future acts of sex require additional contraception. Inform patient that next menstrual period may a few days earlier or later than usual. The next menstrual period should begin within the next 2 or 3 weeks. If no menses in 3 weeks advise patient to return to clinic for pregnancy test. If patient initiates an ongoing method immediately after ECP, her next cycle may also be delayed. In this setting, offer a urine pregnancy test in 2-4 weeks. (This can be done by a home pregnancy test if the patient desires). Women who use ulipristal acetate for EC and who begin a hormonal contraception should use a back-up method until her next menses. Provide counseling on preconception health counseling and future fertility. (Refer to Preconception Health Toolkit) Advise patient that ECP does not protect against STD/HIV. Counsel on the use of condoms to reduce the risk of STD/HIV. Provide information for the Emergency Contraception Hotline (1-888-NOT-2-LATE). The Hotline is an automated, toll free confidential service available 24 a day in English and Spanish. In addition to basic information, each caller hears a recording of the names and telephone numbers of the five closest ECP providers. FOLLOW-UP Return to clinic if menses has not started in 3 weeks or if next menses is unusually light or painful. Return to clinic for ongoing birth control method if not provided at visit.
encourage use of a back-up method for 7 days. For those who use ulipristal acetate as ECP a back-up method is encouraged until her next menses. Emergency contraception does not protect from pregnancy going forward (except for use of Paragard as EC) and future acts of sex require additional contraception. Inform patient that next menstrual period may a few days earlier or later than usual. The next menstrual period should begin within the next 2 or 3 weeks. If no menses in 3 weeks advise patient to return to clinic for pregnancy test. If patient initiates an ongoing method immediately after ECP, her next cycle may also be delayed. In this setting, offer a urine pregnancy test in 2-4 weeks. (This can be done by a home pregnancy test if the patient desires). Women who use ulipristal acetate for EC and who begin a hormonal contraception should use a back-up method until her next menses. Provide counseling on preconception health counseling and future fertility. (Refer to Preconception Health Toolkit) Advise patient that ECP does not protect against STD/HIV. Counsel on the use of condoms to reduce the risk of STD/HIV. Provide information for the Emergency Contraception Hotline (1-888-NOT-2-LATE). The Hotline is an automated, toll free confidential service available 24 a day in English and Spanish. In addition to basic information, each caller hears a recording of the names and telephone numbers of the five closest ECP providers. FOLLOW-UP Return to clinic if menses has not started in 3 weeks or if next menses is unusually light or painful. Return to clinic for ongoing birth control method if not provided at visit.
Emergency%20Contraception%20Protocol%20Updated%204.2018.docx