Can You Take Emergency Contraceptive Pills with Regular Birth Control?

Taking emergency contraceptive pills and regular contraceptive pills simultaneously?

Hello, doctor.
I took the first dose of the emergency contraceptive pill, Ella, on September 30.
The day after, I had sexual intercourse.
Since I am not prepared for pregnancy and I am concerned about taking the emergency contraceptive pill, should I continue taking the regular contraceptive pill? Thank you, doctor.

Ms. Wu, 30~39 year old female. Ask Date: 2023/10/03

Dr. Zhang Kunmin reply Obstetrics and Gynecology

Hello, based on your description, I recommend continuing your medication.
Thank you! Wishing you peace and good health.
Dr.
Chang

Reply Date: 2023/10/03

More Info

When it comes to the use of emergency contraceptive pills (ECPs) in conjunction with regular birth control methods, it is important to understand how these medications work and their implications for your reproductive health.
Emergency contraceptive pills, such as Plan B (levonorgestrel) or Ella (ulipristal acetate), are designed to prevent pregnancy after unprotected intercourse or contraceptive failure. They work primarily by delaying ovulation, preventing fertilization, or inhibiting implantation of a fertilized egg. These pills are most effective when taken as soon as possible after unprotected sex, ideally within 72 hours for Plan B and up to 120 hours for Ella.

If you are already taking a regular birth control pill, such as "悦姿" (Yuezi), it is generally safe to continue taking your regular birth control while also using emergency contraception. The regular birth control pill works by maintaining consistent hormone levels to prevent ovulation, and taking ECPs will not interfere with this mechanism. However, it is essential to note that ECPs can cause some hormonal fluctuations, which may lead to irregular bleeding or changes in your menstrual cycle.

In your case, since you took the first dose of your regular birth control pill on September 30 and had unprotected sex the following day, you should continue taking your regular birth control as prescribed. The emergency contraceptive pill can be taken as needed, but it is not intended to replace your regular contraceptive method. It is crucial to maintain your regular birth control regimen to ensure ongoing protection against pregnancy.

Moreover, if you experience any side effects from the emergency contraceptive pill, such as nausea, fatigue, or changes in your menstrual cycle, these are typically temporary. However, if you have any concerns or if your menstrual cycle is significantly delayed after taking the ECP, it is advisable to consult your healthcare provider for further evaluation.

In summary, you can safely take emergency contraceptive pills while continuing your regular birth control. It is important to follow the instructions for both medications and to maintain open communication with your healthcare provider regarding any concerns about your contraceptive methods or reproductive health. If you have any further questions or need personalized advice, do not hesitate to reach out to your healthcare professional.

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