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ROYAL AUSTRALIAN COLLEGE OF GENERAL PRACTITIONERS
Author(s) -
F M Farrar
Publication year - 1973
Publication title -
medical journal of australia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.904
H-Index - 131
eISSN - 1326-5377
pISSN - 0025-729X
DOI - 10.5694/j.1326-5377.1973.tb130031.x
Subject(s) - library science , computer science
Initial Consultation • Obtain history: unprotected intercourse within 72 hours of presentation? • Prior episode(s) of unprotected intercourse in same menstrual cycle? • Any contraindications to progestogen use? • Negative urine pregnancy test if considered necessary to test • Check BP. Elevated BP is not a contraindication but requires further investigation • If no symptoms of sexually transmitted infection (STI), delay pelvic examination until followup • Review ECP efficacy, safety and instructions for use. • Mention that although highly effective, the ECP is not 100% effective. • Consider the cost. Currently it is cheaper to prescribe the progesterone-only oral contraceptive pill (Microval® or Microlut®) for two doses, however a current Medicare card and health care card (if applicable) must be shown at the pharmacy. Postinor-2® can be supplied via private prescription (~$20-$25), obviating the need for unique patient identification. • Inform the patient that she needs to return to the GP if she vomits within 2 hours of a dose. • Assist the patient to work out the timing so that the second dose is given at a convenient time. • Discuss side effects (nausea, vomiting and less common side effects of breast pain, dizziness, tiredness, spot bleeding). These are evidence that the medication is working.