Module 1 covered the context of emergency contraception (EC). This module will consider the different types of EC available and the guidance associated with its supply.

Copper intrauterine device

The copper intrauterine device (Cu-IUD) is the most effective form of emergency contraception. A Cu-IUD can be inserted up to five days after unprotected sexual intercourse (UPSI). If intercourse has occurred more than five days previously, the device can still be inserted up to five days after the earliest likely calculated ovulation date (that is, within the minimum period before implantation), regardless of the number of episodes of UPSI earlier in the cycle.

In the case of an increased pill-free interval with combined hormonal contraceptives (CHCs), a Cu-IUD can be inserted for up to 13 days after the start of incorrect pill taking or hormone-free interval.

If criteria for insertion of a Cu-IUD is not acceptable to a woman, consider oral EC. If a customer does decide to have a Cu-IUD fitted, then oral EC should still be given in case she does not attend her appointment.