Copper Intrauterine Device (IUD) or “coil” How does it work? This option works by preventing a fertilised egg from implanting in the uterus (womb). It can be used up to 120 hours (five days) after sex, and can sometimes be used later than five days, depending on when your last period was. Where can I go for further advice? The Sexual Health and Contraception Service based at Queen’s Hospital 01708 503 838 Redbridge Pregnancy Advisory Service at King George Hospital – the Maple Suite 0845 077 2250 ext 82222 Things to consider It works immediately and will continue to provide contraception straight away. It can be removed after your period or kept and used for ongoing contraception. If you decide to keep the IUD, it can stay in place for between five and 10 years. “ Emergency Contraception It takes about 10-15 minutes to fit and may be uncomfortable to have fitted. The IUD is the most effective method of emergency contraception. It prevents pregnancy more than 99% of the time. Dated: April 2016 Revision date: April 2018 Patient Information no: 608 www.bhrhospitals.nhs.uk @BHR_hospitals Barking, Havering and Redbridge University Hospitals NHS Trust To help you decide which method to use, the nurse or doctor will need to ask you some questions. It will be helpful and save time if you can think about, and answer, the following questions while you are waiting. When did you have unprotected sex? By unprotected sex, we mean sex without a condom, missed pills, withdrawal method. All of these carry a risk of pregnancy. What was the first day of your last period? (the day your last period started) Have you had any other unprotected sex or pregnancy risks (other than the one you have come to see us today about) since your last period? There are three types of emergency contraception. Levonorgestrel 1500mcg (Levonelle 1500) – emergency pill How does it work? This works by delaying or preventing ovulation (release of the egg from the ovary). It can be used up to 72 hours (three days) after sex. Things to consider Some women still become pregnant even though they have taken the emergency pill. It can be less effective if you vomit (are sick) soon after taking it. The emergency pill prevents at least 50% of pregnancies. The emergency pill only works for a single episode of unprotected sex. However, you can usually take it again if you have a further risk. You will need to use another method of contraception after taking this. Your period may be early or delayed by up to a week. Speak to the nurse or doctor about starting a method of contraception or continuing your regular contraception. Levonelle 1500 is safe to use when breastfeeding. Ulipristal Acetate 30mg (EllaOne) – emergency pill How does it work? This also works by delaying or preventing ovulation. It can be used up to 120 hours (five days) after sex. Things to consider Some women still become pregnant even though they have taken the emergency pill. It can be less effective if you vomit (are sick) soon after taking it. The emergency pill prevents at least 50% of pregnancies. “ The emergency pill only works for a single episode of unprotected sex. However, you can usually take it again if you have a further risk. You will need to use a method of contraception after taking this. Your period may be early or delayed by up to a week. Speak to the nurse or doctor about starting a method of contraception or continuing your regular contraception. You are not usually advised to take EllaOne if you are breastfeeding. This is because you would need to stop breast feeding for seven days after taking this tablet.
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