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Emergency Contraception: What They Don’t Tell You!

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Emergency contraception (EC) is a crucial option for preventing unintended pregnancies after unprotected sex or contraceptive failure. Many misconceptions surround EC, so understanding its types, effectiveness, and proper use is essential.

What Are Emergency Contraceptives?

Emergency contraceptives are methods used to prevent pregnancy after unprotected intercourse. They work primarily by delaying ovulation, preventing fertilization, or hindering implantation. EC is not an abortion pill and will not affect an existing pregnancy.

Types of Emergency Contraceptives

Emergency Contraceptive Pills (ECPs)

Levonorgestrel (Plan B One-Step, Take Action, My Way, etc.): Available over the counter, most effective when taken within 72 hours of unprotected sex.

Ulipristal Acetate (Ella): Requires a prescription, remains effective up to 5 days after unprotected sex, and works better than levonorgestrel, especially later in the timeframe.

Copper Intrauterine Device (IUD)

The most effective form of emergency contraception, reducing the risk of pregnancy by over 99% when inserted within 5 days of unprotected sex. Additionally, it can serve as long-term contraception.

How Effective Are Emergency Contraceptives?

Effectiveness depends on the method and timing of use:

Levonorgestrel: Reduces the chance of pregnancy by 75-89% when taken within 72 hours.

Ulipristal Acetate: About 85% effective, maintaining higher efficacy closer to the 5-day window.

Copper IUD: Over 99% effective, making it the best option for emergency contraception.

Who Can Use Emergency Contraceptives?

Most individuals can safely use EC, but effectiveness may vary based on weight, health conditions, and drug interactions. Ulipristal acetate may be less effective in individuals with a higher BMI, and consulting a healthcare provider can help determine the best option.

Are There Any Side Effects?

Common side effects of ECPs include:

Nausea

Fatigue

Irregular bleeding

Headaches

Breast tenderness
The copper IUD may cause cramping and heavier periods initially.

How to Access Emergency Contraception

Levonorgestrel-based pills are available without a prescription at most pharmacies.

Ulipristal acetate requires a prescription and may be found at clinics or online pharmacies.

A copper IUD must be inserted by a healthcare professional at a clinic.


Emergency contraception is a safe and effective way to prevent pregnancy after unprotected intercourse. Knowing your options and acting quickly increases the chances of success. If you are unsure about the best choice for you, consult a healthcare provider for guidance.

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