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what emergency contraception is available?
- ECP - postinor:
- up to 72hrs (most effective up to 40hrs)
- progestin (levonorgestrol)
- copper IUD:
- up to 5 days later
- more effective than ECP
- Oestrogen and Progesterone:
- pill - combined o and p, o builds lining of uterus and progesterone maintains it (bleeding control)
- can't take oestrogen if liver disease, meds, blood clots etc
- Progesterone only:
- minipill - thickening of mucus - in some women, stops ovulation 1/3, long periods 1/3 unpredictable 1/3
- implanon - low dose constant - stops ovulation. 3yrs. low cost. out of system after 48hrs. irregular bleeding as above.
- depoprovera - injected into bottom - every 12 weeks. suppresses ovulation. stronger dose. after 3 injections majority of women have no periods (small proportion get heavy bleeding)
- - copper
- - progesterone - mirena
- Barrier method:
- best way to treat - continue to drain breast. run into problems if miss feed.
- start preferentially on that breast. if know how, drain certain area. take antibiotics (flucloxacillin or ceflex)
- review withing 48hrs. if fever drops and redness starts to go away - getting into abcess situation. may need surgery.