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Morning-After Pill: Things to Know Before Using

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Morning-After Pill: Things to Know Before Using

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Morning pills are an effective method of preventing unwanted and unexpected pregnancy. Read this article to know more.

Medically reviewed by

Dr. K. Shobana

Published At February 10, 2018
Reviewed AtMay 2, 2023

What Is Contraception?

Contraception is a process of preventing pregnancy. In simple terms, it is controlling the birth. The contraceptive options help in preventing the fusion of the egg with the sperm. In some situations, the production of the egg from the woman is also stopped.

The various contraceptive options in both male and female are:

  • The contraceptive implant.

  • Female sterilization.

  • An intrauterine device.

  • Vasectomy or male sterilization.

  • Male and female condoms.

  • Contraceptive pills.

The easiest and most economical way of contraception is condoms and pills.

What Is the Morning Pill?

  • Morning-after pills (emergency contraceptive pills) are hormonal methods of preventing pregnancy after intercourse has happened. It has to be taken within 72 hours of having unprotected intercourse, or if you missed taking the regular contraceptive pill or faced an issue of condom break. The morning-after pill is usually meant for emergency situations like unplanned sex, breakage of condoms, or sexual assault to prevent an unwanted pregnancy. It is not to be used as the regular method of contraception. Frequent use comes with its own side-effects. So, its repeated use in a single menstrual cycle should be avoided.

  • In the true sense, emergency contraception is not meant for contraception. Rather it is an interception. It prevents the pregnancy, which may happen by interrupting the pregnancy process, whereas contraception does not allow the pregnancy to happen by preventing the fertilization process itself.

  • The barrier method (condoms) also prevents the transmission of sexually transmitted diseases. Emergency contraception has neither of these benefits and, if taken repeatedly, may harm the normal hormonal rhythm and menstrual pattern of a woman.

Can Morning Pills Fail to Work?

Yes, there are certain situations where morning pills fail to work. The reason for the failure of the morning pill could be the following.

  • A late consumption of morning pills after unprotected sex.

  • Consumption of other medication along with the morning pills. This can be highly dangerous as the pills might negatively interact with the other drugs. It is necessary for you to consult the doctor before using morning pills, especially if you are under any other regular medication.

  • If vomiting happens within two or three hours after consumption, then this might indicate that the pills are not accepted well by the consumer's body. This might lead to the failure of contraception.

If the pills fail to work, then they might end up in pregnancy. However, pregnancy does not happen in all the failure circumstances. The occurrence of positive pregnancy depends on ovulation and fertility state.

What Is the Composition of Emergency Contraception Pills?

  • Emergency contraception pills contain Levonorgestrel 1.5 mg. It can be taken either in a single tablet or in two tablets. It has to be taken within 72 hours of unprotected intercourse for best results. It is a very effective medicine if taken within the scheduled time period. If the patient vomits within half an hour of its intake, the same dose has to be repeated. If not, repetition of the dosage is not necessary. It is available in the market under various trade names and is easily available over-the-counter.

  • After taking the pill, if the person still misses her period, she should take a pregnancy test as early as possible to detect unplanned pregnancy.

What Are the Side Effects of Emergency Contraception Pills?

The side effects are not very severe. The common side effects are:

  • Vomiting.

  • Nausea.

  • Light-headedness.

  • Breast tenderness.

  • Abdominal cramps.

  • Menstrual irregularities.

Why Do Menstrual Irregularities Happen?

Menstrual irregularities are very common. The irregularities include early period, delayed period, and abnormal vaginal bleeding for a longer period of time than normal. When these medications are consumed regularly, the normal hormonal balance of the individual is disturbed. With the usage of contraceptive pills, it is not possible to avoid the hormonal imbalance because that is how contraception happens. If the vaginal bleeding happens for an additional two days after the usage of morning pills, it is usually considered normal. If the vaginal bleeding prolongs even after two days, then it is necessary to contact the health care provider as soon as possible.

What Are the Precautionary Measures to Be Followed to Overcome the Side Effects?

If pregnancy is not in the plan, a regular method of contraception should be chosen. The use of emergency contraception should be reserved for real 'emergencies.' The other methods of emergency contraception are high doses of oral medications combined with contraceptive pills and intrauterine contraceptive devices.

What Is the Best Alternative for Morning Pills?

There are many methods for contraception. As far as emergency contraception is considered, the best alternative for morning pills is the copper intrauterine device. It is about 99% effective in its contraception process. It is necessary to use the copper intrauterine device within five days of unprotected sex. The main advantage of the copper intrauterine device is that it provides protection for up to ten years. The other benefits of the copper intrauterine device are:

  • It can be easily removed.

  • It can be used by breastfeeding mothers.

  • After removal, fertility can be restored.

  • Does not involve physiological functioning and hormonal balance.

Side Effects:

Even though there are notable advantages associated with the copper intrauterine device, there are few side effects associated with them.

  • Risk of ectopic pregnancy.

  • Copper might be acceptable to the body of all people.

  • People might experience painful cramps in the initial days of usage.

  • The device might get misplaced.

  • Frequent bleeding or spotting.

  • It won't protect against sexually transmitted infections.

  • For effective functioning, it is necessary to place the device in a proper position. The copper intrauterine device is mostly attached with a nylon thread. If you suspect whether the copper intrauterine device is in place, this thread would be helpful.

  • The copper intrauterine device works by blocking the entry of sperm, and so the fusion of sperm and egg is prevented.

It is better to be aware of all the side effects of any method before usage. You can also get help from icliniq.com.

Frequently Asked Questions

1.

What Is the Morning-After Pill?

The morning-after pill is an emergency contraceptive or birth control pill. Women use emergency contraceptives to avoid pregnancy after having unprotected sex. These pills are safe and very effective in avoiding unwanted pregnancies.

2.

How to Take the Morning-After Pill?

Morning pills should not be taken on an empty stomach. Taking the pill with food is advised as it may make a person nauseous. And the pill can change the period cycle either early or later than the expected date.

3.

What Reduces the Effectiveness of the Morning-After Pills?

The morning-after pill's effectiveness may decrease due to the following reasons -
- The morning pill should be taken before ovulation. The effectiveness of the morning pill depends upon the timing. It should be taken as soon as possible. The effectiveness of the pill is more if a person takes it right after sex.
- The pill can interact with other drugs and may make it less effective.

4.

What Are the Side Effects of the Morning-After Pill?

The morning-after pill can cause some side effects, which include -
- Nausea or vomiting.
- Dizziness.
- Fatigue.
- Headache.
- Breast tenderness.
- Heavier menstrual bleeding.
- Lower abdominal pain or cramps.

5.

What Food Products Can Be Eaten to Avoid pregnancy?

Some of the food products that can prevent pregnancy include -
- Papaya. 
- Pineapple.
- Apricot.
- Ginger.
- Dried figs.
- Cinnamon.
- Juniper berries.

6.

Does the Morning-After Pill Cause Infertility on Taking Multiple Times?

The morning-after pills do not cause infertility when taken multiple times. These pills will not impact fertility in any way. However, it can affect the timing and increase the bleeding during the menstrual cycle.

7.

Does the Morning-After Pill Completely Avoid Pregnancy?

The effectiveness of the morning-after pill usually depends on the timing of consumption. Its effectiveness decreases as the time increases after having unprotected sex. Various types of research have shown that -
- It is 95 % effective when taken within 24 hours.
- It is 85 % effective when taken within 48 hours.
- It is 58 % effective when taken within 72 hours.

8.

Does the Morning-After Pill Cause Abortion?

The morning-after pill does not cause an abortion or miscarriage. These are emergency contraceptives that help in preventing pregnancy. On the other hand, abortion is when an embryo starts to develop in the womb and has to be removed surgically in case of unwanted pregnancy.

9.

What Are the Signs of Pregnancy?

The signs of pregnancy include the following -
- Missing period.
- Breast tenderness and morning sickness.
- Fatigue.
- More urination.

10.

What Are the Different Types of Emergency Contraceptives?

The different types of emergency contraceptives recommended by the WHO (world health organization) include -
- Ulipristal acetate, Levonorgestrel, or combined oral contraceptives (COCs) consisting of Ethinyl Estradiol plus Levonorgestrel.
Dr. Prabha Ranjan
Dr. Prabha Ranjan

Obstetrics and Gynecology

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