Concerns About Emergency Contraceptive Pills After Withdrawal Method

Emergency contraception after withdrawal method?

Doctor, I had sexual intercourse with my boyfriend today, and he is undergoing in vitro fertilization.
If I take the emergency contraceptive pill again, it would be the second time in the past six months.
Will this affect my fertility in the future? I'm really hesitant about whether to take it and I'm very worried.
Thank you!

Xiao Feng, 20~29 year old female. Ask Date: 2016/02/21

Dr. Cao Guotao reply Obstetrics and Gynecology

Hello, of course you should take precautions; otherwise, pregnancy can be troublesome.
You cannot rely on the safe period, so it's better to use contraceptive measures before engaging in sexual activity.
Wishing you good health.

Reply Date: 2016/02/21

More Info

When it comes to concerns about emergency contraceptive pills (ECPs) and their potential effects on fertility, it's important to clarify a few key points. First, using ECPs, such as Plan B (levonorgestrel) or Ella (ulipristal acetate), is a safe and effective way to prevent pregnancy after unprotected intercourse or contraceptive failure. These pills work primarily by delaying or inhibiting ovulation, thereby preventing fertilization.

Taking ECPs multiple times within a short period, such as within a few months, does not lead to long-term fertility issues or increase the risk of infertility. The concern that frequent use of emergency contraception could affect future fertility is a common misconception. Research has shown that ECPs do not have any lasting impact on a woman's ability to conceive in the future. They are designed for occasional use and should not replace regular contraceptive methods.

If you have taken ECPs before and are considering taking them again after a recent instance of unprotected intercourse, it is generally safe to do so. However, it is advisable to consult with a healthcare provider for personalized advice, especially if you find yourself needing emergency contraception frequently. They can help you explore more reliable and consistent contraceptive methods that suit your lifestyle and health needs.

In terms of timing, ECPs are most effective when taken as soon as possible after unprotected intercourse, ideally within 72 hours for levonorgestrel and up to 120 hours for ulipristal acetate. The sooner you take them, the better the chances of preventing pregnancy.

If you are feeling anxious about the possibility of pregnancy or the effects of ECPs, it may be helpful to discuss your concerns with a healthcare professional. They can provide reassurance, discuss your contraceptive options, and help you develop a plan that aligns with your reproductive health goals.

In summary, taking emergency contraceptive pills does not cause infertility, and using them occasionally is safe. If you are considering taking them again, it is a good idea to consult with a healthcare provider to discuss your options and ensure you are using the most effective method of contraception for your situation.

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