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4.0 CLIENT ASSESSMENT FOR EMERGENCY CONTRACEPTION

4.1 History-taking

date of last menstrual period was it normal ?

average length of menstrual cycle

timing of all acts of unprotected intercourse in relation to the current cycle to calculate the risk of pregnancy

number of hours since the first episode of unprotected intercourse

current or recent use of contraception for planning future ongoing contraception

medical history relevant to EC use and to decide the chosen method of ongoing contraception including history of recent STI.

4.2 Examination

general and systemic examination is not essential

blood pressure check-up and assessment for anaemia may be done as a part of routine contraceptive consultation

pelvic examination is also not mandatory except in cases of sexual assault. However, it is advisable whenever pregnancy is suspected or if the client requests examination due to previous gynecological pathology. It also provides an opportunity for cervical cancer screening.

4.3 Laboratory tests

no specific test is required for ECP
prescription

urine pregnancy test must be done if pregnancy is suspected

laboratory tests can be offered if medically indicated or if desired by the client

screening for STIs should be done in high risk cases


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