Emergency contraceptive pill
If a condom broke during intercourse with your girlfriend and you immediately washed the external area, and then took emergency contraception (Levonorgestrel) within three hours, the likelihood of pregnancy is relatively low.
Emergency contraception is most effective when taken as soon as possible after unprotected intercourse.
However, no method is 100% effective, so there is still a small chance of pregnancy.
It is advisable to consult a healthcare professional for further guidance and to discuss any concerns.
Fg, 30~39 year old female. Ask Date: 2024/07/23
Dr. Cao Guotao reply Obstetrics and Gynecology
Hello, the probability should be low.
Wishing you good health.
Reply Date: 2024/07/23
More Info
When it comes to emergency contraception, the effectiveness of the pill you mentioned, often referred to as "Plan B" or "Ella," can vary based on several factors, including timing and the individual's menstrual cycle. In your case, since you experienced a condom failure and took the emergency contraceptive pill (ECP) within three hours, you have taken a significant step to reduce the risk of unintended pregnancy.
Emergency contraceptive pills are most effective when taken as soon as possible after unprotected intercourse. The efficacy of these pills decreases the longer you wait to take them. For instance, Plan B (levonorgestrel) is about 89% effective when taken within 72 hours, while Ella (ulipristal acetate) can be effective up to 120 hours after unprotected sex. Since you took the pill within three hours, you are likely to have a high chance of preventing pregnancy.
However, it’s important to note that while ECPs are effective, they are not 100% guaranteed to prevent pregnancy. Factors such as where you are in your menstrual cycle can influence the likelihood of pregnancy. If you were close to ovulation when the condom broke, the risk of pregnancy could be higher, as sperm can survive in the female reproductive tract for several days, waiting for an egg to fertilize.
In terms of side effects, some women may experience changes in their menstrual cycle after taking emergency contraception. This can include earlier or later onset of the next period, heavier or lighter bleeding, or spotting. If your next period is delayed by more than a week beyond when you expect it, it would be advisable to take a pregnancy test to confirm whether or not you are pregnant.
Additionally, while you mentioned cleaning the external area after the condom failure, it’s important to understand that washing does not effectively prevent pregnancy after intercourse has occurred. The sperm can already be in the reproductive tract, and external washing will not remove it.
In summary, since you took the emergency contraceptive pill within three hours of the condom failure, your chances of preventing pregnancy are relatively high, but not guaranteed. Keep an eye on your menstrual cycle, and if there are any significant changes or delays, consider taking a pregnancy test. If you have further concerns or experience unusual symptoms, consulting a healthcare provider would be a prudent step.
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