A 30 year old woman with obesity, epilepsy, and HIV presents to your family planning clinic for emergency contraception. She had unprotected sex 24 hours ago and is worried about pregnancy. She normally does not use any type of contraception, and in fact, has presented for this same concern multiple times in the past year. Her HIV and seizures are well controlled on multiple medications. You counsel her about the risks of unprotected sex, especially in light of being HIV+.
Challenge: What type of emergency contraception is most appropriate here?
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Emergency Options
The best choice here is placement of a copper IUD, the most effective form of emergency contraception. Other options including levonorgestrel and ulipristal can become less effective in the setting of antiepilpetics and antiretrovirals.
Source: UpToDate.
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