Post coital contraception

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This can be afforded by hormonal means - the morning after pill (MAP) - or by fitting a copper-containing intra-uterine contraceptive device (IUCD).

The effectiveness of the MAP is high when taken shortly after the risk, and declines considerably after 72 hours. Therefore can be used beyond the 'morning after'. See table.

The IUCD is effective for considerably longer, and may be fitted up to 5 days after ovulation[1] in that cycle.

Other Considerations

Depending on the circumstances offering screening for sexually transmitted infections may be indicated.

If a copper IUCD is used for PCC then a swab and a single dose of prophylaxis are indicated. Currently, azithromycin 1g.


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