Emergency Contraception: What to Do If a Condom Breaks - Obstetrics and Gynecology

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Pregnancy issues


If a condom appears to have broken during intercourse, you may be concerned about unintended pregnancy.
In the United States, you cannot purchase abortion pills over the counter at a pharmacy.
However, you have a few options to consider:
1.
Emergency Contraception: You can obtain emergency contraception (such as Plan B or Ella) from a pharmacy without a prescription.
This is most effective when taken as soon as possible after unprotected intercourse.
2.
Consult a Healthcare Provider: If you are concerned about pregnancy, it is advisable to consult a healthcare provider.
They can provide guidance on your options and may prescribe medication if necessary.
3.
Pregnancy Testing: If your period is late or you experience any symptoms of pregnancy, consider taking a home pregnancy test or visiting a healthcare provider for testing.
4.

Maike, 20~29 year old female. Ask Date: 2016/04/24

Dr. Cao Guotao reply Obstetrics and Gynecology


If you're feeling uneasy, you might consider taking emergency contraception.
Generally, emergency contraception should be taken within 48 hours.
Abortion pills are not available for purchase at pharmacies.
It's best to use preventive measures beforehand.
If your period is more than a week late, it is advisable to consult a gynecologist.
Wishing you good health.

Reply Date: 2016/04/24

More Info


When a condom breaks during intercourse, it can understandably lead to concerns about unintended pregnancy. In such situations, emergency contraception (EC) is a viable option to prevent pregnancy after unprotected sex. However, it's important to clarify that "abortion pills" are not the same as emergency contraception and cannot be obtained over the counter in pharmacies for the purpose of preventing pregnancy after intercourse.

Emergency contraception methods include hormonal pills, commonly referred to as "morning-after pills," and a copper intrauterine device (IUD). The hormonal pills, such as Plan B One-Step (levonorgestrel) and Ella (ulipristal acetate), are designed to be taken as soon as possible after unprotected intercourse. Plan B is most effective when taken within 72 hours (3 days), while Ella can be effective up to 120 hours (5 days) after the incident. Both methods work primarily by delaying ovulation, preventing fertilization, or inhibiting implantation of a fertilized egg.

If you find yourself in this situation, here are the steps you should take:
1. Assess the Situation: If you suspect that the condom has broken, it's crucial to determine how long it has been since the intercourse occurred. The sooner you act, the more effective emergency contraception will be.

2. Obtain Emergency Contraception: You can purchase Plan B over the counter at most pharmacies without a prescription. Ella may require a prescription, so you might need to consult a healthcare provider. If you prefer a non-hormonal option, consider visiting a healthcare provider to discuss the copper IUD, which can be inserted up to five days after unprotected sex.

3. Consult a Healthcare Provider: If you have any concerns about your health or the effectiveness of emergency contraception, it’s wise to consult a healthcare provider. They can provide personalized advice based on your medical history and circumstances.

4. Follow Up: After taking emergency contraception, monitor your menstrual cycle. You may experience some irregularities in your next period, such as changes in timing or flow. If your period is more than a week late, consider taking a pregnancy test.

5. Consider Long-Term Contraceptive Options: If you are sexually active and wish to avoid unintended pregnancies in the future, it may be beneficial to discuss long-term contraceptive options with your healthcare provider. This could include hormonal birth control methods, IUDs, or other reliable contraceptive methods.

It’s important to note that emergency contraception does not terminate an existing pregnancy; it is intended to prevent pregnancy before it occurs. If you are already pregnant, emergency contraception will not be effective.

In summary, if a condom breaks, you should act quickly to obtain emergency contraception. While you cannot buy "abortion pills" over the counter, you can access effective methods to prevent pregnancy. Always consult with a healthcare provider for the best course of action tailored to your specific needs and circumstances.

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