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Safer Sex and Contraception -
Emergency Contraception

Don't panic. If you've forgotten your pill, or the condom broke, there is something you can do to prevent becoming pregnant. Contact your doctor or Family Planning Victoria as soon as possible (within 120 hours but the earlier the better).

The 'morning after' pill was renamed 'emergency contraception' because many people thought that you could only take it the 'morning after' unprotected sex. In fact, you have up to 120 hours but the sooner you take it, the more effective it is and preferably within 72 hours.

What is Emergency Contraception?

You are at risk of becoming pregnant if you have

  • Forgotten to take the pill
  • Used the withdrawal method
  • The condom broke or slipped
  • You just got caught up in the heat of the moment and did not use contraception
  • Or had unprotected sexual intercourse for any other reason.

The emergency contraceptive pill is a dose of hormone made up of the combined pills (containing oestrogen and progesterone) or mini-pills (containing progesterone only. The dose is larger than is normally taken with a daily pill.

The emergency contraceptive pill must be taken within 120 hours of unprotected intercourse.

 

How Does It Work?

  • By delaying/preventing ovulation
  • Preventing a fertilised egg from implanting in the uterine wall
  • Interrupting the production of hormones needed for pregnancy to continue.

How Effective Is It?

It will prevent 75%-88% of pregnancies that would otherwise have occurred.

Side Effects:

  • One third of women will experience some nausea (anti-nausea tablets can be taken and there is usually less nausea with the progesterone-only pill)
  • Vomiting may occur. If it does happen within 2 hours of taking either dose, and identical dose of pills should be taken (see your doctor)
  • Spotting or bleeding can occur 3 to 7 days after treatment
  • Periods may be delayed
  • While there is no evidence that emergency contraception will harm a continuing pregnancy (in those 25% of cases where it fails to prevent a pregnancy) however there are no guarantees.

What Happens Afterwards?

You should discuss contraception with your doctor or Family Planning Victoria. The combined or mini-pill can be started immediately after emergency contraception.

You should visit your doctor one month after treatment to check that:

  • The treatment was successful and that you are not pregnant
  • You have not caught a sexually transmitted infection.

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Last updated:24/01/2006
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