Contraception: Effects on Future Pregnancy and Emergency Options - Obstetrics and Gynecology

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Contraceptive issues?


If I take emergency contraception once, will it affect my ability to have children in the future? Also, if I take a pregnancy test a week later and it shows positive, what options do I have to prevent the pregnancy? Lastly, is it sufficient to take emergency contraception just once within 72 hours?

Luo, 10~19 year old female. Ask Date: 2016/01/20

Dr. Cao Guotao reply Obstetrics and Gynecology


Hello, if you haven't taken the oral contraceptive pill beforehand, the effectiveness of emergency contraception is low and not recommended.
Birth control pills do not affect future fertility.
It is best to take preventive measures in advance.
Wishing you good health.

Reply Date: 2016/01/20

More Info


When it comes to understanding contraception and its effects on future pregnancies, it's important to clarify several key points regarding the use of contraceptive pills, emergency contraception, and their implications for fertility.

Firstly, taking oral contraceptive pills (OCPs) for a short period, such as a single cycle or even just once, generally does not have any long-term effects on your ability to conceive in the future. OCPs work by regulating hormones to prevent ovulation, but once you stop taking them, your body typically returns to its normal menstrual cycle relatively quickly. Studies have shown that fertility can return to baseline levels soon after discontinuing OCPs, and many women conceive shortly after stopping the pill. Therefore, if you take OCPs for a brief period, it should not adversely affect your future pregnancies.

Now, regarding your question about the possibility of being pregnant after taking OCPs and what to do if you suspect pregnancy, if you take a pregnancy test one week after potential conception and it shows positive, the best course of action is to consult with a healthcare provider. They can provide guidance based on your specific situation. If you are indeed pregnant and wish to terminate the pregnancy, options will depend on how far along you are and local laws regarding abortion. It is crucial to seek professional medical advice to explore your options safely.

As for emergency contraception, there are different types available, including the morning-after pill (like Plan B or Ella). These pills are designed to prevent pregnancy after unprotected intercourse or contraceptive failure. For most emergency contraceptive pills, they are most effective when taken as soon as possible after unprotected sex, ideally within 72 hours, but some can be effective up to 120 hours (5 days) after. The effectiveness decreases the longer you wait to take them, so timing is critical.

To answer your last question, yes, for some emergency contraceptive pills, taking just one dose within the specified time frame is sufficient to reduce the risk of pregnancy. However, it is essential to follow the instructions provided with the medication or those given by your healthcare provider to ensure maximum effectiveness.

In summary, taking OCPs for a short duration does not negatively impact future fertility. If you suspect pregnancy after taking OCPs, consult a healthcare provider for guidance. Emergency contraception can be effective if taken promptly after unprotected intercourse, and typically, a single dose is adequate for most types. Always prioritize consulting with a healthcare professional for personalized advice and to ensure your reproductive health is managed appropriately.

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