Contraception · NEET PG Preparation Obstetrics & Gynaecology

Which of the following emergency contraceptives can be effectively used up to 120 hours (5 days) following unprotected intercourse?

Practice question from Contraception (NEET PG Preparation Obstetrics & Gynaecology), with the correct answer and a step-by-step solution.

medium · MCQ · Q-23E24D

Which of the following emergency contraceptives can be effectively used up to 120 hours (5 days) following unprotected intercourse?

  1. A.Levonorgestrel 1.5 mg single dose
  2. B.Ulipristal acetate 30 mg single doseCorrect answer
  3. C.Yuzpe regimen (Ethinyl estradiol + Levonorgestrel)
  4. D.High-dose conjugated equine estrogens

Solution

Ulipristal acetate (UPA) is a selective progesterone receptor modulator (SPRM) that remains effective as emergency contraception up to 120 hours (5 days) post-intercourse with minimal loss of efficacy over that window. Levonorgestrel is FDA-approved up to 72 hours (though some efficacy extends to 120 hours, it drops significantly after 3 days). The copper-T intrauterine device is also effective up to 120 hours.

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