Concerns About Taking Emergency Contraceptive Pills After Unprotected Sex - Pharmacology

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Getting pregnant after taking emergency contraception?


Hello, I went to the Keelung Municipal Hospital's Department of Obstetrics and Gynecology and requested emergency contraception.
They prescribed me an oral contraceptive, instructing me to take 2 pills every 12 hours for a total of 4 doses, amounting to 8 pills in total.
The medication is labeled as No.
02192 from Winston Pharmaceuticals Co., Ltd.
I took the medication 45 hours after the incident.
I'm concerned about whether this medication could affect a potential fetus.
I also consulted with an obstetrician at Taipei Medical University Hospital, who said it should be fine.
I'm a bit worried.
Could you please explain this to me? Thank you.

claire, 20~29 year old female. Ask Date: 2004/07/29

Dr. Zhang Jinteng reply Pharmacology


Hello: Could you please provide the detailed name of the medication, or contact the physician who originally treated you?

Reply Date: 2004/07/29

More Info


When it comes to emergency contraceptive pills (ECPs), it's important to understand how they work, their safety, and their potential effects on pregnancy. Based on your situation, you took the emergency contraceptive pill 45 hours after unprotected intercourse, which is within the recommended time frame for ECPs to be effective.

Emergency contraceptive pills, such as the one you mentioned, are designed to prevent pregnancy after unprotected sex or contraceptive failure (like a broken condom). The most common types of ECPs contain either levonorgestrel or ulipristal acetate. Levonorgestrel is most effective when taken within 72 hours (3 days) after unprotected intercourse, while ulipristal acetate can be effective up to 120 hours (5 days) after. Since you took the pill within 45 hours, you are still within the effective window.

Regarding your concern about the potential effects on a fetus, if you were to become pregnant despite taking the ECP, research indicates that these pills do not harm an existing pregnancy. ECPs work primarily by delaying ovulation, preventing fertilization, or preventing a fertilized egg from implanting in the uterus. If implantation has already occurred, ECPs will not disrupt that process. Therefore, if you were to become pregnant after taking the pill, it is unlikely that the medication would have any adverse effects on the developing fetus.

It's also worth noting that the use of ECPs is considered safe for most women, and they do not have long-term effects on fertility. The most common side effects include nausea, fatigue, headache, dizziness, breast tenderness, and changes in menstrual bleeding patterns. These side effects are generally mild and temporary.

If you have further concerns about the specific medication you were prescribed or its effects, it's always a good idea to consult with a healthcare professional. They can provide personalized advice based on your medical history and the specifics of your situation.

In summary, taking emergency contraceptive pills within the recommended time frame is an effective way to prevent unintended pregnancy after unprotected sex. The medication is safe and does not pose a risk to a developing fetus if pregnancy occurs after taking the pill. If you have any lingering concerns or experience unusual symptoms after taking the medication, do not hesitate to reach out to your healthcare provider for further evaluation and reassurance.

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