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Emergency Contraception Tips

Emergency contraception

Dr. Megha Tuli Gupta 92% (1763 ratings)
MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist, Gurgaon
Emergency contraception
Taking more than 1 ipill a month can impair the delicate hormonal balance and delay your periods. Constant and rampant use of ipill can cause severe hormonal imbalances which do not respond to regular treatment.

Emergency Contraception!

Dr. Gitanjali 97% (2659 ratings)
MS - Obstetrics and Gynaecology
Gynaecologist, Delhi
Emergency Contraception!

Emergency contraception refers to method of contraception that can be used after sexual intercourse

Methods of emergency contraception are

  • 1insertion of cu-t within 5 days of sexual contact
  • 2 emergency contraceptive pills --tab levonorgesterol (i-pill, unwanted 72) to be taken within 72 hours but are more effective if taken within 24 hours
  • Tab ulipristal acetate 30 mg
  •  3.3-5 tablets of oral contraceptive pill.

Tab levonorgesterol 1.5 mg single dose is most commonly used emergency contraception. Here we will be discussing emergency contraceptive pill -levonorgesterol (ecp)
 
Ecp prevents pregnancy by delaying ovulation (egg release). It does not interrupt an existing pregnancy

 Ecp should be used in following conditions -

  • Unprotected intercourse
  • Concerned about regular contraceptive failure. Like condom tears or slips. Missed pill for regular 3 days etc
  • Incorrect use of contraceptive
  • Sexual assault

Ecp prevents 95% of pregnancy if taken within 72hours of unprotected intercourse

There are no medical contraindication to use of ecp but it should not be used regularly, after the use of ecp a regular contraceptive method should be resumed. Like oral contraceptive pill or iucd or injectable contraceptives

Side effects of ecp use are-

 If periods are delayed after intake of ecp urine pregnancy test should be done

Thus emergency contraceptive pill should not be considered an alternative to regular contraceptive method. Regular contraceptive method should be adopted and ecp should be used only in emergency.

4 people found this helpful

Know More About Emergency Contraception!

Dr. Swati Gupta 89% (52 ratings)
MBBS, MS - Obstetrics & Gynaecology
Gynaecologist, Kanpur
Know More About Emergency Contraception!

Contraception refers to something, which works to prevent a pregnancy from occurring. But what is emergency contraception? This sort of contraception is made use of in case other methods of birth control do not work or a woman has had unprotected sex.

This sort of contraception is also referred to as the morning after pill and postcoital contraception, which effectively means that it is taken after sex. Well, if while having sexual intercourse, there is a breakage of the condom or it slips off the penis, then it is a good idea to make use of emergency contraceptives, as should a woman if it so happens that she misses two or more birth control pills over the course of her monthly cycle.

While it is true that a large majority of emergency contraceptives, which are available in the market today are in the form of pills, note that this is not the only form of emergency contraception. As a matter of fact, copper containing intra uterine devices (IUDs) happen to be the most effective way to prevent a pregnancy from occurring, but this is only true if they are fitted within five days of unprotected sex. Again, even in this case, the sooner, the better!

Most people believe that an emergency contraceptive is almost always successful in ending a pregnancy. This is quite inaccurate as the main intention of an emergency contraceptive is not to end a pregnancy, but to prevent it from happening in the first place. This is exactly why it is so essential to have an emergency contraceptive pill after sex as soon as possible. The longer a woman delays, the higher the risk of fertilisation taking place and pregnancy then being left to be a foregone conclusion.

It is important to keep in mind that emergency contraception is not a substitute for taking precautions when it comes to sex. As a matter of fact, it can be said that there is no substitute for being responsible and making use of condoms or birth-control pills in a prudent way. After all, who wants to have the stress and the repercussions of a potential unwanted pregnancy? It makes quite a bit of sense to take some extra care so that there is no need for anxiety, as it isn’t really required and sex remains as much fun as intended!

Know More About Emergency Contraception!

Dr. Snehalatha Alapati 86% (10 ratings)
MBBS Bachelor of Medicine and Bachelor of Surgery, MS - Obstetrics & Gynaecology
Gynaecologist, Bangalore
Know More About Emergency Contraception!

Contraception refers to something, which works to prevent a pregnancy from occurring. But what is emergency contraception? This sort of contraception is made use of in case other methods of birth control do not work or a woman has had unprotected sex.

This sort of contraception is also referred to as the morning after pill and post-coital contraception, which effectively means that it is taken after sex. Well, if while having sexual intercourse, there is a breakage of the condom or it slips off the penis, then it is a good idea to make use of emergency contraceptives, as should a woman if it so happens that she misses two or more birth control pills over the course of her monthly cycle.

While it is true that a large majority of emergency contraceptives, which are available in the market today are in the form of pills, note that this is not the only form of emergency contraception. As a matter of fact, copper-containing intrauterine devices (IUDs) happen to be the most effective way to prevent a pregnancy from occurring, but this is only true if they are fitted within five days of unprotected sex. Again, even in this case, the sooner, the better!

Most people believe that an emergency contraceptive is almost always successful in ending a pregnancy. This is quite inaccurate as the main intention of an emergency contraceptive is not to end a pregnancy, but to prevent it from happening in the first place. This is exactly why it is so essential to have an emergency contraceptive pill after sex as soon as possible. The longer a woman delays, the higher the risk of fertilization taking place and pregnancy then being left to be a foregone conclusion.

It is important to keep in mind that emergency contraception is not a substitute for taking precautions when it comes to sex. As a matter of fact, it can be said that there is no substitute for being responsible and making use of condoms or birth-control pills in a prudent way. After all, who wants to have the stress and the repercussions of a potential unwanted pregnancy? It makes quite a bit of sense to take some extra care so that there is no need for anxiety, as it isn’t really required and sex remains as much fun as intended!

Emergency Contraceptive Pill (ECP)

Dr. Jyotsna Gupta 89% (1582 ratings)
DNB (Obstetrics and Gynecology), PGDHHM, MBBS
Gynaecologist, Delhi
Emergency Contraceptive Pill (ECP)
Emergency Contraceptive Pill:

Prevention of unplanned pregnancies will go a long way in improving the reproductive health of women in India. A woman faced with the prospect of an unplanned and unwanted pregnancy can, in many cases, avoid the pregnancy by using Emergency Contraception. Emergency ‪contraceptives act as interceptive agents i.e. ovulation, fertilization or implantation` is prevented depending on the phase of menstrual cycle.
Remember, these pills are not intended as regular forms of contraception. If you are looking for a regular contraceptive, there are many options available to you. Ask your doctor to help you find one, which works best for you.

Emergency Contraceptive Pill?

Emergency contraceptive pill is a pill used by a woman after having an unprotected intercourse (sex), to prevent her from getting pregnant. It is sometimes called "the morning after pill," "the day after pill," or "morning after contraception or postcoital pill. the term ”morning after pill” is misleading; ECPs may be initiated sooner than the morning after—immediately after unprotected intercourse—or later—for at least 72 hours after unprotected intercourse. ECPs are considered 96-98% effective in preventing pregnancy.
The word “Emergency” is important to note. If you are sexually active or planning to be, don't use emergency contraception as your only protection against pregnancy. Also, emergency contraception does not protect against sexually transmitted infections, like HIV .

When to take ‪#‎ECP‬?

Emergency contraception offers women a last chance to prevent ‪‎pregnancy‬ after unprotected intercourse. If you are not using any other contraceptive methods and you have had intercourse. The condom broke down or came off during the act. If you have missed at-least 2 or 3 of your regular birth control pills, or if you were forced to have sex.

Side effects of emergency contraception:

Side effects include nausea and vomiting, abdominal pain, breast tenderness, headache, dizziness, and fatigue. These usually do not occur for more than a few days after treatment, and they generally resolve within 24 hours. There are not much evidence of long term side effects of these medicines but there are some studies or beliefs that these pills have long term effects on the women’s body like irregular menses, mastalgia and infertility.

Effects on Pregnancy:

There have been no conclusive studies of births to women who were already pregnant when they took ECPs or following failure of ECPs
Whether to consult a doctor before taking ECP?
Not really! However if you suffer from high blood pressure, diabetes, previous tubal pregnancy, it's a good idea to discuss it with your doctor when going for a health check.

When to contact a doctor after taking the ECP?

If you experience the following symptoms:
• Severe abdominal pain.
• Chest pain or shortness of breath.
• Severe headache.
• Eye problems like blurring of vision.
• Severe leg or arm pain.

How long effect of ECP last?

The use of ECP is only for 1-2 acts of unprotected sex and that too within 72 hours, if you happen to have sex after 72 hours you should be looking for alternative and regular form of contraception.

When to expect periods after taking ECP?

Your next period may come sooner or later than expected, however most women get their period within 7 days of expected date. Your period may also be heavier or lighter than normal. If you do not get your period within 21 days or if you think you could be pregnant, get a pregnancy test done.

Does Weight Affect Emergency Contraception effectiveness?

Yes,if you have a body mass index (BMI) that's higher than 25, it's less effective. If you have a body mass index (BMI) that's higher than 30, it may not work at all.

Dr. Jyotsna Gupta
#gynecologist #pregnancy #emergencycontraceptive #drjyotsnagupta #ECP #gynaecologist
13 people found this helpful

Emergency Contraceptive Pill

Dr. Jyotsna Gupta 89% (1582 ratings)
DNB (Obstetrics and Gynecology), PGDHHM, MBBS
Gynaecologist, Delhi
Emergency Contraceptive Pill
Emergency Contraceptive Pill:

Prevention of unplanned pregnancies will go a long way in improving the reproductive health of women in India. A woman faced with the prospect of an unplanned and unwanted pregnancy can, in many cases, avoid the pregnancy by using Emergency Contraception. Emergency contraceptives act as interceptive agents i.e. ovulation, fertilization or implantation` is prevented depending on the phase of menstrual cycle.
Remember, these pills are not intended as regular forms of contraception. If you are looking for a regular contraceptive, there are many options available to you. Ask your doctor to help you find one, which works best for you.

Emergency Contraceptive Pill? Commonly available in marked with the names of I-Pill, unwanted72 etc..
Emergency contraceptive pill is a pill used by a woman after having an unprotected intercourse (sex), to prevent her from getting pregnant. It is sometimes called "the morning after pill," "the day after pill," or "morning after contraception or postcoital pill. the term ”morning after pill” is misleading; ECPs may be initiated sooner than the morning after—immediately after unprotected intercourse—or later—for at least 72 hours after unprotected intercourse. ECPs are considered 96-98% effective in preventing pregnancy.
The word “Emergency” is important to note. If you are sexually active or planning to be, don't use emergency contraception as your only protection against pregnancy. Also, emergency contraception does not protect against sexually transmitted infections, like HIV .

When to take ECP?
Emergency contraception offers women a last chance to prevent pregnancy after unprotected intercourse. If you are not using any other contraceptive methods and you have had intercourse. The condom broke down or came off during the act. If you have missed at-least 2 or 3 of your regular birth control pills, or if you were forced to have sex.

Side effects of emergency contraception
Side effects include nausea and vomiting, abdominal pain, breast tenderness, headache, dizziness, and fatigue. These usually do not occur for more than a few days after treatment, and they generally resolve within 24 hours. There are not much evidence of long term side effects of these medicines but there are some studies or beliefs that these pills have long term effects on the women’s body like irregular menses, mastalgia and infertility.

Effects on Pregnancy
There have been no conclusive studies of births to women who were already pregnant when they took ECPs or following failure of ECPs

Whether to consult a doctor before taking ECP?
Not really! However if you suffer from high blood pressure, diabetes, previous tubal pregnancy, it's a good idea to discuss it with your doctor when going for a health check.

When to contact a doctor after taking the ECP?
If you experience the following symptoms:
• Severe abdominal pain.
• Chest pain or shortness of breath.
• Severe headache.
• Eye problems like blurring of vision.
• Severe leg or arm pain.
How long effect of ECP last?
The use of ECP is only for 1-2 acts of unprotected sex and that too within 72 hours, if you happen to have sex after 72 hours you should be looking for alternative and regular form of contraception.

When to expect periods after taking ECP?
Your next period may come sooner or later than expected, however most women get their period within 7 days of expected date. Your period may also be heavier or lighter than normal. If you do not get your period within 21 days or if you think you could be pregnant, get a pregnancy test done.

Does Weight Affect Emergency Contraception effectiveness?
Yes,if you have a body mass index (BMI) that's higher than 25, it's less effective. If you have a body mass index (BMI) that's higher than 30, it may not work at all.
2 people found this helpful

Misuse Of Emergency Contraceptive Pills

Dr. Shiwani Agarwal 92% (831 ratings)
DNB (Obstetrics and Gynecology), MBBS
Gynaecologist, Mumbai
Misuse Of Emergency Contraceptive Pills
Contraception is not only restricted to married couples in today's world. Most of the young couples refrain from seeking medical advice for contraception may be because of social concerns or simply because they feel hesitant and shy.

There are many contraceptive pills available over the counter which youngsters are tempted to buy and use as it seems to be the easy way out. Frequent and improper use of such emergency pills can lead to a lot of hormonal disturbances and the menstrual cycle goes topsy turvy. Then the dilemma starts. As it becomes difficult to interpret the cycle dates and erratic bleeding which happens is disturbing.

In my practice I have seen many young girls popping in pills randomly every now and then. Sometimes at weekly intervals as they are unable to manage the stress of their relationship getting disturbed. What youngsters should try and understand is there is nothing wrong in having pills for contraception but it should be done with proper guidance and the selection of the right pill for that particular individual is important which can be done easily by getting into consultation with a doctor. Need not necessarily be a gynecologist always.

Emergency pills are ok for once in a blue moon kind of use. But it should not become a habit.
4847 people found this helpful

Emergency Contraception - What You Need To Know?

Dr. Prabha Ranjan 89% (21 ratings)
MBBS, Diploma In Obstetrics & Gynae (DGO), MNAMS (Obstetrics & Gynaecology), DNB (Obstetrics & Gynecology)
Gynaecologist, Delhi
Emergency Contraception - What You Need To Know?

Contraception refers to something, which works to prevent a pregnancy from occurring. But what is emergency contraception? This sort of contraception is made use of in case other methods of birth control do not work or a woman has had unprotected sex.

This sort of contraception is also referred to as the morning after pill and postcoital contraception, which effectively means that it is taken after sex. Well, if while having sexual intercourse, there is a breakage of the condom or it slips off the penis, then it is a good idea to make use of emergency contraceptives, as should a woman if it so happens that she misses two or more birth control pills over the course of her monthly cycle.

While it is true that a large majority of emergency contraceptives, which are available in the market today are in the form of pills, note that this is not the only form of emergency contraception. As a matter of fact, copper containing intra uterine devices (IUDs) happen to be the most effective way to prevent a pregnancy from occurring, but this is only true if they are fitted within five days of unprotected sex. Again, even in this case, the sooner, the better!


Most people believe that an emergency contraceptive is almost always successful in ending a pregnancy. This is quite inaccurate as the main intention of an emergency contraceptive is not to end a pregnancy, but to prevent it from happening in the first place. This is exactly why it is so essential to have an emergency contraceptive pill after sex as soon as possible. The longer a woman delays, the higher the risk of fertilisation taking place and pregnancy then being left to be a foregone conclusion.

It is important to keep in mind that emergency contraception is not a substitute for taking precautions when it comes to sex. As a matter of fact, it can be said that there is no substitute for being responsible and making use of condoms or birth-control pills in a prudent way. After all, who wants to have the stress and the repercussions of a potential unwanted pregnancy? It makes quite a bit of sense to take some extra care so that there is no need for anxiety, as it isn’t really required and sex remains as much fun as intended! In case you have a concern or query you can always consult an expert & get answers to your questions!

3649 people found this helpful

Emergency Contraception - What is it?

Dr. Gittika Sharma 88% (111 ratings)
MBBS, DNB (Obstetrics and Gynecology), Fellowship in IVF
Gynaecologist, Amritsar
Emergency Contraception - What is it?

Contraception refers to something, which works to prevent a pregnancy from occurring. But what is emergency contraception? This sort of contraception is made use of in case other methods of birth control do not work or a woman has had unprotected sex.

This sort of contraception is also referred to as the morning after pill and postcoital contraception, which effectively means that it is taken after sex. Well, if while having sexual intercourse, there is a breakage of the condom or it slips off the penis, then it is a good idea to make use of emergency contraceptives, as should a woman if it so happens that she misses two or more birth control pills over the course of her monthly cycle.

While it is true that a large majority of emergency contraceptives, which are available in the market today are in the form of pills, note that this is not the only form of emergency contraception. As a matter of fact, copper containing intra uterine devices (IUDs) happen to be the most effective way to prevent a pregnancy from occurring, but this is only true if they are fitted within five days of unprotected sex. Again, even in this case, the sooner, the better!


Most people believe that an emergency contraceptive is almost always successful in ending a pregnancy. This is quite inaccurate as the main intention of an emergency contraceptive is not to end a pregnancy, but to prevent it from happening in the first place. This is exactly why it is so essential to have an emergency contraceptive pill after sex as soon as possible. The longer a woman delays, the higher the risk of fertilisation taking place and pregnancy then being left to be a foregone conclusion.

It is important to keep in mind that emergency contraception is not a substitute for taking precautions when it comes to sex. As a matter of fact, it can be said that there is no substitute for being responsible and making use of condoms or birth-control pills in a prudent way. After all, who wants to have the stress and the repercussions of a potential unwanted pregnancy? It makes quite a bit of sense to take some extra care so that there is no need for anxiety, as it isn’t really required and sex remains as much fun as intended! If you wish to discuss about any specific problem, you can consult a gynaecologist and ask a free question.

2481 people found this helpful

Safety of Emergency Contraception

Dr. Sudeshna Ray 89% (116 ratings)
Certification in Robotic surgery in Gynecology, MRCOG (LONDON), Fellowship in Gyn Endoscopy, MD - Gynaecologist & Obstetrician, MBBS
Gynaecologist, Mumbai
Safety of Emergency Contraception

Emergency is helpful in preventing pregnancies post unprotected sexual activity. It can be used in case of contraceptive failure, in case of sexual assault, incorrect use of contraceptives and unprotected sex.

Emergency contraception can be done by three methods. These are emergency contraceptive pills, combined oral contraceptive pills and copper intrauterine devices.

The copper IUD is considered to be one of the most effective forms of emergency contraception, when it is inserted within 5 days of unprotected sexual activity.

However, the emergency contraceptive pill regimen as per WHO is:

  • 1 dose of levonorgestrel 1.5 mg, or 1 dose of ulipristal 30 mg, taken within 5 days (120 hours) of unprotected intercourse

  • The Yuzpe regimen which consists of 2 doses of combined oral contraceptive pills

What is Emergency Contraception?

Emergency contraception is usually referred to as the contraception which is used to prevent a pregnancy within the first 5 days after an unprotected sexual activity. It is used post failures of contraception, coerced unprotected sex, rape or misuse of contraception.

Emergency contraception is only effective in the first few days after an intercourse and before the egg has released from the ovary, and before there is fertilization between the egg and the sperm. The emergency contraception can do no harm to an interrupted pregnancy and a developing embryo.

Who needs emergency contraception?

Any girl or woman who is at her reproductive age might need an emergency contraception in case of an unprotected sexual intercourse.

Uses:

  1. Breakage, slippage or displacement of barrier methods
  2. Three or more missed OCPills for more than 12 hours
  3. Missed Mini pill for more than 3 hours
  4. Missed Desoestrel pills for more than 12 hours
  5. DMPA injections taken more than 2 weeks late
  6. Miscalculated dates of last period and present ovulation side effects

These are meant only for emergency contraception and NOT AS A REGULAR CONTRACEPTIVE. It involves pumping of a hormone inside your body at levels which are 5 times higher than normal. hence excessive and unnecessary use may cause irregularity in the period cycles and an adverse effect on the menstrual health over a period of time. Ideally it should be taken under guided medical supervision.

In what situations should emergency contraception be used?

Emergency contraception can be used after a sexual intercourse. These include:

  • In case of no use of contraceptives

  • If it is a case of rape or coerced sex, where the woman was not protected

  • When there is a contraceptive failure, like

    • breakage

    • incorrect use or slippage

    • OCPILLS,

    • mini pills

    • DMPA

  • 3 or more missed combined oral contraceptives, progestogen-only pill (minipill) taken more than 3 hours late, desogestrel-containing pill 12 hours or more, norethisterone enanthate (NET-EN) progestogen-only injection taken more than 2 weeks late

  • Delay in placing or dislodgement or early removal of the skin patch or the hormonal ring

  • Breaking, dislodgement, tearing or early removal of cervical cap or diaphragm

  • Failure of withdrawal that is ejaculation the external genitalia or vagina

  • The spermicide tablet failure

  • Miscalculating the periods, failure from using a barrier on the fertile days

  • Expulsion of an intrauterine contraceptive device (IUD)

Methods of Emergency Contraception:

There are three emergency contraception methods:

  1. Copper-bearing intrauterine devices (IUDs)

  2. Emergency contraception pills (ECPs)

  3. Combined oral contraceptive pills or the Yuzpe method

3695 people found this helpful
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