There are two issues bestowed on the Dr. Chunduri: - .
Firstly to provide alternative form of EC (Emergency Contraceptive) urgently
preferably by 72 hrs, Secondly, possibly the most omitted by our profession is
to counsel strongly for ongoing contraception.
A)
U may directly talk to local medicine shop owner (if U are
kind enough) by handing over mobile phone of your patient to shop keeper &
enquire which brand of ECP (emergency contraceptive Pill) is available at his shop.
B) How sympathetic
doctor is ? Having said that this problem of non-availability of the desired
brand of EC drugs at uncommon areas is not uncommon in Resorts, Sea sides, Hilly
resorts, Forest houses and islands in particulars. If such brand is not
available one can ask the couple to go a nearby shop if available and hand over
her mobile to shop keeper and insist on some other high dose LNG pill like Pill
72, EC-2, No –Preg, Pill-72, Preventol,Unwanted-72E-Pill,Unwanted 72(as suggested
by Dr Patel & others), I-Pill, Preventol.etc.
C) Holiday is over but te hidden anxiety is there more so in
wife or girl friend:-What is the way out? When she come back from resort or at
home UPI (unprotected Intercourse) she can be fitted with T-Cu-IUD within 7
days of such intercourse, if no such high dose LNG is available. I think enough
time is allowed by WHOM-no panicky for local nonavailibilty. Efficacy of Cu T
380 A will be good even at 120 hrs & acceptable.
D) Wife/ Girlfriend :- If denies to be fitted with Devices
the other three tablets of EC are available. Such Tab are
e.g. . . . Mifepristone(50 mg) ,
Ulipristal tab and age -old High or low dose Pill 2 tab BD or 4 tab per dose 12
hrs apart wit due antiemetics .
E) I have missed the last Bus/ train? What is the last option?
Last option is oral MTP drugs that too after confirmation of UTP and exclusion
of EP by serum Prog & possibly demonstration of GSD in Ut cavity. This is unacceptable
by most of us, possibly couple too prior to ingestion of Medl Ab tablets. Opinion
of Forum members Pl,
Part II. Most forgotten part:-Operation successfully done but
who will take care of “Dressing of the wound?” Ongoing contraception either by “Quick
Stared Method r “Late start of OCP/ IUCD after initiation of mens after UPI. Pl
do counsel that,
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