Can You Take Emergency Contraceptive Pills Again This Month?

Taking emergency contraceptive pills?

Hello, I would like to ask if I can take emergency contraceptive pills again this month, as I took them once each in the two months prior to my period.
Will this have any effects on my body? Thank you.

Pinggu, 30~39 year old female. Ask Date: 2015/07/30

Dr. Zhang Kunmin reply Obstetrics and Gynecology

Hello, the emergency contraceptive pill can be taken again.
It's important to note that when taken within 72 hours after intercourse, it has an effectiveness rate of 97%.
However, it is not 100% effective, with a failure rate of about 3%.
Nonetheless, it is still considered a remedial option.
The emergency contraceptive pill may commonly cause gastrointestinal side effects and can affect the menstrual cycle (which may not necessarily result in an earlier or later period).
Thank you! Wishing you peace and health.
Dr.
Zhang.

Reply Date: 2015/07/30

More Info

Yes, you can take emergency contraceptive pills (ECPs) again this month if needed. Emergency contraceptive pills are designed to prevent pregnancy after unprotected intercourse or contraceptive failure, and they can be taken more than once in a menstrual cycle if necessary. However, it is essential to understand how they work and their potential effects on your body.

ECPs, such as those containing levonorgestrel (Plan B One-Step) or ulipristal acetate (ella), are most effective when taken as soon as possible after unprotected sex, ideally within 72 hours for levonorgestrel and up to 120 hours for ulipristal acetate. They work primarily by delaying ovulation, preventing fertilization, or preventing a fertilized egg from implanting in the uterus.

Taking ECPs multiple times in a short period, such as within the same menstrual cycle, is generally safe for most women. However, frequent use may lead to some side effects, including:
1. Menstrual Changes: You may experience changes in your menstrual cycle, such as earlier or later periods, heavier or lighter bleeding, or spotting between periods. These changes are usually temporary.

2. Nausea and Vomiting: Some women may experience nausea after taking ECPs. If vomiting occurs within two hours of taking the pill, it is advisable to consult a healthcare provider, as you may need to take another dose.

3. Fatigue and Headaches: Some users report feeling tired or experiencing headaches after taking ECPs.

4. Breast Tenderness: Hormonal changes from the pills can lead to breast tenderness.

While ECPs are safe for occasional use, they are not intended to be a regular form of contraception. If you find yourself needing to use ECPs frequently, it may be beneficial to discuss long-term contraceptive options with your healthcare provider. There are various methods available, including hormonal birth control pills, intrauterine devices (IUDs), implants, and barrier methods, which can provide more reliable protection against unintended pregnancy.

In summary, taking emergency contraceptive pills again this month is permissible and generally safe, but be mindful of the potential side effects and consider consulting with a healthcare professional about your contraceptive needs. Regular use of ECPs is not recommended as a primary contraceptive method, and exploring more sustainable options may be beneficial for your overall reproductive health.

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