Do You Still Need Emergency Contraception After Unprotected Sex? - Obstetrics and Gynecology

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Do I still need to take it?


It is safe to have a gynecological examination on August 8, but ovulation occurred on August 10.
After having unprotected intercourse on August 10 and taking emergency contraception on August 11, you had unprotected intercourse again on August 12.
Should you take emergency contraception again, or is it no longer effective? Today marks the second day of the three-day window for taking emergency contraception.
Is it true that you cannot take it again within a short period of time (all instances of unprotected intercourse were without ejaculation, both internal and external)?

1, 10~19 year old female. Ask Date: 2022/08/12

Dr. Cao Guotao reply Obstetrics and Gynecology


Hello, you should not need to take emergency contraception anymore.
Wishing you good health.

Reply Date: 2022/08/12

More Info


When it comes to emergency contraception (EC) after unprotected sex, it is essential to understand the timing and the effectiveness of the medication. Emergency contraception is designed to prevent pregnancy after unprotected intercourse or contraceptive failure, such as a broken condom. The most common forms of emergency contraception include the morning-after pill (like Plan B or Ella) and the copper intrauterine device (IUD).

In your case, you mentioned having unprotected sex on August 10 and taking emergency contraception on August 11. Since you had already ovulated on August 8, the effectiveness of the emergency contraception may be impacted, but it is still worth noting that the morning-after pill can be effective if taken within 72 hours after unprotected intercourse. The sooner you take it, the better the chances of preventing pregnancy.

You also mentioned having unprotected sex again on August 12. Since you are within the 72-hour window after this encounter, you are still eligible to take emergency contraception. However, it is crucial to consider the type of emergency contraception you are using. If you are using a levonorgestrel-based pill (like Plan B), it is most effective when taken as soon as possible after unprotected sex. If you are using ulipristal acetate (like Ella), it can be taken up to 120 hours after unprotected intercourse, but it is still more effective the sooner you take it.

Regarding your question about whether you can take emergency contraception again after having unprotected sex on August 12, the answer is yes, you can take it again. However, it is essential to be cautious about the timing and the type of emergency contraception you are using. If you have already taken a dose of levonorgestrel, it is generally not recommended to take another dose within the same menstrual cycle unless advised by a healthcare professional.

In addition to considering emergency contraception, it is also important to think about sexually transmitted infections (STIs). Unprotected sex increases the risk of STIs, so if you have concerns about potential exposure, it may be wise to get tested. Regular STI screenings are recommended for sexually active individuals, especially after unprotected encounters.

Lastly, if you find yourself frequently in situations where you are considering emergency contraception, it may be beneficial to explore more reliable forms of contraception for the future. Options include hormonal birth control methods, condoms, or long-acting reversible contraceptives (LARCs) like IUDs or implants.

In summary, you can still take emergency contraception after unprotected sex on August 12, especially if you are within the appropriate time frame. However, it is essential to be aware of the type of emergency contraception you are using and to consider long-term contraceptive options to reduce the likelihood of needing emergency contraception in the future. If you have any doubts or concerns, consulting with a healthcare provider can provide personalized advice and guidance based on your specific situation.

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Dr. Cao Guotao reply Obstetrics and Gynecology
Hello, it is generally advisable to take emergency contraception after unprotected intercourse. It is better to practice effective contraceptive measures beforehand. Wishing you good health.

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