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Emergency Contraception

emergency contraceptives, family planning, reproductive health

At A Glance:

  • Contraceptive pills can be used as emergency contraception after unprotected sex to decrease the chances of pregnancy.
  • Should only be used after unprotected sex, if another contraceptive method failed, or if no contraception was used.
  • Pills can be up to 88% effective if taken within 72 hours (three days) after unprotected sex. The sooner, the better.
  • The Yuzpe Method is not guaranteed as effective as daily intake of pills as a regular contraceptive method.

What Is It

Emergency contraception lessens the chances of a woman getting pregnant if taken within the first few days after unprotected sex. It should be taken as a last resort when other contraceptive methods failed or were not used during unplanned sex.

You may want to use it if:

  • you weren’t using any contraceptive when you had sex
  • you forgot to take your pills or use condoms
  • your partner’s condom broke or slipped off
  • your partner didn’t pull out in time or
  • you were forced to have unprotected vaginal sex

Emergency contraceptive pills are also called “morning after pills,” which gives the wrong impression that they should be taken the morning after unprotected sex, when in fact, they can already be taken as soon as possible without having to wait for the morning after.

In the Philippines, the daily oral contraceptive pills available can be used as emergency contraception through a specific method. The Yuzpe Method prevents pregnancy before it happens; it’s a backup plan, and should not be done regularly. If you are interested in taking oral contraceptive pills as a regular method of contraception, consult your healthcare provider to know more. It is also strongly advised to consult a healthcare provider when using the Yuzpe Method.

How It Works

Pregnancy doesn’t happen immediately after sex, which is why preventing it after unprotected sex is still possible. Take note: it can take up to seven days for the sperm cell and egg cell to meet after sex.

Pills prevent the sperm cell and egg cell from meeting and result in pregnancy by releasing a large dosage of the hormones estrogen and progestin in the body. Through this, the egg cell is stopped or delayed from leaving the ovary and traveling to the uterus for fertilization.

The Yuzpe Method lessens the chances of pregnancy to happen if taken within the first few days after unprotected sex; however, how much the chances are reduced depends on how soon the pills are taken after the incident, and at what stage the woman’s menstrual cycle is already when she takes it. The chances of getting pregnant are higher when the woman had unprotected sex during the 2nd or 3rd week of her menstrual cycle; this makes the effectiveness rate not absolute. It’s always better to use a regular form of contraception, such as a condom or the daily oral contraceptive pills.

How To Use It

Do the Yuzpe Method as soon as possible after unprotected sex. Although it can reduce the risk of pregnancy if used within 72 hours after the incident, taking it sooner makes it more effective.

Take four (4) Ethinyl Estradiol 30mcg/Levonorgestrel 150mcg pills as soon as possible. Follow this with another dose of four (4) pills 12 hours later. You should be able to take a total of eight (8) pills.

If vomiting occurs within 2 hours after taking either of the doses, you need to repeat that dose. Remember, the sooner the pills are taken, the better.

It’s normal for your next period to be different from normal after taking emergency contraception.

  • It may come earlier or later than usual
  • It may be heavier, lighter, more spotty, the same as usual

You may also feel dizzy and nauseous after taking the pills.

The Positives

  • Pregnancy can be prevented after unprotected, unplanned or unsolicited sex.
  • Offers more protection and peace of mind than doing nothing.
  • Easy to use.

The Negatives

  • Can cause an upset stomach and vomiting.
  • Could cause breast tenderness, irregular bleeding, dizziness, headaches (short-term), and temporary changes to the menstrual cycle.
  • The Yuzpe Method should be done.

Sources:

Department of Health. The Philippine Clinical Standards Manual on Family Planning (2014 Edition). Manila, Philippines: DOH. 2014. Pp231-239

https://www.who.int/news-room/fact-sheets/detail/emergency-contraception

https://www.familyplanning.org.nz/clinics/services/emergency-contraception-copper-iud

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497 thoughts on “Emergency Contraception

  1. I had sex with my partner ang my condom broke 😢 and we use yuzpe method after we condom breakdown is it still effective if we intake much sooner than she take it tomorrow?

  2. Hi! My boyfriend and I had unprotected sex lasy Jan 20. My last period was Jan 5. Fertile ako nung time na yun. Tho nag pull out naman sya before mag cum. Kinabukasan tntry ko yuzpe method at 6pm and 6am for the 2nd dose. Will it still effective kahit ovulating na ko? Thanks.

    1. Hi, Mimi! As long as the Yuzpe Method was done within 72 hours after the incident, it will be effective. And based on your comment, it seems that you did the steps correctly within the timeframe.

  3. Hi, we had unprotected sex last January 17 around 4pm and I was due for ovulation ng January 18 based on a tracking app. My discharge was egg white the next day and only had the chance to take the Yuzpe method on January 19 around 10am. Will this still be effective?

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