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Emergency contraception after sexual assault — DFSRH MCQ

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HardEmergency contraceptionEmergency contraception after sexual assaultDFSRH

A 27-year-old woman attends 2 days after sexual assault. She has no injuries requiring emergency treatment, is unsure about penetration details, and is within the EC window. What is the most appropriate management?

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Correct answer: C — Offer EC choices, STI care and SARC referral

The best answer is “Offer EC choices, STI care and SARC referral”. Care after sexual assault must be trauma-informed and time-sensitive. Emergency contraception, including a copper IUD when suitable and acceptable, should be discussed without waiting for a forensic examination. Sexual-health assessment, STI care, safeguarding and referral or access to specialist sexual-assault services should be offered according to the person’s wishes and local pathway. Assault does not automatically prevent IUD insertion; consent and acceptability are central.

Reference: Ministry of Justice, Support for victims of sexual violence and abuse: https://www.gov.uk/guidance/support-for-victims-of-sexual-violence-and-abuse