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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