Emergency Contraception: Your Questions Answered - Obstetrics and Gynecology

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Hello?


Hello! I would like to ask you about emergency contraception - specifically, the Yuting pill.
My period started on August 10, and on the evening of August 16, I had unprotected intercourse with my boyfriend.
Concerned that it might be during my ovulation period within 12 hours, I took the first pill of this emergency contraceptive.
However, before taking the second pill, I had several more instances of sexual intercourse and then took the second pill on time.
I would like to know if I need to take another dose of emergency contraception.
P.S.
I have taken it several times before and feel very uncomfortable with the side effects of this medication.
Thank you!

Youyou, 20~29 year old female. Ask Date: 2008/08/19

Dr. Huang Jianxun reply Obstetrics and Gynecology


All methods of avoidance do not guarantee 100% effectiveness.
Please take a pregnancy test if your period does not arrive as expected.
Emergency contraception should not be taken casually, as it can have adverse effects on your health.
Consider whether you have passed the fertile window.

Reply Date: 2008/08/19

More Info


Emergency contraception, commonly referred to as the "morning-after pill," is a crucial option for individuals who may have had unprotected sex or contraceptive failure. In your case, you took emergency contraception (specifically, the brand "Yuting" or "Plan B") after engaging in unprotected intercourse. Let's break down your situation and address your concerns.

Firstly, it's important to understand how emergency contraception works. The primary mechanism of action is to prevent ovulation. If taken before ovulation, it can effectively stop the release of an egg from the ovary. If ovulation has already occurred, the effectiveness of the pill diminishes, and it may not prevent pregnancy. The sooner you take the pill after unprotected intercourse, the more effective it is. Ideally, it should be taken within 72 hours, but some formulations can be effective up to 120 hours after intercourse.

In your case, you took the first dose of the emergency contraceptive pill shortly after the unprotected intercourse on August 16. You mentioned that you had additional sexual encounters before taking the second dose. If these encounters occurred after you had already taken the first dose, the second dose should still provide protection against any subsequent unprotected intercourse. However, if you had unprotected sex after taking the first dose but before taking the second dose, there is a possibility that you may need to consider taking another dose of emergency contraception, especially if you are within the effective time frame.

Regarding your discomfort with the side effects of emergency contraception, it is not uncommon for individuals to experience side effects such as nausea, fatigue, headache, dizziness, or changes in menstrual bleeding patterns. These side effects can be quite bothersome, and some individuals may find them intolerable. If you have taken emergency contraception multiple times and consistently experience adverse effects, it may be worth discussing alternative contraceptive methods with your healthcare provider. There are various long-term contraceptive options available, such as hormonal birth control pills, intrauterine devices (IUDs), or implants, which may be more suitable for your lifestyle and health needs.

In conclusion, based on your description, if you have taken both doses of the emergency contraceptive pill as directed, you may not need to take another dose unless you have further unprotected intercourse. However, if you are feeling uncertain or anxious about the situation, it is always a good idea to consult with a healthcare professional for personalized advice and to explore more sustainable contraceptive options that may better suit your needs and minimize side effects. Remember, your health and well-being are paramount, and there are many resources available to help you navigate these concerns.

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