Can You Take Two Emergency Contraceptive Pills Within 72 Hours?

Can two emergency contraceptive pills be taken within 72 hours?

If you took emergency contraception 5 hours after intercourse on April 2nd and then took another dose in the early morning of April 3rd, you do not need to take another dose.
Taking emergency contraception two days in a row is generally not recommended, as it may increase the risk of side effects.
Experiencing abdominal pain after taking emergency contraception can be normal, as it may cause side effects such as nausea, fatigue, headache, and abdominal discomfort.
If the pain is severe or persists, it is advisable to consult a healthcare professional.

Yun, 10~19 year old female. Ask Date: 2016/04/03

Dr. Cao Guotao reply Obstetrics and Gynecology

Hello, generally it's not necessary, but if you're concerned, you might consider taking emergency contraception.
Typically, emergency contraceptive pills do not cause abdominal pain.
Wishing you good health.

Reply Date: 2016/04/03

More Info

When it comes to emergency contraception, it is important to understand how these medications work and the appropriate usage guidelines. Emergency contraceptive pills (ECPs), commonly known as "morning-after pills," are designed to prevent pregnancy after unprotected intercourse or contraceptive failure. The two most common types of ECPs are those containing levonorgestrel (Plan B One-Step) and ulipristal acetate (ella).
To address your question directly: Yes, you can take two doses of emergency contraceptive pills within 72 hours, but it is essential to follow the guidelines for each specific type of pill. If you took an ECP within 5 hours after unprotected intercourse on April 2nd and then had another instance of unprotected intercourse on April 3rd, it is advisable to take another dose of ECP as soon as possible.
Levonorgestrel is most effective when taken within 72 hours of unprotected intercourse, while ulipristal acetate can be effective up to 120 hours (5 days) after. However, taking ECPs multiple times in a short period can lead to side effects, which may include nausea, fatigue, headache, dizziness, and abdominal pain. Experiencing abdominal pain after taking ECPs is not uncommon and can be considered a normal side effect, as these medications can cause changes in your menstrual cycle and hormonal fluctuations.

It is crucial to note that while ECPs are safe for most individuals, they are not intended for regular use as a primary form of contraception. Frequent use can lead to irregular menstrual cycles and may not be as effective as regular contraceptive methods. If you find yourself needing emergency contraception repeatedly, it may be beneficial to consult with a healthcare provider to discuss more reliable long-term contraceptive options that suit your lifestyle and health needs.

In summary, taking two emergency contraceptive pills within 72 hours is permissible, especially if you have had multiple instances of unprotected intercourse. However, be aware of the potential side effects and consider seeking advice from a healthcare professional for ongoing contraceptive needs. If you experience severe pain or any concerning symptoms after taking the pills, it is advisable to seek medical attention to rule out any complications.

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