Unlike birth control pills, emergency contraceptives have been around since the 1970s, and are known to be used as a form of last-resort birth control. Though there has been much progress in understanding its functions and effects, there still exist several misconceptions about emergency contraceptive pills (ECP).
In this article, we discuss 10 common misconceptions about ECPs and provide accurate information for each one. By doing so, we hope to help dispel any confusion surrounding this important topic.
- An overview of emergency contraceptive pills
- Ten myths associated with ECPs
- OVA’s recommendations
- FAQs related to ECPs
Emergency Contraceptive Pills: An Overview
Emergency contraceptive pills, or ECPs, can be consumed after unprotected sexual intercourse to prevent pregnancy. They delay or stop the release of an egg from the ovaries until the sperm remains inactive in your body. By changing the movement of sperm in the body, the pill prevents it from fertilising the egg. But the pill would not work once the egg gets fertilised.
10 misconceptions about emergency contraceptive pills
Misconception 1: Buying them does not need a medical consultation
It is important to note that while emergency contraceptive pills are available over-the-counter, it is still beneficial to speak with a doctor before purchasing. In some cases, a doctor may be able to recommend or provide a more suitable contraception option for the individual’s needs, as well as provide information about potential side effects and other safety precautions that should be taken when taking emergency contraceptive pills.
Additionally, speaking with a doctor can help ensure that all necessary prescriptions are filled in case of an emergency.
Misconception 2: EC will make you Sick
Emergency contraceptive pills contain hormones that may cause some side effects, such as nausea and headaches. However, these are usually mild and rarely lead to long-term health problems. ECP is a safe form of contraception with an excellent safety profile when used correctly.
Misconception 3: Birth control pills and ECPs are the same
No, they are not. Both methods prevent pregnancy. However, oral contraceptives or birth control pills can be used daily, while ECPs are the morning-after pills. The latter is the backup contraceptive that prevents pregnancy within 72 hours. While you must consult a medical practitioner before consuming birth control pills, ECPs don’t require such things.
Misconception 4: ECPs cause weight gain
Women may worry about weight gain caused by hormonal contraceptives. But the fact is somewhat different. Studies shed light on the fact that ECPs don’t cause weight gain. A few women may experience minimal side effects from the morning-after pills. Some of them include stomach discomfort or sickness. But weight gain is not a true side effect caused by these ECPs.
Misconception 5: ECPs cause abortion
Assuming that emergency contraceptive pills cause abortion is a sheer myth. In fact, no birth control pills are abortion-inducing drugs. To get an understanding, you first need to learn about pregnancy. In short, pregnancy begins when the fertilised egg gets implanted in the uterus wall.
The hormonal pills use progesterone and oestrogen to prevent ovulation, thickening the cervical mucus. So, the ovary does not release an egg.
Moreover, as the cervical mucus thickens, it becomes harder for the sperm to enter the uterus. Through these mechanisms, the pills prevent fertilisation. And if pregnancy does not occur, how can ECPs cause abortion?
Misconception 6: You only have 24 hours to consume ECPs after sex
Emergency contraception pills are the best option to eliminate the risks of pregnancy after unprotected sex. The morning-after pill is best consumed within 72 hours. However, it is best to consume them within 12 to 24 hours. But as per recommendations, they can prevent pregnancy faster. The sooner you use it, the better the medicine works inside your body. A few pills can be used within 120 hours after unprotected sex. Want to understand why?
Well, the highest chance of pregnancy occurs with unprotected intercourse a couple of days before the ovulation phase. The sperm will be there waiting inside the tube for the egg to emerge from the ovary. ECPs delay ovulation by a few days. So, once the egg emerges, the sperm will no longer be capable of fertilisation.
Misconception 7: These pills can protect you from future pregnancies
No, ECPs do not give ongoing protection against pregnancy. It’s for unprotected sexual intercourse within 72 hours. It does not delay future pregnancies. Ultimately, your decision to select contraception depends on your health. You can also take advice from a medical practitioner for the right treatments.
Misconception 8: Plan B can cause crucial side effects
How your body reacts to Plan B entirely is unique. So, assuming you will experience crucial emergency contraception side effects is a complete myth. If you start taking ECPs with food, it might lessen the chances of nausea. A woman who experiences bleeding or cramping can get in touch with a medical practitioner for the best recommendations.
Misconception 9: They are not effective for older women
A few women think they will not get pregnant due to irregular periods. But until and unless the individual has gone through menopause or had 12 consecutive months without periods, pregnancy is possible. Even if male fertility declines with ageing, men are fertile til the 70s or beyond. And ECPs work for older women as well.
Misconception 10: ECPs cause stroke and blood clots
No, ECPs do not cause chances of blood clots or strokes. However, women with obesity and migraine issues must consult a professional before consuming it.
Conclusion
If you have had unprotected sex the day before, Plan B can be your saviour solution. Although these pills have certain minor side effects, it improves within 48 hours. You don’t need to worry about it.
Learn more about emergency contraceptive pills on Ova
Speak to a medical professional privately via video call on Ova to learn more about the benefits of emergency contraception. People who are looking to prevent an unwanted pregnancy can discuss their options with a doctor in a safe and comfortable space.
FAQs about emergency contraceptive pills
1. Which pills are best for emergency contraception?
There are different types of emergency contraception pills available, and their effectiveness may vary. Here are the most common options:
- Levonorgestrel (Plan B, Take Action): This pill contains levonorgestrel, a synthetic hormone that can prevent pregnancy if taken within 72 hours (or up to 120 hours) after unprotected sex.
- Ulipristal acetate (Ella): This pill contains ulipristal acetate, which is a selective progesterone receptor modulator. It is effective if taken within 120 hours after unprotected sex. Unlike levonorgestrel, ella requires a prescription.
- Copper Intrauterine Device (IUD): If you prefer a long-acting method, the copper IUD can be inserted by a healthcare provider within five days of unprotected sex.
2. When should I take emergency contraceptive pills?
You need to take emergency contraceptive pills within 72 hours of unprotected sex. However, a few pills can be taken within 120 hours after unprotected intercourse.
3. Is one emergency contraceptive pill enough?
If you take it within the grace period of 24-72 hours after unprotected sex, an emergency pill is enough. But when in doubt, please consult a medical professional at the earliest.
4. Is it normal to bleed for a week after taking the morning-after pill?
It is regular to bleed for one week after taking an emergency pill. It is better known as spotting, which occurs after you take a morning-after pill. Once you are on your period after taking the pill, it indicates you are not pregnant.
This article is for informational purposes only and does not constitute medical advice. The information contained herein is not a substitute for and should never be relied upon for professional medical advice. Book a consultation with Ova Singapore’s medical team to learn more about reproductive healthcare treatments here.