available evidence suggests that effectiveness of the copper intrauterine device (Cu-IUD) is not affected by body weight or BMI
1.5 mg levonorgestrel emergency contraception (LNG-EC) appears to be less effective in women with BMI >26 kg/m2 or weight >70 kg
Ulipristal acetate EC (UPA-EC) may be less effective in women with BMI >30 kg/m2 or weight >85 kg
FSRH state (1):
women should be informed that the Cu-IUD is the most effective method of EC
women should be informed that BMI >26 kg/m2 or weight >70 kg may reduce the effectiveness of oral EC, particularly of LNG-EC
consider UPA-EC and, if this is not suitable, double-dose (3 mg) LNG-EC if BMI >26 kg/m2 or weight >70 kg. The effectiveness of double-dose LNG-EC is unknown
double-dose UPA-EC is not recommended for women of any body weight or BMI
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