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Emergency contraception — MCCQE Part 1 MCQ

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ModerateContraceptionEmergency contraceptionMCCQE Part 1

A 22-year-old woman had unprotected intercourse 4 days ago and does not want pregnancy. She has a BMI of 34 and wants the most effective emergency contraception. Which of the following is the most effective option?

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Reveal the answer and explanation

Correct answer: C — Copper intrauterine device insertion if acceptable and available

The copper IUD is the most effective emergency contraception and can also provide ongoing contraception. Oral levonorgestrel and ulipristal are alternatives depending timing, availability and interactions, but efficacy considerations matter with higher BMI. Waiting or douching is ineffective.

Reference: SOGC Canadian Contraception Consensus