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Emergency contraception — DRCOG MCQ

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HardContraception and Sexual HealthEmergency contraceptionDRCOG

A woman had unprotected sexual intercourse 4 days ago and wants emergency contraception. Her BMI is 32 kg/m² and she wants the most effective option. What should be offered?

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Correct answer: B — A copper intrauterine device, if eligible and acceptable

The best answer is “A copper intrauterine device, if eligible and acceptable”. A copper intrauterine device is the most effective emergency contraception and can be used within the relevant post-intercourse or ovulation timing window if eligible. Body weight does not reduce its efficacy. Oral emergency contraception may still be considered when an IUD is unsuitable or declined, but it is less effective and timing-sensitive.

Reference: FSRH Guideline: Emergency contraception: https://www.fsrh.org/Common/Uploaded%20files/documents/fsrh-guideline-emergency-contraception03dec2020-amendedjuly2023-11jul.pdf