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More than 5 days ago? Could you have been exposed to STIs/HIV?
Next Move:
For EC pills information go to next page.
If she had unprotected intercourse where circumstances suggest HIV or STI transmission, offer and start post-exposure prophylaxis (PEP) for HIV immediately (within 72 hours) and/or presumptive STI treatment, if available, or refer for further counselling, support and treatment.
Emergency Contraception
EC 2
Emergency Contraception
Please consider: Could unprotected intercourse happen again? Do you need dual protection from pregnancy and STIs/HIV/AIDS?
If at risk for STIs, discuss dual protection from pregnancy AND from STIs/HIV/AIDS. Go to Dual Protection tab.
Use Appendix 9 to discuss communication with partners. If story suggests coercion or violence, refer for more help if possible. See Appendix 13. Can start another method straightaway, including pills. If client chooses no regular method now, offer ECPs and condoms with instructions for use.
Next Move:
If she chooses continuing contraception, go to Choosing Method tab. For emergency copper IUD information go to next page.
EC 3
Emergency Contraception
Can use if had unprotected sex in the last 5 days Doctor, nurse, or midwife places IUD in womb. Can cause some cramps.
IUD can be taken out later or left in place for continuing contraception
Can use as long-term contraceptive method if she is medically eligible, or can be removed at any time. If kept in place, IUD keeps working up to 10 years. If emergency IUD does not prevent pregnancy, the IUD will need to be taken out.
Next Move:
If she chooses emergency copper IUD, go to Copper IUD tab to check medical eligibility for IUD use (page IUD2) and for information on IUD insertion.
EC 4
Copper IUD
Small device that fits inside the womb Very effective
Very safe
Might increase menstrual bleeding or cramps