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Morning After Pill And Its Options

We all know the morning after pill, but there are a range of emergency contraception options available to women whose other contraception has failed, who are not on birth control, or who did not use contraception during sex. Even if you are on birth control, you may still need emergency contraception after having sex if you did not take the birth control pill on time. What types of emergency birth control methods exist and when should you take them?

 

Hormonal – The Morning After Pill

The first type of emergency contraception is hormonal. These pills are often referred to as the “morning after pill” and usually contain a mixture of estrogen and progestin (or, in some cases, just progestin). The sooner after unprotected sex these pills are taken, the more effective they will be, though some are effective up to five days afterwards.

 

There are 2 types of morning-after pills:

  • A pill with ulipristal acetate. Ella is the only brand providing this.
  • A pill with levonorgestrel. There are multiple brands offering this like: AfterPill, My Way, Plan B One Step, Take Action etc.

Where to get the morning after pill?

Hormonal emergency contraception is usually available over the counter, from a pharmacy, without a prescription. In the past, a woman would have to speak with her doctor before being able to get one of these pills. Today they are more readily available.

The two brands on the market are Levonelle (take within 72 hours of sex) and ellaOne (120 hours). Even though the manufacturers have established maximum times, it is always best to take the morning after pill as soon as possible after sex.

IUD

The second type of emergency contraception comes in the form of a copper IUD. If you have an IUD inserted less than seven days after unprotected sex, it can be very effective at preventing pregnancy. What this method does is to make the uterus completely unreceptive to sperm. If inserted before ovulation, it will kill off the sperm before it can meet an egg. If inserted after ovulation, it will make it impossible for a fertilized egg to actually implant itself in the uterus.

This is the most effective type of emergency contraception, but usually has to be inserted at a doctor’s office that has a qualified medical professional and access to the IUD. The IUD is the most effective type of EC — it works 99 times out of 100. Read here about the the pros and cons of having an IUD.

When Can I Use Emergency Contraception?

Some women will use emergency contraception in the place of more traditional contraception like condoms or birth control pills. Emergency contraception is actually not as effective as birth control and other contraception methods, making it very important for a woman not to rely expressly on that as her only method of preventing pregnancy. Emergency birth control should definitely be used if you’ve forgotten to take the (combination) pill more than two days in a row (with mini-pills already after 3 hrs), if a condom broke or leaked or if no birth control was used at all.

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Morning After Pill And Its Options

We all know the morning after pill, but there are a range of emergency contraception options available to women whose other contraception has failed, who are not on birth control, or who did not use contraception during sex. Even if you are on birth control, you may still need emergency contraception after having sex if you did not take the birth control pill on time. What types of emergency birth control methods exist and when should you take them?

 

Hormonal – The Morning After Pill

The first type of emergency contraception is hormonal. These pills are often referred to as the “morning after pill” and usually contain a mixture of estrogen and progestin (or, in some cases, just progestin). The sooner after unprotected sex these pills are taken, the more effective they will be, though some are effective up to five days afterwards.

 

There are 2 types of morning-after pills:

  • A pill with ulipristal acetate. Ella is the only brand providing this.
  • A pill with levonorgestrel. There are multiple brands offering this like: AfterPill, My Way, Plan B One Step, Take Action etc.

Where to get the morning after pill?

Hormonal emergency contraception is usually available over the counter, from a pharmacy, without a prescription. In the past, a woman would have to speak with her doctor before being able to get one of these pills. Today they are more readily available.

The two brands on the market are Levonelle (take within 72 hours of sex) and ellaOne (120 hours). Even though the manufacturers have established maximum times, it is always best to take the morning after pill as soon as possible after sex.

IUD

The second type of emergency contraception comes in the form of a copper IUD. If you have an IUD inserted less than seven days after unprotected sex, it can be very effective at preventing pregnancy. What this method does is to make the uterus completely unreceptive to sperm. If inserted before ovulation, it will kill off the sperm before it can meet an egg. If inserted after ovulation, it will make it impossible for a fertilized egg to actually implant itself in the uterus.

This is the most effective type of emergency contraception, but usually has to be inserted at a doctor’s office that has a qualified medical professional and access to the IUD. The IUD is the most effective type of EC — it works 99 times out of 100. Read here about the the pros and cons of having an IUD.

When Can I Use Emergency Contraception?

Some women will use emergency contraception in the place of more traditional contraception like condoms or birth control pills. Emergency contraception is actually not as effective as birth control and other contraception methods, making it very important for a woman not to rely expressly on that as her only method of preventing pregnancy. Emergency birth control should definitely be used if you’ve forgotten to take the (combination) pill more than two days in a row (with mini-pills already after 3 hrs), if a condom broke or leaked or if no birth control was used at all.

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6 Effective Ways to Remember the Birth Control Pill

Unless you have a fool-proof system or the memory of an elephant, you’ve most likely forgotten your birth control pill at some point during your prescription. We listed some effective ways to remember birth control pills.

Forgetting actually seems to be very common. According to a survey done by Popit in 2016, almost 80% of women had forgotten to take the birth control pill at least once within the last 12 months. That’s not surprising given that the pill needs to be taken each day. Combine this with a busy lifestyle and perfect compliance can be tricky or downright impossible to achieve.

Why is it then important to be diligent with birth control pills? There’s obviously the anxiety that not-remembering brings, but these two statistics really make you think:

Take the pill according to prescription and there’s a 0.3% chance of unintended pregnancy. Take it in a “typical fashion” (occasional forgetfulness) and the chances go up to 9%! That’s a 30x jump.

So that you would not remember and think less about what to do if you forget, we’ve compiled a list of useful tips to remember The Pill.

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6 Effective Ways To Remember Birth Control Pills

1. Smartphone alarm

Set a daily alarm on your smartphone. You can also change the alarm tune to something that you connect with birth control – like a song about babies

Have two alarms just in case, the other being set some 15-20 minutes later. It’s just too easy to dismiss and forget the first one when you’re in the middle of doing something important.

2. Visual reminders

Keep the pills where you can see them daily, like the bedside table, kitchen counter, next to your hair brush etc.
Post-It notes to the rescue! Attach one of these with appropriate writing to your bathroom mirror or any place you’re sure to see during daily routines. Could also be your outside door.

One especially creative way we’ve seen has been to attach glow-in-the-dark stars on the ceiling above the bed to jog the memory every night.

3. Piggyback on an existing habit

Determine which are the daily habits you very rarely – or at all – break. A good example could be brushing the teeth: place the pill sheet next to your tooth brush.

4. Help from friends

Share an online reminder with your girlfriend or significant other. That way if you didn’t remember, they may remind you (and vice versa).

5. Cross it off

Mark the daily pill into your calendar (yes, the PAPER one) or cross off the date. Sometimes the act of writing makes you remember better.

6. Apps

Install one of the many reminder apps. The functionality is basically the same as with a smartphone alarm or calendar reminder. Just get ready for needless reminders when you’ve already popped your pill for the day.

What kinds of methods do you use to remember the pill? Let us know in the comments.

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References:
https://www.researchgate.net/publication/32898894_How_are_habits_formed_Modeling_habit_formation_in_the_real_world
https://www.reddit.com/r/TwoXChromosomes/comments/2h9v47/i_was_having_trouble_taking_my_birth_control/

Missed, Forgotten Or Late Birth Control Pill – Effects and Remedy?

The birth control pills are the most used means of contraception but can be easily forgotten to take. Birth control pills are easiest to use since they are taken orally and are effective over 99 % of the time.

Can there be side-effects to forgetting to take birth control? One quite common side-effect is spotting, but it is also possible to get pregnant because of a missed pill.

For one missed pill this isn’t a very likely scenario, but it’s better to play it safe and stay consistent.

Gynecologists prescribe birth control pills according to the requirements and needs of the taker. They are available in various packs but the most used are those which contain 21 pills and 28 pills and are to be taken on a daily basis.

But many times you simply might just forget to take the daily dose. Forgetting birth control pills is actually quite common.

Here’s a compilation of instructions from the internet on what to do if you’re on the combined oral contraceptive pill.

If you are less than 24 hours late, you can take it without any delay as soon as you remember

  1. Less than one day late:
    If you have not taken your pill and are less than 24 hours late you can take it without any delay as soon as you remember. No additional contraceptive protection or emergency contraception is required.
  2. Two days late (24h to 48h):
    Take the missed pill as soon as possible. The remaining pill should be taken according to the usual schedule as well. This means you might need to take two pills at the same time. With most birth control pills, you will not require additional contraceptive protection or emergency contraception. Read the leaflet that came with your pills to make sure.
  3. Three days late or more (more than 48h):
    Take the most recent pill as soon as possible and continue with the remaining pills at the usual time. If you are to have sexual intercourse, apart from the pill you need to make sure you use other contraceptive means such as condoms, IUD’s etc. for the next seven to ten days to be extra careful. Consider also emergency contraception.

Also, if you miss three or more pills in the third week, finish the hormonal pills in the package and discard the placebos. Start a new sheet the next day.

To sum it up:
Understand that sticking to your pill schedule is very important and measures should be taken to remember.

If by any chance you miss a pill or two, take those pills along with the ones that are scheduled.

Missing three pills usually means you may need to alter the pill routine by discarding the placebos. Also, emergency contraception might be needed.

Sticking to your pill schedule is very important and measures should be taken to remember

Don’t panic and don’t worry. Go the extra mile and use other contraceptive measures as well. Just to make sure, consult your doctor or physician for instructions.


References and useful sources for further information:


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