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Cu-IUD emergency contraception timing — DFSRH MCQ

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HardIntrauterine methodsCu-IUD emergency contraception timingDFSRH

A 25-year-old with 30-day cycles had UPSI 6 days ago on cycle day 12 and again 2 days ago. She wants the most effective emergency contraception. Pregnancy test is negative and bimanual examination is normal. What is the most appropriate management?

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Correct answer: C — Offer copper IUD today

The copper IUD can be used as EC up to 5 days after the first UPSI or up to 5 days after the earliest likely ovulation; it is the most effective method. A negative pregnancy test is expected this soon and does not rule out conception. LNG-IUD is not the standard emergency contraception method in this scenario.

Reference: FSRH Guideline Emergency Contraception; FSRH Intrauterine Contraception