Template
Emergency contraception
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Confidential interviewChoose any
ReasonChoose one
TimingChoose one
Pregnancy testChoose one
MethodChoose one
Additional planChoose any
Follow-upChoose one
Counseling paragraphChoose oneParagraph
What the sources cover
- Indication: no method, condom failure, missed pills or late injection
- Timing (up to 120 hours)
- No pregnancy test required
- Levonorgestrel (OTC), Ella, IUD (copper or levonorgestrel)
- Higher BMI favors Ella or IUD
- Start ongoing method today after levonorgestrel; wait 5 days after Ella
- Testing, advance prescription, consent
- Pregnancy test if no period in 3 weeks
- Condoms or abstain until the next period; period timing
Return precautions in the template
a late or missed periodsevere belly painheavy bleeding
Sources
- Emergency Contraception. Policy Statement. Pediatrics 2019;144(6):e20193149. (cited as current by 2025 CR)