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EC after recent UPA repeat exposure — DFSRH MCQ

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ModerateEmergency contraceptionEC after recent UPA repeat exposureDFSRH

A 25-year-old took ulipristal 4 days ago and had further UPSI yesterday. She declines a copper IUD and has not started hormonal contraception. What is the most appropriate management?

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Correct answer: C — Offer repeat ulipristal after counselling and arrange follow-up testing

Repeat oral EC in the same cycle can be offered after further UPSI, with counselling and pregnancy testing follow-up. Cu-IUD should still be discussed as the most effective method. Starting POP today would not provide EC and may interfere with UPA if used.

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