Can You Take Emergency Contraceptive After Starting Birth Control?

Can they be taken together before and after?

Hello Doctor: I would like to ask, I took the birth control pill for the first time and had intercourse after 4 days.
Can I take the emergency contraceptive pill? Also, should I continue taking the regular birth control pill? Thank you for your response.

Niming, 20~29 year old female. Ask Date: 2021/01/02

Dr. Wu Xianghui reply Obstetrics and Gynecology

1.
For pregnancy concerns, please take a home pregnancy test or consult a gynecologist for evaluation four weeks after sexual intercourse.
2.
If the medication is not taken according to the instructions, the effectiveness cannot be assessed.

Reply Date: 2021/01/02

More Info

When it comes to the use of emergency contraceptives (EC) after starting a regular birth control method, it's essential to understand how these medications work and the timing of their use. Emergency contraceptives, such as Plan B (levonorgestrel) or Ella (ulipristal acetate), are designed to prevent pregnancy after unprotected intercourse or contraceptive failure. They are most effective when taken as soon as possible after the incident, ideally within 72 hours for Plan B and up to 120 hours for Ella.

In your case, you mentioned that you started taking birth control pills four days ago and then had unprotected intercourse. If you are still within the window for taking an emergency contraceptive, you can take it without any issues. The emergency contraceptive will not interfere with the effectiveness of your birth control pills. However, it is important to continue taking your regular birth control pills as prescribed.
Here are some key points to consider:
1. Timing and Effectiveness: Emergency contraceptives are most effective when taken as soon as possible after unprotected intercourse. If you are within the recommended time frame, taking an EC can significantly reduce the risk of pregnancy.

2. Interaction with Birth Control Pills: Taking an emergency contraceptive does not negate the effectiveness of your ongoing birth control pills. You should continue taking your regular birth control as directed. The hormones in the birth control pills will continue to provide contraceptive protection.

3. Side Effects: Be aware that taking an emergency contraceptive may cause some side effects, such as nausea, fatigue, or changes in your menstrual cycle. These are generally temporary and should resolve within a few days.

4. Follow-Up: After taking an emergency contraceptive, monitor your menstrual cycle. If your period is more than a week late, consider taking a pregnancy test to confirm whether or not you are pregnant.

5. Consultation with Healthcare Provider: If you have any concerns about the use of emergency contraception or your birth control method, it is always a good idea to consult with your healthcare provider. They can provide personalized advice based on your health history and specific circumstances.

In summary, yes, you can take an emergency contraceptive after starting birth control pills, and you should continue taking your regular birth control as prescribed. This combination will help ensure that you are protected against unintended pregnancy. Always prioritize open communication with your healthcare provider for the best guidance tailored to your situation.

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