What to Do If You Missed Taking Emergency Contraception After Unprotected Sex - Obstetrics and Gynecology

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Emergency contraception


If you had unprotected intercourse and are concerned about pregnancy, it's important to consider taking emergency contraception as soon as possible.
Since it has been two days since the incident, you still have options.
Emergency contraceptive pills (ECPs) are most effective when taken within 72 hours after unprotected sex, but some types can be taken up to 5 days later.

You should consult a healthcare provider or a pharmacist to discuss your options and get the appropriate medication.
Additionally, consider scheduling an appointment for a pregnancy test if your period is late or if you have any symptoms of pregnancy.

Zhenzhen, 10~19 year old female. Ask Date: 2016/04/05

Dr. Zhang Kunmin reply Obstetrics and Gynecology


What you need is not medical consultation but rather a remedial course in sexual education.
For such inquiries, it is recommended to refer to the National Health Administration's "Sexual Wellness e-Learning" or the Obstetrics and Gynecology Society's "Consultation Guide for Adolescent Contraception" at http://goo.gl/dc6PfW.

Hello, based on your description, there is a significant chance of pregnancy.
It is advisable to quickly use emergency contraception methods (such as emergency contraceptive pills or an intrauterine device).
If your period is more than a week late, you should also take a urine test to check for pregnancy.
Thank you! Wishing you safety and health, Dr.
Zhang.

Reply Date: 2016/04/05

More Info


If you have missed taking emergency contraception (EC) after having unprotected sex, it's important to understand your options and the potential risks involved. Emergency contraception is most effective when taken as soon as possible after unprotected intercourse, ideally within 72 hours (3 days), although some types can be taken up to 5 days after. The sooner you take it, the higher the chance of preventing pregnancy.

Since you mentioned that it has been two days since the unprotected intercourse, you still have time to take emergency contraception. There are two main types of emergency contraception: the hormonal pills (like Plan B One-Step or Ella) and the copper intrauterine device (IUD). The hormonal pills are available over-the-counter at pharmacies, while the copper IUD requires a visit to a healthcare provider.

1. Take Emergency Contraception: If you haven't taken the emergency contraception yet, do so as soon as possible. If you choose a hormonal pill, Plan B is effective up to 72 hours after unprotected sex, while Ella can be taken up to 120 hours (5 days) after. If you can access a copper IUD, it is the most effective form of emergency contraception and can be inserted by a healthcare provider within 5 days of unprotected intercourse.

2. Monitor for Symptoms: After taking emergency contraception, you may experience side effects such as nausea, fatigue, headache, or changes in your menstrual cycle. It's important to note that these side effects are generally mild and temporary.
3. Wait for Your Period: After taking emergency contraception, your next period may come earlier or later than expected. If your period is more than a week late, it is advisable to take a pregnancy test to determine if you are pregnant.

4. Consider Future Contraceptive Options: If you are sexually active and want to avoid unplanned pregnancies in the future, consider discussing regular contraceptive methods with your partner. Options include birth control pills, condoms, IUDs, implants, or other long-term methods.

5. Consult a Healthcare Provider: If you have any concerns about your health, the effectiveness of the emergency contraception, or if you experience severe side effects, it is important to consult a healthcare provider. They can provide guidance tailored to your situation and help you with any further questions regarding sexual health and contraception.

In summary, if you have missed taking emergency contraception after unprotected sex, you should take it as soon as possible. Monitor your body for any changes and be prepared to take a pregnancy test if your period is late. It’s also a good time to consider more reliable contraceptive methods for the future. Remember, while emergency contraception is a useful option, it should not be relied upon as a regular form of birth control.

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