Emergency contraception is a means of preventing pregnancy that is safe to use. This method is also said to prevent conception after intercourse.
Emergency contraception provides benefits as a safeguard, when mothers have sexual intercourse without using contraception or contraceptives that are used in damaged condition.
Emergency contraceptive pills are pills that contain hormones that are taken to give you hormonal contraception, which will most likely prevent ovulation, conception and/or implantation. However, for Mothers to understand that emergency contraception will not harm an existing pregnancy.
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This means, if you are not aware that you are pregnant and are already taking emergency contraception pills, it will not endanger the health of your fetus.
Use of emergency contraceptive pills
Quoting the official website of the World Health Organization (WHO), emergency contraception can be used in several situations after sexual intercourse. This includes:
If no contraception is used. Sexual harassment when the woman is not protected by an effective method of contraception.
When there is concern about the possibility of contraceptive failure, due to inappropriate or incorrect use, such as:
condom breakage, slippage, or incorrect use of combined oral contraceptive pills consecutively missed more than a few weeks late for injectable contraceptives IUD is dislodged, or damaged failure of withdrawal (eg ejaculation in the vagina or external genitalia); failure of the spermicidal tablet or film to melt before sexual intercourse; abstinence calculation errors, or failure to abstain or use barrier methods on the fertile day cycle when using fertility awareness-based methods.
Types of Emergency Contraceptive Pills
There are two types of emergency contraception pills that you need to know about. The two types are as follows:
There are types of birth control pills that contain levonorgestrel, a synthetic (man-made) version of the natural hormone progesterone produced by the ovaries.
Taking birth control pills can stop or delay the release of an egg (ovulation). This medication must be taken within 72 hours (3 days) of having sex to prevent pregnancy. And it doesn’t interfere with your usual birth control method.
2. Uliprostal acetate
Then there is a type of drug that contains ulipristal acetate, which stops progesterone from working normally. It also works by stopping or delaying the release of the egg. This medication must be taken within 120 hours (5 days) after sex to prevent pregnancy.
How Effective is the Emergency Contraceptive Pill?
The effectiveness of emergency contraceptive pills depends on the type, approximately 85 percent. Then, you need to know that emergency contraceptive pills containing ulipristal acetate are more effective than levonorgestrel.
Your doctor or pharmacist may ask you several questions to determine the best type of emergency contraceptive pill. This may depend on:
Your weight and body mass index (BMI) – double-dose levonorgestrel ECPs are recommended for those who weigh more than 70 kg (or have a BMI more than 26 kg/m2) Are you currently taking any type of medication (including birth control) others) Are you currently breastfeeding?
Emergency Contraceptive Pill Brands
There are several choices of emergency contraceptive pill brands that can be purchased at pharmacies. Here are some of them:
ellaOne or often called the After Morning Pill is used as emergency contraception after sexual intercourse to prevent pregnancy. Quoted from the Doctor Fox page, ellaOne contains 30 mg of ulipristal acetate which works by delaying the release of the egg from the ovary at the time of ovulation. ellaOne is allowed to be taken up to 120 hours (5 days) after intercourse.
The ellaOne pill has an effect on the ovaries until the actual release of the egg, whereas the alternative emergency contraceptive pill, Levonelle, only works to prevent the hormonal changes that trigger the release of the egg. The ellaOne pill is a single tablet that is swallowed whole as soon as possible after sex without effective contraception. If vomiting occurs within 3 hours, a repeat dose should be taken.
Because the timing of ovulation is unpredictable, even in women with regular cycles, emergency contraception is often used regardless of the day of the cycle when a woman has unprotected sexual intercourse. Women who need emergency contraception more than once in one menstrual cycle should consult a doctor or contraceptive specialist adviser.
EllaOne pills should not be taken at the same time, or in the same cycle, as Levonelle. The use of this drug must be prescribed by a doctor. In Indonesia, this contraceptive pill is rarely used, ellaOne itself is a British product, Mother.
Price for ellaOne 30mg1 tablet (single dose) £21.90 (approx. Rp.421000) while ellaOne 30mg 2 tablets (2 single dose treatments) £39.90 (approx. Rp.767000)
2. Postinor 2
Postinor 2 drugs are drugs and contraceptives including emergency contraception to prevent pregnancy after unprotected sex, or due to failure of other contraceptive methods. The drug Postinor pills contains the active substance levonorgestrel 0.75 mg. The use of this drug must be prescribed by a doctor. Package price for 1 box containing 1 strip IDR 29,000 – IDR 33,000.
3. Mainstay of Postpill
Postpill is an Emergency Contraceptive Pill to prevent pregnancy, after having unprotected sex. Postpill is the quickest and easiest option in an emergency. The method of use is that Postpil must be taken two (2) tablets at once as soon as possible, a maximum of 72 hours after unprotected intercourse. The faster you drink it, the higher the effectiveness. The price is IDR 27,000 – IDR 35,000.
This is information about emergency contraception starting from how it works to its impact and price.