Can Pre-Exposure Birth Control Pills Work After Intercourse? - Pharmacology

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Emergency contraceptive pills


Emergency contraceptive pills (ECPs) taken after unprotected intercourse can be effective in preventing pregnancy, but their efficacy decreases the longer you wait to take them.
It is recommended to take them as soon as possible, ideally within 72 hours, but some types can be effective up to 5 days after

Nicolas, 20~29 year old female. Ask Date: 2022/01/17

Dr. Zheng Shuwen reply Pharmacology


Hello, regarding your question, here is the response:
Emergency contraceptive pills (ECPs) are high-dose progestin medications intended for use after sexual intercourse, while regular oral contraceptives require consistent daily intake over a long period to achieve effective contraception.
The mechanisms of action for these two types of medications differ, and using regular oral contraceptives after sexual intercourse will not provide the desired contraceptive effect.

Please be sure to read the medication label carefully during the course of treatment and pay attention to any bodily reactions.
If you experience any discomfort or have further questions, feel free to consult your physician or pharmacist.

If you have any other inquiries, you are welcome to call during business hours.
Thank you.

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Reply Date: 2022/01/17

More Info


Pre-exposure birth control pills, commonly referred to as oral contraceptives, are designed to be taken regularly before sexual intercourse to effectively prevent pregnancy. They work primarily by inhibiting ovulation, thickening cervical mucus, and thinning the uterine lining, making it less conducive for implantation. However, if you are asking whether these pills can be taken after intercourse to prevent pregnancy, the answer is more nuanced.

If a woman has already had unprotected intercourse and is concerned about the possibility of pregnancy, taking regular birth control pills after the fact will not be effective. The primary function of these pills is to prevent ovulation; if ovulation has already occurred, the pills will not prevent fertilization or implantation of a fertilized egg. Therefore, they cannot serve as an emergency contraceptive method.

For situations where unprotected intercourse has occurred, emergency contraception (EC) is the appropriate option. There are two main types of emergency contraception: the morning-after pill (such as Plan B One-Step or Ella) and the copper intrauterine device (IUD). The morning-after pill is most effective when taken as soon as possible after unprotected intercourse, ideally within 72 hours, but some formulations can be effective up to 5 days afterward. The copper IUD can be inserted by a healthcare provider within 5 days of unprotected intercourse and is the most effective form of emergency contraception.

It is important to note that while emergency contraceptive pills can significantly reduce the risk of pregnancy after unprotected intercourse, they are not intended to be used as a regular form of birth control. They are less effective than regular contraceptive methods and should not replace consistent contraceptive use.

In summary, regular birth control pills taken after intercourse will not provide any contraceptive effect. If you find yourself in a situation where you need to prevent pregnancy after unprotected sex, consider using emergency contraception instead. Always consult with a healthcare provider for personalized advice and to discuss the best contraceptive options for your individual needs.

Similar Q&A

Can Pre-Exposure Birth Control Prevent Pregnancy After Unprotected Intercourse?

If you are consistently taking pre-exposure medication and had sexual intercourse two days ago using a condom, but some semen accidentally flowed inside upon withdrawal, and this occurred during your fertile window, is there a risk of pregnancy?


Dr. Huang Jianzhong reply Obstetrics and Gynecology
If you are consistently taking pre-exposure prophylaxis and had sexual intercourse two days ago while using a condom, but some semen accidentally entered the vagina upon withdrawal, and this occurred during a fertile window, the likelihood of pregnancy is low.

[Read More] Can Pre-Exposure Birth Control Prevent Pregnancy After Unprotected Intercourse?


Understanding the Effects of Pre- and Post-Coital Contraceptives

Hello, doctor. I would like to ask about starting to take pre-exposure contraceptive pills on the fifth day after my period. I had sexual intercourse about four days after starting the pills. After that, I was concerned and took emergency contraceptive pills, but I continued to t...


Dr. Lü Lizheng reply Obstetrics and Gynecology
In principle, taking preemptive contraceptive pills should provide contraceptive effects, so there is no need to take emergency contraceptive pills afterward. Since you have already taken them, it is fine as long as you do not experience any discomfort. If you have irregular mens...

[Read More] Understanding the Effects of Pre- and Post-Coital Contraceptives


Can You Take Both Pre- and Post-Coital Pills Together?

Hello Doctor, I usually take the oral contraceptive pill (Mireillean) regularly. My period ended around April 15, but I missed taking the pill for 4 days. I had sexual intercourse on April 19 with withdrawal method. Afterward, I took one oral contraceptive pill, but I was still w...


Dr. Huang Jianzhong reply Obstetrics and Gynecology
I usually take pre-exposure prophylaxis (Mirean film-coated tablets) regularly. My menstrual period ended around April 15, but I missed taking the pre-exposure pills for four days. On April 19, I had sexual intercourse with withdrawal method. Afterward, I took one pre-exposure pi...

[Read More] Can You Take Both Pre- and Post-Coital Pills Together?


Starting Birth Control Pills After Taking Emergency Contraceptive: What You Need to Know

Hello, today I went to the clinic to pick up the pre-exposure contraceptive pill. The instruction manual states that new users should not have used combination hormonal contraceptives for at least six months. Does this mean that if I have previously taken emergency contraceptive ...


Dr. Cao Guotao reply Obstetrics and Gynecology
Hello, no need to respond. Wishing you good health.

[Read More] Starting Birth Control Pills After Taking Emergency Contraceptive: What You Need to Know


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