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Gynaecology & Obstetrics General a6cc1419

A 32-year-old P2L2 lady comes five days after unpro!tected sexual intercourse. What will be your advice for contraception in this lady?

A
Copper IUCD
B
Levonorgestrel 0.75 mg
C
Two tablets of high dose OCP, repeated after 24 hours
D
Laparoscopic tubectomy
High-Yield Explanation
Ans: A. Copper IUCD(Ref Dutta 8/e p615, 7/e p551)Best contraceptive for 32-year old P2L2 lady coming after 5 days after unprotected sexual intercourse - Copper-containing IUCD.Copper IUCD:Inseion within maximum period of 5-7 days after accidental unprotected exposure.Prevents implantation.Unsuitable for women with multiple sex paners & rape victims.

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