Emergency Contraception: What You Need to Know

By Ben Cogswell, 16, Staff Writer

Originally Published: Jan 7, 2005

Revised: Sep 9, 2011

Seventeen-year-old Tara had unprotected sex with her boyfriend "without really thinking," she says.

"I talked to my friend about it and told her the whole story," says Tara, who lives in Ontario, Canada. "She convinced me that I had no other choice but to get the emergency contraception pills."

So she did, avoiding a possible unplanned pregnancy.

Let's face it. We sometimes do risky things in the heat of the moment. Or, even if we're careful, our birth control can fail. Even worse, some girls are sexually assaulted and need to prevent pregnancy after the fact.

Emergency Contraception

 The National Campagin

What is emergency contraception?

Emergency contraception (EC) is a type of birth control that gives girls another chance to avoid pregnancy.

Emergency contraception comes in the form of pills (commonly known as the "morning-after pill," even though you can take it up to five days after). The pills are sold under the brand name Plan B, Next Choice and Ella.

EC pills are basically high dosages of the birth control pill. They do not cause an abortion. They work by preventing ovulation (an egg being released from the ovary), fertilization (the egg and the sperm coming together) or by preventing the fertilized egg from attaching to the uterus, and so they prevent pregnancy.

EC will not work if you are already pregnant, and it does not protect against sexually transmitted diseases (STDs).

Although studies show that emergency contraception can be taken up to five days after intercourse, with Plan B, the sooner you use it, the better your chances of not getting pregnant. That means if you take the pills within one day of unprotected intercourse, there will be a better chance of avoiding pregnancy than if you wait until after the fourth day. With Ella, another brand of emergency contraception, it is just as effective the fifth day as it is the first.

What Are the Side Effects?

Some girls experience side effects when they take EC pills. The most common are abdominal pain, fatigue, irregular bleeding, headaches, and breast tenderness. Like most medications, though, reactions vary from person to person. Tara says she "ended up vomiting for a good two hours," while Amy, 18, of Boulder, CO, experienced no side effects at all.

How Do I Get It?

"The process of getting EC was pretty easy, actually," Tara says.

This is usually true. The Food and Drug Administration recently approved the over-the-counter sale of Plan B to women and men 17 and older. Ella requires a prescription from a doctor or health care provider regardless of someone's age.

In most states, you can get EC by going to a clinic or by contacting your doctor for a prescription. Clinics are located in every state in the country. To find a clinic near you, go to www.not-2-late.com.

Going to a clinic is just like a regular visit to the doctor, only you do not need your parents' permission. First, you'll fill out some paperwork and then wait to see a health care provider. He or she will ask you a few questions about what happened and why you are there.

The health care provider will usually either supply you with the pills or write a prescription so you can obtain them. Also, you can get a prescription for EC before an emergency happens, so you'll have them on hand, just in case. Emergency contraception is inexpensive. It usually costs between $10 and $45. Most clinics will charge only what you can afford to pay and some health insurance companies will cover the cost.

You may also need to pay for a clinic visit, too, but this may also be what you can afford to pay (i.e., a sliding-scale fee). Make sure you ask the clinic about cost before you go.

Can You Use EC as Birth Control?

Emergency contraception is not a method of birth control; it is for emergencies only.

The best way to avoid pregnancy and STDs is to abstain from all sex—oral, vaginal, and anal. If you decide to have vaginal intercourse, you should use both a condom and a hormonal form of birth control (like the Pill) to protect against pregnancy and most STDs.

Plus, Plan B is only 89-percent effective when taken within three days. Birth control pills are 99-percent effective when taken regularly and correctly.

"Take precautions while you're having sex, and if something happens, then go get EC," Tara says. "Don't use EC as an excuse [not to use birth control]. Take it only if you absolutely need it." 

Your Comments

RE: morning after pill, period

Posted by: SexExpert1 on Jan 14th, 2011 9:16am

This is normal because the high dose of hormones in
emergency contraception can affect a female's cycle. If your
period continues for much longer though you may want to
speak with a health care provider though. You can find free
or low-cost and confidential clinics on our Get Tested page.
http://www.sexetc.org/page/get_tested/

morning after pill, period

Posted by: dandyday on Jan 13th, 2011 11:36pm

I had just finished my period when i had unprotected sex. I
took the morning after pill within 6 hours of unprotected
sex. Now I've had my period again for almost a week and a
half. Is this normal?

RE: Plan B

Posted by: SexExpert1 on Dec 7th, 2010 9:11am

Plan B is effective up to 120 hours after unprotected sex,
or sex where the method of birth control failed. Your friend
can still take Plan B and it will be effective at preventing
pregnancy. She can go to the Web site below to find where
she can get it in your state and the laws there:
http://ec.princeton.edu/get-EC-now.html

Plan B

Posted by: Morena3 on Dec 6th, 2010 4:37pm

Hi my friend had unproteced sex on saturday and she hasen't
gotten the plan b after 72 hours if she decides to take the
plan b can that affect her from getting pregant? and is
there any type of emergency medicine to take while
preventing the eggs from ovluating. cause she dont know if
her boyfriend cum got inside the hole.

Plan B

Posted by: Ashtar123 on Jul 17th, 2010 7:08pm

One of my friends had unprotected sex and she took plan B
and it did not work! But she decided to put it up for
adoption!

RE: Late period from Plan B & Plan B, negative test

Posted by: DanR on Jan 5th, 2009 9:26pm

EC is like a high dosage of birth control. Birth control is
a dosage of hormones that tells your body not to ovulate, so
it is possible that after taking EC your period may come a
little later than normal. Side effects of EC will vary from
person to person. If you are a week or two late, then you
may want to consider taking another pregnancy test.
Remember that EC (or any form of birth control) is not 100%
effective and does not protect against STDs.

Plan B, negative test

Posted by: mzizprecious on Dec 27th, 2008 12:08am

My period is now 2 days late. I had unprotected sex 2 weeks
ago, pretty sure one of my fertile days so I took a morning
after pill the day after. I took a pregnancy test the day my
period was due and the day after and both came out negative.
My breasts has been sore since I took the morning after pill
during the time of ovulation.

Late period from Plan B

Posted by: mzizprecious on Dec 26th, 2008 6:41pm

I was wondering if it was normal to have a late period after
taking plan b, if so what is causing the period to be late?

RE: Plan B

Posted by: DanR on Dec 25th, 2008 7:45pm

Plan B is not a form of birth control, and should never be
used a form of birth control. It is for emergency purposes
only. They work by preventing ovulation (an egg being
released from the ovary), fertilization (the egg and the
sperm coming together), or by preventing the fertilized egg
from attaching to the uterus, and so they prevent pregnancy.
They do not stop ovulation all together. I hope that
clears things up.

RE: Morning after pill, Late period, Negative test

Posted by: DanR on Dec 25th, 2008 7:17pm

It sounds like you are really stressed, so I would first try
to relax. A lot of stress can cause your period to come
late. If the guy did not ejaculate when you had unprotected
sex, then there is very little (if any) chance that you are
pregnant. I would suggest that you think about get tested
for STDs since you can be at risk after having unprotected
sex. If you need to find info on a local clinic, check out
our Get Tested page.

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