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After UPA starting contraception — DFSRH MCQ

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ModerateEmergency contraceptionAfter UPA starting contraceptionDFSRH

A 23-year-old woman takes ulipristal for EC. She wants to restart her POP immediately because she is anxious about further sex. What would you advise this patient?

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Correct answer: E — Delay POP for 5 days and use condoms or abstain

Progestogen may reduce ulipristal’s ability to delay ovulation, so hormonal contraception should be delayed for 5 days. This differs from levonorgestrel EC. The risk of further UPSI during the delay should be addressed with condoms or abstinence.

Reference: FSRH Emergency Contraception Guideline 2017 amended 2023; FSRH UPA breastfeeding statement 2025; BNF