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UPSI after ovulation — DFSRH MCQ

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HardEmergency contraceptionUPSI after ovulationDFSRH

A breastfeeding patient takes ulipristal acetate 30 mg after declining a copper IUD. Her healthy infant is 4 months old. She was told by an old leaflet to express and discard milk for 7 days and asks whether that remains necessary. What is the current UK advice?

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Correct answer: B — Continue breastfeeding because interruption is not required after this single dose

The best answer is “Continue breastfeeding because interruption is not required after this single dose”. Current UK specialist guidance advises that breastfeeding need not be interrupted after a single dose of ulipristal acetate. The older 7-day interruption advice is no longer recommended. Adding levonorgestrel could reduce ulipristal effectiveness, and arbitrary shorter interruption periods are not the current evidence-based recommendation.

Reference: CoSRH/FSRH Statement: Ulipristal Acetate and Breastfeeding: https://www.cosrh.org/Common/Uploaded%20files/documents/FSRH-Statement-Ulipristal-Acetate-and-Breastfeeding.pdf