Can You Get Pregnant After Taking Emergency Contraceptive Pills? - Obstetrics and Gynecology

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If you have taken emergency contraception and then have unprotected intercourse again, there is still a possibility of becoming pregnant. Emergency contraception is most effective when taken as soon as possible after unprotected sex, but it does not provide ongoing protection. If you have unprotected intercourse after taking the emergency contraceptive,


If you had unprotected intercourse at 11:30 AM and took emergency contraception (Plan B) immediately afterward, and then had unprotected intercourse again at 1:30 PM, there is a possibility of pregnancy.
The effectiveness of emergency contraception decreases if taken after subsequent unprotected intercourse.
It is recommended to take another dose of emergency contraception after the second instance of unprotected intercourse to maximize its effectiveness.
Since your menstrual cycle is irregular and you do not have a record of it, it is important to monitor for any signs of pregnancy and consider consulting a healthcare provider for further guidance.

Niming, 10~19 year old female. Ask Date: 2018/10/21

Dr. Huang Jianzhong reply Obstetrics and Gynecology


This morning at 11:30, I had unprotected intercourse and took the emergency contraceptive pill right away.
Then at 1:30 PM, I had unprotected intercourse again.
Is there a chance I could get pregnant? Answer: The likelihood of pregnancy is low.
My menstrual cycle is irregular, so I don't have a record of it.
Doctor, will the medication still be effective, or do I need to take another dose after having intercourse again? Answer: You do not need to take another dose regardless of how many times you have unprotected intercourse.

Reply Date: 2018/10/21

More Info


Emergency contraceptive pills (ECPs), commonly known as the "morning-after pill," are designed to prevent pregnancy after unprotected intercourse or contraceptive failure. The effectiveness of these pills largely depends on when they are taken relative to the timing of ovulation.
In your case, you took the emergency contraceptive pill shortly after unprotected intercourse, which is a crucial step in reducing the risk of pregnancy. ECPs are most effective when taken within 72 hours (3 days) after unprotected sex, but some types can be effective up to 120 hours (5 days) after. The sooner you take the pill after unprotected intercourse, the more effective it will be.
Regarding your question about whether you need to take another dose after having unprotected intercourse again, the answer is yes. If you have unprotected sex again after taking the first dose of ECP, you should take another dose of the emergency contraceptive pill as soon as possible. This is because ECPs do not provide ongoing protection; they only work to prevent pregnancy from the specific act of unprotected intercourse that occurred before taking the pill.

It is also important to note that ECPs do not terminate an existing pregnancy; they work primarily by delaying or inhibiting ovulation. If ovulation has already occurred, the effectiveness of the pill diminishes significantly. Therefore, if you are unsure about your ovulation cycle, it is advisable to take the ECP as soon as possible after unprotected intercourse.

In terms of your menstrual cycle, since you mentioned that it is irregular, it can be challenging to predict ovulation. Irregular cycles can make it harder to determine the fertile window, which is the time when you are most likely to conceive. If you are concerned about the possibility of pregnancy after taking ECPs, consider taking a pregnancy test if your next period is late.
Additionally, if you find yourself frequently in situations where you are relying on emergency contraception, it may be worth discussing more reliable, long-term contraceptive options with your healthcare provider. Options such as birth control pills, intrauterine devices (IUDs), or implants can provide more consistent protection against unintended pregnancies.

In summary, taking the emergency contraceptive pill after unprotected intercourse is a responsible step to prevent pregnancy. If you have unprotected sex again after taking the pill, you should take another dose. Monitor your menstrual cycle and consider consulting with a healthcare provider for personalized advice and to explore more reliable contraceptive methods.

Similar Q&A

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Dr. Cao Guotao reply Obstetrics and Gynecology
Hello, the chances of pregnancy are low, and you shouldn't rely on the safe period. It's better to take preventive measures before engaging in sexual activity. If your period is more than a week late, it's advisable to see a gynecologist. Wishing you good health.

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Dr. Huang Jianzhong reply Obstetrics and Gynecology
The emergency contraceptive pill was taken one dose of "Yuzhu" close to 24 hours after unprotected intercourse (the previous day at 3:00 PM). Will this result in pregnancy? If so, what should I do? Answer: The likelihood of pregnancy is low in this case.

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Hello doctor, I took the emergency contraceptive pill for the first time on the twenty-first day of my cycle and had unprotected intercourse. After a seven-day break, I had unprotected intercourse again, totaling two times. Is there a chance I could be pregnant? Thank you, doctor...


Dr. Cao Guotao reply Obstetrics and Gynecology
Hello, taking emergency contraception will prevent pregnancy. Wishing you good health.

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Dr. Huang Jianzhong reply Obstetrics and Gynecology
The emergency contraceptive pill consists of two doses. If the first dose is taken and then unprotected intercourse occurs within one hour, followed by taking the second dose the next morning, the likelihood of pregnancy is approximately 25%.

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