The website is launched on 29 June 2018

Emergency Contraception & Sterilisation

Emergency Contraception


  • Any unprotected sexual intercourse (UPSI)
  • Sexual assault
  • Missed pill
    • for COCP if miss > 2 active pills
    • for progesterone only pill – >27 hours after last POP or >36 hours after last desogestrel (cerazette)
  • IM Depo Provera
    • >14 weeks since last injection
  • IUCD
    • removal without any new method
    • missing thread/unable to localise IUCD
    • expelled IUCD
  • Condom accident – broken/came off


  • Risk of pregnancy
  • Risk of sexually transmitted infection

Important points in history taking

  • last normal menstrual period; menstrual cycles
  • is she already on contraception? any complications/issues with previous contraceptive methods?
  • how many hours ago was the episode of unprotected sexual intercourse
  • any other episodes of unprotected intercourse in this cycle?

Medical history

  • is she on any medication – antibiotics/anti-epileptics etc that may reduce efficacy of EC
  • any medical problems or contraindications to OC

Assess risk of sexually transmitted infections

  • any past history of STI?
  • any contraindication for IUCD?
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