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Emergency Contraception: General FAQ

Contents

What is Emergency Contraception?

  • Emergency Contraception or EC is a safe and effective method to prevent pregnancy after unprotected sexual intercourse.
  • Emergency Contraception is regular birth control pills taken in special doses. There are now two pre-packed Emergency Contraception products called Plan B ® and Preven ®.
  • Emergency Contraception is taken within 3 days or 72 hours after sex.
  • Over 95% of the women who take Emergency Contraception do not become pregnant.   (Top^)

How does Emergency Contraception work?

  • Emergency Contraception helps prevent pregnancy by:
    • Temporarily stopping eggs from being released,
    • Stopping fertilization, or
    • Stopping a fertilized egg from attaching to the womb.
  • What Emergency Contraception will NOT do:
    • Disrupt an established pregnancy
    • Cause an abortion (Emergency Contraception is not the same as the abortion pills that should be taken after you missed your period)
    • Prevent from Sexually Transmitted Diseases (STDs) or HIV/AIDS   (Top^)

When should I take EC?

  • You may wish to consider using Emergency Contraception if you had sex within the last 3 days and:
    • You didn't use birth control
    • The condom broke
    • You were late for your birth control shot
    • You missed two or more birth control pills in a row or started your pack late
    • Your diaphragm slipped or
    • You were forced to have sex.
  • Emergency Contraception is not effective as a routine method of contraception.  (Top^)

What are the side effects from taking EC?

  • Almost all women can safely use EC. There are no long term or serious side effects from using EC.
    • The main side effects are nausea and vomiting. An over-the-counter anti-nausea medicine like, Meclizine can help reduce nausea or vomiting if taken 1 hour before EC.
    • Other side effects may include fatigue, headache, dizziness, and breast tenderness.  (Top^)

How much does Emergency Contraception cost?

    Our price of Emergency Contraception is $45 for Plan B.  This includes confidential consultation, all information packets and handouts as well as the pre-packed package of two EC pills.  Many family planning clinics provide Emergency Contraception free to low-income women. (Top^)

Where can I get EC?

    You can obtain EC directly from Rite Care Pharmacy without the need for a prescription ahead of time. In California, women can now go straight to a participating pharmacy to get emergency contraception without having to go to a clinic or doctor first. Most family planning clinics in California also provide EC. If there isn’t a nearby pharmacy that participates in the Emergency Contraception Pharmacy program, and you do not have a regular doctor or clinic, we would be happy to make arrangements for you to pickup your emergency contraception from a pharmacy near you.  Call us toll free at (866) 877-PILL for more information. (Top^)

What is the Emergency Contraception Pharmacy Program?

    The Emergency Contraception Pharmacy Program was established in California so women can get Emergency Contraception straight from a pharmacy, without first visiting their clinic or doctor. In this program pharmacists are able to provide women with Emergency Contraception under a standardized protocol from a doctor. To participate in this type of program they are required by law to have special training, and to give all clients a fact sheet called Key Facts About Emergency Contraception. Rite Care Pharmacy is a authorized EC provider. (Top^)

What should I expect if I go to a pharmacy to get EC?

    The pharmacists will ask several questions in a confidential setting to make sure Emergency Contraception is right for you. (The pharmacist needs to know when you last had unprotected intercourse, and the start date of your last period.) She may ask you to complete a brief form, available in both Spanish and English. You will also be given written information about Emergency Contraception that you can take with you. When visiting a pharmacist for Emergency Contraception you have the right to expect up to date and confidential information!   (Top^)

How effective is EC?

Over 95% of women who take Emergency Contraception do not become pregnant. Plan B (progestin-only) may be slightly more effective than other types of EC.   (Top^)

Is the “morning-after” pill the same as “emergency contraception (EC)”?

Yes, the “morning-after” pill and emergency contraception (EC) are the same thing. The term “emergency contraception” is preferred because this method of preventing pregnancy can be used several days after unprotected sex, not just the “morning after.” (Top^)

What is the difference between Emergency Contraception and RU-486?

RU-486 or Mifepristone (Mifeprex) also known as the French abortion pill interrupts an already existing pregnancy (49 days or less counting from the beginning of the last menstrual period) and should not be confused with emergency contraception. In contrast, Emergency Contraception will NOT disrupt an established pregnancy. (Top^)

How long after unprotected sex can I take EC?

The current treatment schedule is one dose within 72 hours after unprotected sex, and a second dose 12 hours after the first dose. Emergency Contraception should be taken as soon after unprotected sex as is practical. New information suggests that Emergency Contraception can be used up to 5 days, or 120 hours, after unprotected sex. However, Emergency Contraception is much less effective if used after 72 hours. (Top^)

What if I am late in taking the second dose of EC?

It is recommended that you take the second dose 12 hours after the first dose. Taking the second dose a little early or late (two hours early or late, for example) will probably not make a difference in how effective the pills are, but we really do not know for sure.  (Top^)

When should my next period come after I take EC?

Your next period should come more or less on time. It is more common for your period to be delayed than to come early, probably because ovulation is delayed in many women. After taking Emergency Contraception some women have irregular bleeding that is not really their period. The duration of the irregular bleeding is not predictable. You should have another, normal period within 3 weeks after taking EC. If not, you should visit a clinic and get a pregnancy test just to make sure you're not pregnant. (Top^)

How many times can I use EC?

Emergency Contraception is not recommended for routine use as a method of birth control for sexually active women. Correct use of other birth control methods such as the pill, condoms, IUD, or the shot is a more effective and often less expensive way to prevent pregnancy. (Top^)

Can I use Emergency Contraception if I am breastfeeding?

Yes, Emergency Contraception may be used, as there is no evidence of danger to the infant or mother. A single treatment of Emergency Contraception is unlikely to have an important effect on milk quantity or quality. Some hormones may pass into the breast milk, but they are unlikely to affect the infant adversely. (Top^)

Can I get Emergency Contraception if I am under 18?

Yes, under California law, minors have the right to access confidential family planning services (including EC) without parental consent. (Top^)

Does Emergency Contraception cause an abortion?

No! Emergency contraception prevents abortion, by preventing pregnancy. The American College of Obstetricians and Gynecologists and the National Institutes of Health define pregnancy as starting with implantation of the egg in the uterus. Emergency Contraception will not work after implantation occurs. Emergency Contraception will not interrupt an established pregnancy. (Top^)

What is Plan B?

Plan B® (levonorgestrel) is a safe and effective form of emergency contraception. Unlike older emergency contraceptive pills that contain both estrogen and progestin, Plan B® (levonorgestrel) contains only progestin. As a result, Plan B causes fewer side effects, like nausea. For more information see the FAQ on Plan B.  (Top^)

If I am already pregnant, will taking Emergency Contraception harm my baby?

No! If emergency contraception is mistakenly taken during pregnancy, it will not harm your developing fetus. Using Emergency Contraception will not affect a woman’s ability to become pregnant in the future. (Top^)

Will Emergency Contraception effect my period?

Emergency Contraception can cause spotting or change the flow, length, and timing of your next period. In most cases this effect is minor. If your period is delayed by more than 7 days, consider getting a pregnancy test. (Top^)


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Revision: August 28, 2009