Can You Start Taking Emergency Contraceptive Pills Anytime? - Obstetrics and Gynecology

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Emergency contraception pill


Hello doctor, I purchased "Yueji" for contraception and menstrual regulation.
However, since it has been a while since my last period (on August 24), and my usual menstrual cycle is about 35 days, I would like to know if I can start taking it now or if I must wait until the first day of my next menstrual cycle to begin.

yu, 10~19 year old female. Ask Date: 2021/09/12

Dr. Cao Guotao reply Obstetrics and Gynecology


Hello, birth control pills are generally started on the fifth day of your menstrual period.
After waiting for a week, if you do not get your period, it is advisable to see a gynecologist.
Wishing you good health.

Reply Date: 2021/09/12

More Info


When it comes to starting emergency contraceptive pills (ECPs), it's important to understand their purpose and how they work in relation to your menstrual cycle. Emergency contraceptive pills, such as Plan B or Ella, are designed to prevent pregnancy after unprotected intercourse or contraceptive failure, such as a broken condom. 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, since you mentioned that your last menstrual period started on August 24 and you typically have a cycle of about 35 days, you are currently in a phase where you may be approaching ovulation, depending on your cycle's regularity. If you had unprotected intercourse after your last period and are concerned about the possibility of pregnancy, taking an emergency contraceptive pill is a valid option.

You do not need to wait for your next menstrual period to start taking ECPs. In fact, the sooner you take them after unprotected intercourse, the better the chances of preventing pregnancy. ECPs work primarily by delaying ovulation; if you have already ovulated, they may not be effective. Therefore, if you are within the time frame for taking ECPs after the incident, you should proceed with taking them without waiting for your next period.

Regarding your regular contraceptive pills (like 悅己), you can typically resume taking them after your emergency contraceptive course. However, it's advisable to consult with your healthcare provider about the best timing to restart your regular contraceptive method after taking ECPs. Generally, you can start taking your regular birth control pills again after your next menstrual cycle begins, or as directed by your healthcare provider.

It's also important to note that taking emergency contraceptive pills can sometimes cause changes in your menstrual cycle. You may experience irregular bleeding or changes in the timing of your next period. This is a common side effect and should not be a cause for alarm unless you experience severe symptoms or have concerns about pregnancy.

In summary, you can take emergency contraceptive pills anytime after unprotected intercourse, and you do not need to wait for your next menstrual cycle to start taking them. After taking ECPs, consult your healthcare provider about when to resume your regular contraceptive method. Always keep track of your menstrual cycle and any changes you experience, and don't hesitate to reach out to a healthcare professional if you have further questions or concerns.

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Hello, you can start taking the contraceptive pill on the fifth day of your menstrual period. It doesn't have to be taken at the exact same time; a general timeframe is sufficient. As long as you take it regularly, it will be effective for contraception. Wishing you good hea...

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Hello, you can start taking the contraceptive pill on the fifth day of your menstrual period. If taken consistently, it will provide effective contraception, and there is no need to take an additional emergency contraceptive pill. Wishing you good health.

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