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Ulipristal emergency contraception — DRCOG MCQ

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ModerateContraceptionUlipristal emergency contraceptionDRCOG

A 29-year-old woman presents 96 hours after condom failure. She declines a copper IUD after counselling. She is not taking enzyme-inducing medication and is not breastfeeding. What is the most appropriate management?

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Correct answer: C — Offer ulipristal acetate 30 mg

Ulipristal acetate is licensed for emergency contraception up to 120 hours after UPSI and is generally more effective than levonorgestrel later in the window. Oral levonorgestrel is licensed to 72 hours, so saying no oral method exists is incorrect. Mifepristone is not used for routine emergency contraception in UK primary care. LNG-IUS is not the recommended intrauterine method for EC.

Reference: FSRH Emergency Contraception; BNF