4. Why did UPSI take place?

If the client was not using contraception, there is an opportunity later on in the consultation to explore further contraception options. This is particularly important if the UPSI occurred in a risky situation, such as under the influence of alcohol or recreational drugs.

5. When was the first day of your last period and how long is your menstrual cycle?

This is in order to work out if the woman’s estimated ovulation date is within the number of days required for the first-line option of UPA to be considered.

The FSRH states that “oral emergency contraception administered after ovulation is ineffective” and “a Cu-IUD can be inserted up to five days after first UPSI in a natural menstrual cycle, or up to five days after the earliest likely date of ovulation (whichever is later).”

6. Could you already be pregnant?

If a customer’s period is late, or lighter or shorter than usual, it should be determined whether she is already pregnant. 

7. Have you already had EC this cycle?

The FSRH states that a woman can take more than one dose of either LNG or UPA in one cycle, but the two medicines should not be mixed in a single cycle. The customer should be warned of possible disruption to their cycle.