Emergency Contraception: Risks of Pregnancy and Natural Abortion Methods - Obstetrics and Gynecology

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Emergency contraceptive pill


On January 6th at 5 PM, I had some genital rubbing with my boyfriend without penetration.
I checked online and found that I ovulated on January 4th.
On January 7th at 5 PM, I bought emergency contraception (Ella).
What is the likelihood of pregnancy in this situation? If I do end up being pregnant, what methods can I use for a natural miscarriage?

xin, 10~19 year old female. Ask Date: 2017/01/07

Dr. Cao Guotao reply Obstetrics and Gynecology


Hello, the chances of pregnancy are low, but it is always best to take preventive measures beforehand.
Do not rely on the safe period.
If your period is more than a week late, it is advisable to see a gynecologist.
Wishing you good health.

Reply Date: 2017/01/07

More Info


Emergency contraception (EC) is a method used to prevent pregnancy after unprotected intercourse or contraceptive failure. In your case, since you had sexual contact on January 6, just after your ovulation period on January 4, the likelihood of pregnancy is present but not guaranteed. The use of emergency contraception, such as the "morning-after pill" (like Plan B or Ella), is designed to reduce this risk significantly if taken within a specific time frame after unprotected intercourse.
The effectiveness of emergency contraception is highest when taken as soon as possible after the incident, ideally within 72 hours, but some types can be effective up to 120 hours after. Since you purchased the emergency contraceptive pill on January 7, you are within the effective window for most EC options. If taken correctly, these pills can reduce the risk of pregnancy by up to 89% when taken within 72 hours.

If you do become pregnant despite taking emergency contraception, and you are considering natural abortion methods, it is crucial to understand that attempting to induce a miscarriage without medical supervision can be dangerous and is not recommended. Natural abortion methods are often ineffective and can lead to severe complications, including excessive bleeding, infection, and incomplete abortion, which may require surgical intervention.
The safest and most effective way to manage an unintended pregnancy is to consult with a healthcare professional. They can provide you with options that are safe and appropriate for your situation. If you are early in your pregnancy and considering termination, medical professionals can discuss medical abortion options, which are safe and effective when performed under proper medical guidance.

In summary, while the risk of pregnancy exists after your described encounter, the use of emergency contraception can significantly reduce that risk. If you suspect you might be pregnant, it is essential to seek medical advice rather than attempting to manage the situation on your own. Always prioritize your health and safety by consulting with a healthcare provider for the best course of action.

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