<\/p>\n
EMERGENCY CONTRACEPTION<\/span><\/span><\/p>\n by Cynthia Chong MD<\/span><\/p>\n This is an on-line exercise. Click on the two recommended <\/p>\n Recommended Articles<\/span><\/span><\/p>\n <\/p>\n 1. Emergency 2.. Emergency <\/p>\n Practice Case<\/span><\/span><\/p>\n A 17-year-old college freshman presents to student health <\/p>\n <\/p>\n <\/span>Question #1<\/strong> Question #2 Question #4 Question #5 Question #6 <\/p>\n Other References<\/span><\/span><\/p>\n 1. <\/span><\/span><\/a>Randomised 2. Timing
\narticles and read them. Then read the case and answer the questions.
\nClick through to the answers.<\/p>\n
\nContraception<\/a>, Westhoff, Carolyn. New England Journal of
\nMedicine<\/em>, <\/span>Vol. 349, No. 19 pp.1830-35.<\/p>\n
\nPostcoital Contraception<\/a>, Wertheimer, Randy Ellen. American Family
\nPhysician<\/em> 2000;62:2287-92.<\/span><\/p>\n
\nservices for a GYN evaluation. <\/span>She
\nhas no significant past medical history, takes no medications but appears very
\nanxious and requests a GYN examination and pregnancy test.
\n<\/span>Her last menstrual period was two weeks ago.
\n<\/span>She had attended a fraternity party two nights ago where she was pressed
\ninto using alcohol and other recreational drugs and became intoxicated.
\n<\/span>She was told today that male partygoers took advantage of her
\nhelplessness and sexually assaulted her, but she has no clear recollection of
\nthese events. <\/span>She had never been
\nsexually active in the past. <\/span>She
\nvery tearfully tells you she does not want to be pregnant and is afraid that
\nthat may have happened. <\/span>She is
\nmortified that her parents and schoolmates will find out and brand her a tramp.<\/p>\n
\nOf what value would the GYN examination and pregnancy test serve? Answer<\/a><\/p>\n
\n<\/strong>What therapeutic options are there? Answer<\/a>
\n
\nQuestion #3
\n<\/strong>Are there any untoward effects? Answer<\/a><\/p>\n
\n<\/strong>Do parents or college officials need to be notified? Answer<\/a><\/p>\n
\n<\/strong>What follow-up should be scheduled? Answer<\/a><\/p>\n
\n<\/strong>Should emergency contraception be available over-the-counter? Answer<\/a><\/p>\n
\ncontrolled trial of levonorgestrel versus the Yuzpe
\nregimen of combined oral
\ncontraceptives for emergency<\/span> contraception<\/span><\/a>.
\nTask Force on Postovulatory Methods of
\nFertility Regulation, <\/span>The Lancet<\/em> • Vol 352 •
\nAugust 8, 1998, 425-33.<\/span><\/p>\n
\nof emergency contraception with levonorgestrel or the Yuzpe regimen<\/a><\/span>. G
\nPiaggio <\/em>et al. The Lancet<\/em> • Vol 353 • February 27, 1999
\np.721.<\/span><\/p>\n