Is Taking ELLA Emergency Contraceptive Effective After Unprotected Sex? - Obstetrics and Gynecology

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If you had unprotected intercourse on July 3rd, taking ELLA (ulipristal acetate) emergency contraceptive pill is effective within 120 hours (5 days) after unprotected sex. If you are still within that time frame, it is advisable to take the pill as soon as possible for optimal effectiveness?


1.
Taking emergency contraception on July 5th after unprotected intercourse on July 3rd can still be effective, as emergency contraceptive pills are most effective when taken as soon as possible after unprotected sex, ideally within 72 hours.
However, their effectiveness decreases the longer you wait.
2.
Emergency contraception can cause side effects, including hormonal changes that may lead to acne or other skin issues in some individuals.
However, not everyone will experience these side effects, and they can vary from person to person.

JOA, 20~29 year old female. Ask Date: 2021/07/05

Dr. Cao Guotao reply Obstetrics and Gynecology


Hello, it should be fine within 48 hours, and generally, there shouldn't be any skin issues.
Wishing you good health.

Reply Date: 2021/07/05

More Info


Taking ELLA (ulipristal acetate) as an emergency contraceptive can be effective after unprotected sex, but its efficacy is time-sensitive. ELLA is designed to prevent pregnancy when taken within 120 hours (5 days) after unprotected intercourse. The sooner you take it after the incident, the more effective it is.
In your case, since you had unprotected sex on the evening of July 3 and took ELLA on July 5, you are still within the effective window. Research indicates that ELLA can reduce the risk of pregnancy by up to 85% when taken within this timeframe. However, it is important to note that while ELLA is effective, it is not 100% guaranteed to prevent pregnancy. The failure rate is approximately 2-3%, meaning there is still a small chance of becoming pregnant even after taking the medication.

Regarding your second question about the potential side effects of ELLA, including the development of acne or other skin issues, it is important to understand that hormonal medications can sometimes lead to changes in skin condition. ELLA works by delaying ovulation and altering the uterine lining, which can result in side effects such as nausea, fatigue, headache, and abdominal pain. While some individuals may experience skin changes, such as acne, this is not a universally reported side effect of ELLA.
Hormonal fluctuations caused by emergency contraceptives can affect individuals differently. Some may notice an increase in acne or other skin conditions due to hormonal changes, while others may not experience any skin issues at all. If you have a history of acne or are prone to skin problems, it might be worth monitoring your skin condition after taking ELLA. If you notice significant changes or if acne becomes a concern, consulting a healthcare provider would be advisable.

In summary, taking ELLA after unprotected sex on July 3 is still effective as you took it within the recommended timeframe. While there is a possibility of side effects, including skin issues, these vary from person to person. If you have further concerns about side effects or the effectiveness of the emergency contraceptive, it is always best to consult with a healthcare professional for personalized advice and guidance.

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