A 29-year-old woman presents 96 hours after unprotected intercourse requesting emergency contraception. She declines an intrauterine device. Which oral agent is appropriate at this interval?

• A Levonorgestrel 1.5 mg single dose
• B Combined oral contraceptive Yuzpe regimen, two doses
• C Mifepristone 600 mg single dose
• D Ulipristal acetate 30 mg single dose ✓

Explanation

Ulipristal acetate, a selective progesterone receptor modulator that delays ovulation, retains efficacy up to 120 hours after intercourse. Levonorgestrel and the Yuzpe regimen are licensed only up to 72 hours, so they are unsuitable here. Mifepristone at abortifacient doses is not used for routine emergency contraception in India. The copper IUD would be the most effective option overall but the patient has declined it.

Reference: Williams Obstetrics, 26th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

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