The Yuzpe method should be okay. It was way lighter than my menstruation. The Yuzpe regimen tended to induce bleeding early but mifepristone prolonged the cycle. EC has been proven to be most effective within 72 h and up to 120 h after unprotected sexual intercourse. Emergency contraception consists of methods that can be used by women after sexual intercourse to prevent pregnancy. Years ago, emergency contraception relied on estrogen to do its job, Dr. 2023-06-03, 15:09:33 am i pregnant or. Once you finish the process just don’t have unprotected sex anymore. Take one straight away if you keep track of your cycle and know that your period is at least a week late. Data sources: We searched. I was supposed to have my menstruation on October 29 but. TLDR: There are three types of oral emergency contraceptive options (LNG pills, Yupze method, and Ella), plus the copper intrauterine device (IUD), that can be accessed in Canada. Twice, taken 12 h apart. I started bleeding 6 days after (7th day now and I still have it) but this looks more like my period already. I believe it’s low risk but I still took the first dose of yuzpe that I’m always taking right after we finished doing it. Yuzpe Method has an 88% efficacy rate if taken within 72 hours. John Rhoades answered. Since plan B is prohibited in my country, I took the alternative yuzpe method the next day. Heavy bleeder ako kaya unusual sakin yung light period agad on 2nd day. It is equally effective in people with BMIs of up to 30, but people who are obese are twice as likely to become pregnant after taking it. It works better and has less side effects that the Yuzpe method of emergency contraception. Until a dedicated product was made for this (Preven), various combinations of COCs were used to give the equivalent dose. Patients should be advised to seek medical attention ifmenses have not begun within 3 weeks after EC treatment for the evaluation ofpregnancy. Unintended pregnancy is a complex phenomenon which raise to take an emergency decision. Reply . 1. Three weeks after deed, we took a pregnancy test and came out negative. No. If you have access to a pack of pills to do that method. The best-studied regimen ("Yuzpe") consists of ordinary combined oral contraceptives containing levonorgestrel and ethinyl estradiol. limesproutaway • 2 yr. It is possible to take Plan B as many times as necessary to prevent an unplanned pregnancy. 5 mg of levonorgestrel that is taken twice, with 12 hours between doses. Taking lots of hormones like with yuzpe at once can cause those symptoms and so can pregnancy. Ulipristal. 1%, norethindrone: 11. Medically Reviewed by Kacy Church, MD on July 8, 2022 Everyday Health Archive Taken within a few days of unprotected sex, certain oral contraception pills can. The Yuzpe regimen is equally effective at preventing pregnancy when treatment is started on the first, second or third days after unprotected intercourse. Plan B isn't available in the country and abortion is illegal so sadly, this is the only method of emergency contraception most people have access to. Copper IUD C. According to WHO, a copper-containing. )hello, i recently had one night stand last december 16th but around that week i'm on my ovulation window since i am tracking my period at the same time. The Yuzpe method may be the only ECP method available in parts of the US where LNG or UA regimens are not. The pill keeps preventing pregnancy during the week you get your period (the “break week” as you called it, also sometimes called the placebo pill week). Maybe they just delayed your period. Progestin-only pills are less forgiving with 3 hours, but if you took your pill as soon as you remembered you should be fine either way. Get app Get the Reddit app Log In Log in to Reddit. 4, 5, 7 Emergency contraception like the Yuzpe method tends to trigger spotting a week or so after you take it. Last month (on the 11th), I had unprotected sex with my boyfriend but he didn't finish at all. 84% (range, 0. Hi Mississippians! Since abortion is now illegal in the state, it's a good time to know one way of preventing pregnancy…On This Page. Instead of pills, women can choose between two other emergency contraception methods: copper IUD insertion and the Yuzpe method. It’s only considered a missed dose if you throw up within 2-3 hours of taking them. 2 Discuss her need for ongoing contraception and facilitate a prompt start of a regular method. Share. It is likely to cause nausea and is less convenient than other oral (taken by mouth) emergency contraceptives. It becomes less effective the longer the time after unprotected. Getting it: When Janine and their partner began. She's suppose to have it (if it's normal. Only one pregnancy per 100 women occurs with levonorgestrel only (Table 1). The Yuzpe method refers to a regimen of 100 μg of ethinyl estradiol and 0. Take a pregnancy test next week, just to be sure. This is a combination oral contraceptive method of postcoital contraception that initially consists of using the Ovral oral contraceptive pill. The Yuzpe method of emergency contraception is a highly effective way of preventing pregnancy if initiated within 72 hours of unprotected intercourse. The Yuzpe method is an ALTERNATIVE for Plan B, which only has progestin. If the ovulation test results show positive, then take the pills mentioned in the other comments. 20 Women who do not. Twice as many women vomited after the second dose (Yuzpe control: 12. 2. Yuzpe method; would appreciate informed insights. However, take note that since it’s emergency contraception, it’s intended as a backup method. First introduced in the United Kingdom in 1984, emergency contraceptive pills have emerged as one of the world’s principal family-planning methods and are now approved for use in 149 countries. Abstract. Tags: the pill, placebo pills. The Yuzpe method may be. That method is meant to be emergency contraception, if it’s necessary twice in a month then you need to consider actual birth control. Which method of emergency contraception should NOT be used by a woman with a BMI of 32 kg/m2?. 5 mg, or ulipristal. The Yuzpe regimen, first described in 1974, uses a combination of approximately 100 mcg of ethinyl estradiol and 0. For a boost of protection, she recommended that women use a backup form of birth control for a week after consuming both doses of emergency contraception. It's a common brand they use for the Yuzpe method since plan B is not available. This method reduces the number of anticipated pregnancies by 75% to 80%. It's still best to take a test around two weeks after taking the emergency contraceptive. Emergency contraception. Usually what happens is the withdrawal bleed resets your cycle and you can count it like it was a period in terms of when your next period will come. 3% and vomiting in 25%. The most commonly used method (Yuzpe-regimen) involves taking two pills each containing 50 µg of ethinylestradiol and 0. Women's healthcare is truly expensive :( Just a note, you can get a pap smear from. Because Paragard can be kept in as long-term birth control, its side effects. Consider starting birth control to provide cycle control and prevent pregnancy. Methods: Women presenting within 72 hours after unprotected intercourse were randomized to. The Yuzpe method is less effective than other methods; thus, it is no longer recommended except when women do not have access to other methods. Created for people with ongoing healthcare needs but benefits everyone. Consider starting birth control to provide cycle control and prevent pregnancy. Yes: Not prior use of BCP's is not a contraindication for yuzpe use. 1 to 0. To determine whether failure of the Yuzpe method of emergency contraception (which involves taking a higher than usual dose of ordinary combined oral. The Yuzpe regimen is equally effective at preventing pregnancy when treatment is started on the first, second or third days after unprotected. Honest-Crow-9154 • 6 days ago Just found out I'm 9 weeks pregnant and terrified because I've been on high doses of meds that are not safe for pregnancy. Without intervention, eight in 100 women-will become pregnant after a single act of unprotected intercourse during the middle two weeks of the menstrual cycle. rigorously the efficacy of one method of emergency contraception: the Yuzpe meth-od. I've gotten pregnant while on birth control TWICE. A child’s formula milk costs 2k and lasts 1 week. That includes period duration, period heaviness. 75 mg is available only by prescription for women younger than age 17 years, and available over the counter for. 8. It also helps if you time your second pill so that you take it just before bed. Copper T IUD. The drop in hormones triggers the release of some blood and mucus from the lining of. The risk of pregnancy amongwomen taking the Yuzpe regimen within 72 hoursof unprotectedintercourse is reduced by 70% to 80%. 5 mg, or ulipristal. One dose is taken within 72 hours after unpro- tected coitus,. Yuzpe method i took 4 trust pills and 4 again after 12 hours to do yuzpe method, now she has abdomen pain that wont go away, its not a bad pain but its still there and have been there since i took the 2nd dose, is this part of the side effects?Just wondering in regards to this topic, I think I am experiencing withdrawal bleeding from doing the Yuzpe method. 11 using trust pills. ago. Women traditionally take one dose within. levonorgestrel proved to be more efficacious than the Yuzpe method (ethinylestradiol. Please contact the moderators of this subreddit if you have any questions or concerns. Ella’s side effects are similar. Pretreatment with antinausea medications, such as meclizine or metoclopramide, has been shown to reduce nausea and vomiting associated with the Yuzpe method in two studies, but one study also found increased risk of. My ovulation dates are Oct 12-18 with Oct 17 being at its peak high risk of pregnancy. The sooner you take the ECP, the better it will work. 2. This regimen uses two doses of oral contraceptive pills that combine estrogen and certain progestins (FDA, 1997). Can I take it twice in one cycle?. Use condoms next time if you don’t want to get pregnant. Hi!The Yuzpe method refers to a regimen of 100 μg of ethinyl estradiol and 0. I am now 14 days late and worried that I might be pregnant although I don't feel any pregnancy symptoms. , forgetting to take contraceptive pills on time or miscalculating the safe time during the menstrual cycle when using fertility awareness-based methods. Please do not take any more pills, it’s not good for you to be taking so many like that. If 2 or more pills are missed in the third week (pills 15-21 of a 28-day pack) finish the hormonal pills in the current pack, omit the inactive pills and start a new pack the. It can be uncomfortable however, you can have a local anaesthetic to help with this. I would recommend you take a plan B pill as soon as possible, then speak to a doctor about your contraception options. Women traditionally take one dose within 72 hours after unprotected intercourse, and a second dose 12 hours later. ago. With the absence of EC in Philippine pharmacies, the Yuzpe Method is a recommended alternative: a safe and effective alternative using oral contraceptive pills. I usually have my period for 7 days only and this is my second period for this month. rigorously the efficacy of one method of emergency contraception: the Yuzpe meth-od. Food and Drug Administration–approved for use 72 hours postcoitus, whereas the newest method,. 2%) than after the first dose (Yuzpe control: 6. It was way lighter than my menstruation. • A method was used incorrectly, e. First, failure rates during typical use, including inconsistent or incorrect use, reflect contraceptive effectiveness. Janine, an 18-year-old from Manila, says this is the birth control method their age group is most familiar with. Compared with the Yuzpe method, a progestin-only method has been found to have lower rates of side effects and greater efficacy (85 percent pregnancy prevention rate for the progestin-only method. Copper IUD. Sexually transmitted infection (STI) exposure. This month, 1 day lang na heavy period tapos the rest unusually light na. The yuzpe method is not reliable. 8. From October 21-27. This method involves taking a combined oral contraceptive (COC) with a dose of LNG. Remember that a normal delivery costs 40-80k and an emergency C-section is 80-200k without complications. I am now 14 days late and worried that I might be pregnant although I don't feel any pregnancy symptoms. . Yes, the yuzpe method (and any other emergency contraception that works by delaying ovulation) can cause irregular bleeding, included delayed periods. It's already 17 days since I did the yuzpe method and I still haven't got my period and I haven't experienced any withdrawal bleeding but it's like almost a week now that I felt some symptoms like breast pain, sore nipples, cramping, and heavy white discharge. They protect from. 0% to 7. The Yuzpe method is the least effective form of emergency contraception, but it still significantly lowers the chance of pregnancy compared to not using emergency contraception at all. However, it wouldn’t hurt to take a pregnancy test just to be sure — a negative test is definitive 21 or more days after sex. 4%, norethindrone: 5. Each patient should have some type of follow. If you have doubts regarding pregnancy, go for a urine pregnancy test in the early morning urine sample and the following tests if possible. 12 Women using these brands therefore have to take a greater number of pills; for example, women in Vietnam can use Microgynon for the Yuzpe method if they simply double the number of tablets of these lower dose oral contraceptives. Is this a normal effect of contraceptive pills or is there a chance that I might be pregnant? Vote. Emergency contraception is not just a “morning-after pill. In this method 5 pills are taken of combined oral contraceptives like Sprintec. 61 votes, 48 comments. The Yuzpe method, introduced in the 1960s, was the first oral form of EC available (8). Now, she is almost 1 week delayed according to calendar. The earlier you take the first two pills, the more effective it should be. You should have a period within 3 weeks after taking ECPs. EC is available in two forms in Canada: a progestin-only method and a combined hormonal method, also known as the Yuzpe regimen. So can i still use yuzpe method? Lmp- sep 11-15 28days cycle. “This dose is taken twice, 12 hours. They also received a four week washout period between the treatments. The method described by Yuzpe a quarter century ago consists of two dosesof ethinyl estradiol (100 μg) plus levonorgestrel (0. It’s more likely that you’ll get pregnant from intercourse on the last day of your period if you have a shorter menstrual cycle. Until a dedicated product was made for this (Preven), various combinations of COCs were used to give the equivalent dose. Women taking enzyme-inducing AEDs who require progestogen-only emergency contraception should use twice the normal dose (Marsh and Kumar,. It is provided in four ways: using a progestin-only branded product such as Plan B One-Does yuzpe method causes irregular bleeding? I tried yuzpe twice but for the second time, i wasn’t able to take the second dose. since i'm on my ovulation window around that week so the day before we agreed to have sex, i did a yuzpe birth control ( took 4 zamine 21 and another 4 after 12 hours ) method just to be sure but i. Paragard and ella can be used up to 5 days after unprotected sex, and they work well during the entire 5-day window. [deleted] • 2 yr. I know the side effects of yuzpe method - cramps, nausea, breast tenderness, and withdrawal bleeding. Hello 👋. Irregular cycle ko, ranges from 28-36 days huhu. Menstrual irregularity after is common. Another week has passed and we took another and it came out negative again. So if you’ve been taking your pill correctly, there’s no need to use emergency contraception like Plan B. Created for people with ongoing healthcare needs but benefits. Yuzpe regimen. If your period is over a week late, take a pregnancy test. I already took 4 pills and I found out it doesn't work if you have finished ovulating. Yuzpe Method: You can start pills or any method of contraception after taking the second dose. But it's incredibly unlikely that anything happened since you didn't have PIV sex. Ethinyl oestradiol plus dl-norgestrel or levonorgestrel in the Yuzpe method for post-coital contraception: Results of an observational study. The Yuzpe method is another regimen. Dizzy-Consequence306. Ulipristal (ella®) Emergency contraception: Yuzpe Method. 6 mg of levonorgestrel, repeated after 12 hours (multiple brands available) Delays or. You need a prescription for hormonal birth control. Since you followed the Yuzpe method, the problem may be due to hormone imbalance or infection of either the urinary tract or pelvic floor. Whether you are taking a regular method of contraception and what this method is; This is to check which method of emergency contraception is the most suitable. There isn’t really any way for you (or us) to determine which way it went for you. yuzpe method and delayed menstruation. Levonorgestrel prevented pregnancy more effectively than the Yuzpe method, as levonorgestrel users became pregnant 64% less often than Yuzpe method users. Syki-Young warned that "recurrent use of [the] Yuzpe method especially more than once a month or repeated use in a short interval can cause disruption of your. with menstrual delay of more than one week in 36 percent of women taking 600 mg, in 23 percent. Yuzpe method B. Key Points for Providers and Clients. 44%). In addition to these dedicated ECPs, many types of oral contraceptive pills can be used (in various combinations, depending on pill formulation) as EC – this is often referred to as the Yuzpe method. I had my period/heavy spotting for five days a week after doing the yuzpe method (which was taken as an extra precaution). Yuzpe method (please help!!!) My bf and I had intercourse yesterday and did the pull out method. 2 Condoms are important for protection against sexually transmitted infections (STIs) as well as pregnancy, and the oral contraceptive pill can be an effective method for pregnancy prevention; however. Take note that I did yuzpe agad after 1-2ish hours of the deed. Syki-Young, " Yuzpe method or Yuzpe regimen is defined as using everyday birth control pills as an emergency contraception. Hello, can you help me? My girlfriend and I had unprotected sex twice in one month, and she also used the Yuzpe method to take emergency contraceptives. 2 comments. 5. Take the last pill you missed right away (you may take need to take two pills in one day). It also helps if you time your second pill so that you take it just before bed. Yet, both groups became pregnant almost twice as often as. Published international studies showed that unmarried women and women in their early 20s exhibit the greatest use of EC. The best-studied regimen (“Yuzpe”) consists of ordinary combined oral contraceptives containing levonorgestrel and ethinyl estradiol. The longer you wait to take the pill, the less effective it will be, she said. The Yuzpe method can prevent pregnancy as long as these are taken 72-120 hours after unprotected intercourse, depending on the type. But it’s not always the case. Emergency contraceptive pills (ECPs) help a woman avoid pregnancy after she has sex without contraception. From October 21-27. Late period, yuzpe method. Low contraceptive prevalence and high user failure rates are the leading causes of this unexpected situation. My question is, how long can YUZPE delayed. CryptoCan i use the yuzpe method if i never take conception pills before. tested in Canada in the 1970s, known as the Yuzpe method. Basically I’m having my period twice for the month of August now. Without the math, I’d likely conclude that you were lucky this time. Its probably ok as long as the pills are active. Best. When a. Since plan B is prohibited in my country, I took the alternative yuzpe method the next day. If you have access to a pack of pills to do that method. EDIT: learned a thing or two from my research, sharing this! To help prevent you from feeling nauseous, take your pills with food. If the Yuzpe method is used, only two women will become pregnant (about a 75 percent reduction). So right now most you can do is mark 3 weeks since you took ECP and take a pregnancy test. 2. A test should be accurate next week if you are pregnant. 8 This method is most. A test should be accurate next week if you are pregnant. The Yuzpe method involves taking two doses of a combination birth control pill containing levonorgestrel and ethinyl estradiol. Patients who do not experience a menstrual cycle one week after her usual expected menstrual cycle or three weeks after taking ECPs should take a pregnancy test and/or seek medical care. Emergency contraception is a birth control method to prevent pregnancy in women. 8%, respecvitely). 8% and 1. The most commonly used methods of contraception reported by teenagers who have had intercourse in the United States are the condom, followed by withdrawal, the oral contraceptive pill, and ECPs. (Side note: you can’t use just any pill for the Yuzpe method, only. Second, failure rates during perfect use, defined as following the package directions, reflect contraceptive efficacy. Cycle disruption: Forms of emergency birth control such as the Yuzpe method are designed to disrupt the menstrual cycle by stopping or delaying ovulation. It involves taking two doses of pills containing a combination of estrogen andsexual assault. 5mg of levonorgestrel in total (the dosage in 1 plan B pill. Go and take a test,. EDIT: learned a thing or two from my research, sharing this! To help prevent you from feeling nauseous, take your pills with food. Nausea, stomach pain, and fatigue are also common. For the Yuzpe method to work, Oquila said the pills should be taken within five days after the unprotected sexual contact to prevent 95% chance of pregnancy. Nung september naman, 1 week earlier than my expected date. " These oral contraceptive pills are available in local drugstores, but it's important that you do not self medicate! Consult your OB-GYN first and they'll prescribe. 6 In one study, 2% of women on the Yuzpe regimen had not bled within 3 weeks in comparison to 32% of the patients taking mifepristone. Business, Economics, and Finance. The treatment consists of administration of. The Yuzpe regimen has replaced the older postcoital therapy of high doses of the estrogen diethylstilbestrol, primarily because the Yuzpe regimen has fewer side effects. It only. Yuzpe Method has an 88% efficacy rate if taken within 72 hours. The Yuzpe method is a form ofThe withdrawal bleed doesn't absolutely guarantee that you're not pregnant, but it makes it particularly unlikely, since it means the endometrium was not in the right phase to support implantation of a potential embryo at the appropriate time. Best. 12 Women using these brands therefore have to take a greater number of pills; for example, women in the United States can use the brands Nordette, Levlen and Lo/Ovral for the Yuzpe method if they simply double the. I'm a little worried because I know precum could still contain sperm, and we're choosing this method because I'm from Philippines where Emergency Contraceptives are not available. The Yuzpe regimen is a method of emergency contraception that uses a combination of ethinyl estradiol and levonorgestrel, specifically 1 mg of norgestrel (or 500 mg of levonorgestrel) and 100 mcg of ethinyl estradiol ASAP and again in 12 hrs. , the condom broke or slipped during intercourse. (took 16 in two days because twice yuzpe) can delay period,. Continue with the rest of the pack as usual. ” Multiple emergency contraception options are available. it is important that you discard any milk produced and not give it to the baby for a week after taking the pill. Yuzpe method To use the Yuzpe method, you take your birth control pills in two doses, 12 hours apart. To. If you do not have a period within 3 weeks, a pregnancy test is needed. Family Medicine 50 years experience. Combining estrogen and progestin hormones in this manner is also called the Yuzpe method, after the Canadian physician who first described the regimen. The specific time frames in which they should be used to prevent pregnancy are: Emergency. If the condom didn't break, there's no need to be doing the yuzpe method. Reply. Methods of emergency contraception are the copper-bearing intrauterine devices (IUDs) and the emergency contraceptive pills (ECPs). The Yuzpe method was first tested in the 1970s. You can check out this. The Yuzpe method may be the only ECP method available in parts of the US where LNG or UA regimens are not. “These pills fill a need when sex is infrequent or unexpected, which is often the case for people just entering their sexually active years,” Bolande said. The Yuzpe method of emergency contraception, which consists of taking a combination of regular estrogen/progestin birth control pills, has grown in popularity and works by delaying or preventing ovulation. 01). 50 mg of dl-norgestrel within the first 72 hours of unprotected intercourse. That way, you’ll sleep through the nausea. The Yuzpe method is a common method of emergency contraception and for some it may be the only one available because some countries don't have the "usual" plan B, or it may be very hard to access. both results were negative. 9,10 The primary mechanism of action is. A. ago. Yuzpe Method Twice in a week 0 /r/safesexph, NSFW. Yuzpe method: 74%. Now, I got my period 2 weeks after my last period and it is longer than expected. Prolonged or repeated use can decrease fertility C. 5 to 0. ECPs help to prevent pregnancy when taken up to 5 days after unprotected sex. EC can be used in the following situations: unprotected intercourse, concerns about possible contraceptive failure, incorrect use of contraceptives, and sexual assault if without contraception coverage. the amount of norgestrel in each tablet is twice the amount of levonorgestrel. Yuzpe method: combination of 0. Trust pills are a brand in the Philippines and they are OTC there. 5 mg of. I drank 4 pills right away (doing the yuzpe method). Go and take a test, the results will be accurate by now for peace of mind. A hormonal contraceptive may be started at the same time as. Most pill takers I talked to were taking pills prescribed by their OB-GYN, usually for their PCOS. Using the Yuzpe method can work too, but you have to understand the content of levonorgestrel in your normal BCP. 12 mg of ethinyl estradiol and 0. This still counts as the second time you’d take in one cycle. Paragard also needs to be inserted within that five-day window in order to be effective. Send help. 5 mg of levonorgestrel every 12 hours for two doses. The most commonly used methods of contraception reported by teenagers who have had intercourse in the United States are the condom, followed by withdrawal, the oral contraceptive pill, and ECPs. Emergency contraception is the only contraceptive method designed to prevent pregnancy after intercourse. See full list on goodrx. It’s a method that has been. It’s even more likely to delay your next period than Plan B. It’s normal for cycles to be irregular following emergency contraceptive. I just want to to know if i can still use yuzpe method? So earlier in the morning i had sex with my bf he didn’t came on me he used withdrawal but i think im fertile now. brown to black discharge 1 month after taking trust pills as ecp. Yuzpe group experienced nausea in 68. 1. 8%, respecvitely). Copper T IUDs can be inserted up to the time of implantation—six to 12 days after. According to Dr. But if you’re not sure where you are in your menstrual cycle, wait 3 weeks after taking. In a pooled analysis of 24 studies using the Yuzpe method in 9588 women, the calculated average failure rate was 1. If you are interested in taking oral contraceptive pills as a regular method of contraception, consult your healthcare provider to know more. I am tracking my period using the Flo app and I should get my period by next week. Copper IUD According to WHO, a copper-containing intrauterine device is the most effective form of emergency contraception with a 99 percent success rate if inserted within 5 days after unprotected intercourse. This treatment is repeated 12 hours later. Take note that I did yuzpe agad after 1-2ish hours of the deed. 5 days after yuzpe, I experienced spotting for 4 days. Levonorgestrel D. Typically, it is only. We all have tremors and having the bottle waving around without support hurts your. Emergency contraception methods have varying ranges of effectiveness depending on the method and timing of administration. Here is what to expect: 1. Levonorgestrel prevented pregnancy more effectively than the Yuzpe method, as levonorgestrel users became pregnant 64% less often than Yuzpe method users. But again, it is only effective when taking certain brands. Only one pregnancy per 100 women occurs with levonorgestrel only . 5 mg of levonorgestrel) in two doses taken 12 hours apart. Objective: To determine whether failure of the Yuzpe method of emergency contraception (which involves taking a higher than usual dose of ordinary combined oral. Emergency contraception can be used at any time during the menstrual cycle. On the 12th day of my cycle, I did the Yuzpe method. Levonorgestrel and the Yuzpe method both reduced absolute pregnancy risk by slight margins (2. In january she had it 1 week earlier and then on february again 1 week. 2.