A 22-year-old woman presents to the clinic 80 hours after unprotected intercourse requesting emergency contraception. She has a BMI of 32 kg/m2. Which method is most appropriate at this time point?
- A Copper-T 380A IUD insertion ✓
- B Levonorgestrel 1.5 mg single dose
- C Ulipristal acetate 30 mg single dose
- D Combined oral contraceptive pills (Yuzpe method)
Correct answer: A. Copper-T 380A IUD insertion
Explanation
The copper IUD is the most effective emergency contraception and can be inserted up to 5 days (120 hours) after unprotected intercourse. It is also preferred in obese women as levonorgestrel efficacy decreases with higher BMI. Ulipristal is effective up to 120 hours but also has reduced efficacy in obesity.
Reference: WHO Medical Eligibility Criteria for Contraceptive Use, 5th ed.
High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP
Written and medically reviewed by the StethoPrep medical team.