A 29-year-old woman presents 96 hours after unprotected intercourse requesting emergency contraception. She is not breastfeeding and has no contraindications to any method. Which option remains effective at this interval?

• A Levonorgestrel 1.5 mg single dose
• B Combined estrogen-progestin Yuzpe regimen
• C Ulipristal acetate 30 mg single dose ✓
• D Mifepristone 10 mg single dose

Explanation

Ulipristal acetate, a selective progesterone receptor modulator, retains efficacy up to 120 hours after intercourse and outperforms levonorgestrel between 72 and 120 hours. Levonorgestrel and the Yuzpe regimen are licensed only up to 72 hours, so they are unsuitable here. Low-dose mifepristone is not a standard emergency contraceptive agent in current Indian guidelines.

Reference: DC Dutta's Textbook of Gynecology, 8th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

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