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Ulipristal and hormonal contraception — DRCOG MCQ

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HardContraceptionUlipristal and hormonal contraceptionDRCOG

A 27-year-old woman takes ulipristal acetate after unprotected sex. She wants to restart her combined pill immediately because she is worried about further pregnancy risk. What would you advise?

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Correct answer: E — Delay restarting hormonal contraception for 5 days and use condoms

Starting progestogen-containing contraception immediately after ulipristal may reduce ulipristal effectiveness, so hormonal contraception is delayed for 5 days with barrier precautions. Immediate restart without condoms risks reducing EC efficacy and further pregnancy. Levonorgestrel after ulipristal is not used to improve efficacy. Clear advice about condoms and pregnancy testing is essential.

Reference: FSRH Emergency Contraception