Emergency Contraception: Effectiveness After Multiple Intercourse Events - Obstetrics and Gynecology

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Emergency contraception


I would like to ask if having unprotected intercourse on August 8 and taking emergency contraception on August 9, followed by another unprotected intercourse on the night of August 12 into August 13, would still be effective.
What is the likelihood of pregnancy? Thank you for your help.

Xiao Hua, 20~29 year old female. Ask Date: 2019/08/13

Dr. Zhang Kunmin reply Obstetrics and Gynecology


Hello, the inquirer: Emergency contraception remains effective after one or multiple instances of sexual intercourse, provided that all sexual activities occurred within 72 hours prior to taking the medication.
However, if unprotected intercourse occurs after taking the emergency contraception, it is recommended to take another dose.
The effectiveness of emergency contraception is not 100%, with a failure rate of approximately 3%.
It is advised to check for pregnancy if menstruation is more than a week late.
Thank you! Wishing you peace and health, Dr.
Zhang.

Reply Date: 2019/08/13

More Info


Emergency contraception (EC) is a critical option for preventing unintended pregnancies after unprotected intercourse. In your case, you had unprotected intercourse on August 8 and then took emergency contraception (EC) the following day, August 9. You then had another instance of unprotected intercourse on August 12, crossing into August 13.
To address your question about the effectiveness of the emergency contraception after multiple intercourse events, it is essential to understand how EC works. Emergency contraception, such as levonorgestrel (Plan B) or ulipristal acetate (Ella), is designed to prevent ovulation. If taken before ovulation occurs, it can effectively reduce the risk of pregnancy. However, if ovulation has already taken place, EC may not be effective.

In your situation, since you took the emergency contraception on August 9, it would have been effective for the intercourse that occurred on August 8. However, the effectiveness of the EC for the intercourse on August 12 depends on whether ovulation had already occurred by that time. If you were already ovulating or had ovulated before taking the EC, the chances of pregnancy from the second intercourse could be significant.

Regarding the timing of ovulation, it typically occurs about 14 days before the start of your next menstrual period, but this can vary widely among individuals. If you have a regular cycle, tracking your ovulation can help determine the risk of pregnancy after unprotected intercourse.
If you are concerned about the possibility of pregnancy after the second instance of unprotected intercourse, it is advisable to take a pregnancy test if your period is late. Additionally, if you find yourself in a situation where you may need emergency contraception frequently, it might be beneficial to discuss long-term contraceptive options with your healthcare provider.
In summary, the emergency contraception you took on August 9 would have been effective for the intercourse on August 8, but its effectiveness for the intercourse on August 12 is uncertain and depends on your ovulation cycle. If you are worried about the risk of pregnancy, consider taking a pregnancy test after a missed period and consult with a healthcare professional for further advice on contraception options.

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