Emergency Contraceptive Pills and Ovulation Effects - Obstetrics and Gynecology

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Emergency contraceptive pill


I apologize, my menstrual cycle is approximately 30 days.
My last period was from November 29 to December 6.
I had unprotected intercourse on December 9, but there was no ejaculation inside.
As a precaution, I took the emergency contraceptive pill.
I would like to ask if the emergency contraceptive pill suppresses and delays ovulation, will I still ovulate after taking the emergency contraceptive? Thank you, doctor.

Wang, 20~29 year old female. Ask Date: 2022/12/16

Dr. Cao Guotao reply Obstetrics and Gynecology


Hello, the function of emergency contraceptive pills is to inhibit ovulation.
Wishing you good health.

Reply Date: 2022/12/16

More Info


Emergency contraceptive pills (ECPs), commonly known as the "morning-after pill," are designed to prevent pregnancy after unprotected intercourse or contraceptive failure. They primarily work by delaying or inhibiting ovulation, which is the release of an egg from the ovary. Understanding how ECPs interact with your menstrual cycle is crucial for effective use.

In your case, you mentioned that your menstrual cycle is approximately 30 days long, with your last period occurring from November 29 to December 6. You had unprotected intercourse on December 9, and subsequently took an emergency contraceptive pill. The timing of your cycle is important because ovulation typically occurs about 14 days before the start of your next period. For a 30-day cycle, ovulation would likely occur around day 16, which would be approximately December 14 in your case.

ECPs, such as those containing levonorgestrel or ulipristal acetate, work best when taken before ovulation. If taken after ovulation has already occurred, the effectiveness of the pill diminishes significantly. However, if you took the ECP shortly after unprotected intercourse, there is still a chance it could prevent ovulation from occurring, thereby reducing the risk of pregnancy.

Regarding your question about whether you will still ovulate after taking the emergency contraceptive pill, the answer depends on when you took the pill relative to your ovulation cycle. If you took the pill before ovulation, it can effectively delay or inhibit the release of the egg. However, if you are close to or have already ovulated, the pill may not prevent ovulation, and thus, you could still be at risk of pregnancy.

It’s also important to note that ECPs do not terminate an existing pregnancy; they are intended to prevent pregnancy before it occurs. If you are concerned about the possibility of being pregnant after taking the ECP, consider taking a pregnancy test if your next period is delayed by more than a week.

In summary, taking an emergency contraceptive pill can delay or inhibit ovulation, but its effectiveness is contingent upon the timing of administration in relation to your ovulation cycle. If you have any further concerns or experience unusual symptoms, it is advisable to consult with a healthcare provider for personalized advice and guidance.

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Hello, you have taken the emergency contraceptive pill; just monitor your condition. Wishing you good health.

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