A 17-year-old male requests emergency hormonal contraception after unprotected intercourse with a 16-year-old girlfriend who cannot attend the pharmacy. What is the most appropriate course of action?

• A. Advise him that his girlfriend should come to the pharmacy for a consultation to ensure the EHC is clinically appropriate
• B. Provide the EHC to him immediately
• C. Refuse the request due to age
• D. Refer to a sexual health clinic for advice

Answer: (B)

The key idea here is access to emergency contraception for a minor and the pharmacist’s obligation to provide timely, confidential care. Emergency contraception is designed to be available when unprotected intercourse has occurred, and in many settings a minor can obtain it without parental involvement. The request comes from the person who is currently the contact to act for the partner, and the partner cannot attend the pharmacy. Timeliness is crucial—EC is most effective when used as soon as possible after exposure—so supplying it promptly helps prevent pregnancy.

Confidentiality should be maintained, and the 17-year-old can consent to seek sexual health treatment or information without needing a parent present. The pharmacist should also offer clear counseling on how to use the product, possible side effects, and what to do if symptoms occur or if pregnancy is suspected.

So, dispensing the emergency contraception now to the requester is the appropriate course to maximize the chance of preventing pregnancy while respecting the patient’s privacy and the urgent nature of the situation.