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Emergency Contraceptive Pills (ECPs)

Emergency contraceptive pills are sometimes called the "morning-after pill," but they are usually effective if taken within 72 hours of unprotected sexual intercourse, but the earlier they are used the better. Emergency Contraception pills contain high doses of the same hormones that are in birth control pills. Theoretically, Emergency Contraception could also prevent implantation, but that has not been proven scientifically. Emergency Contraceptive pills are not designed to terminate an existing pregnancy.

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Cost depends on the health care facility, and may be provided on a sliding scale based on income. Prices for emergency contraceptive pills generally range from $8 to $50.

Using the Pills
Emergency Contraceptive Pills are taken in two doses. Take the first dose as soon as possible after unprotected intercourse and the second dose 12 hours later. Or, alternatively, both pills can be taken together. This option does not change the effectiveness, but may be more convenient.

Emergency Contraceptive Pills can make you throw up or feel nauseous. If you throw up within one hour of taking your dose of Emergency Contraceptive Pills, be sure to use an anti-nausea medication one hour before taking the second dose. Or you may want to take the second dose as a vaginal suppository by inserting the pills with your fingers as high into the vagina as you can reach, contact your doctor about getting another dose. The medication will be absorbed through the vaginal tissue.

If you vomit the second dose, do not take any extra pills. They probably won't reduce the risk of pregnancy. But they will probably make you sick to your stomach.

To reduce nausea:

  • Try to eat something before taking the pills

  • Take an anti-nausea drug before the second set of pills

  • Take the pills with milk not water

Side Effects of Emergency Contraceptive Pills

  • If your nausea is severe, your doctor may be able to prescribe a stronger anti-nausea drug.

  • Other possible side effects of Emergency Contraceptive Pills include:

  • Spotting

  • Cramping

  • Fatigue

  • Breast Tenderess

You can take the emergency pill:

  • As many times as you need it

  • Twice in the same menstrual cycle

  • Even if you can't take the combined contraceptive pill

  • Even if you then decide to have an emergency IUD fitted.

Your next period will likely be on time, but it may be early or late. If you don't have your period within three weeks of taking the ECP, visit your doctor or a pharmacy to have a pregnancy test done.

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