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If You Need Emergency Birth Control

What do I do if I think I need it?

     You should know at what point in your menstrual cycle unprotected sexual intercourse occurred. If the unprotected sex occurred two weeks after the first day of your most recent period, you are at a great risk for pregnancy. You should take a urine pregnancy test to make sure that you are not already pregnant. If you discover that you are pregnant, do not use the Emergency Birth Control. Contact your health care provider in order to discuss the treatment and any questions or concerns you may have.

     Most combination (estrogen and progesterone) birth control pills can be used (Ovral, Levien, Lo--ovral, Nordette, Tri Levlen, Triphasil).

     The next step would be to follow the instructions below after discussing them with your health care provider. The following is a list of oral contraceptives which the FDA have found to be effective as emergency contraception. The pills are taken in two doses, twelve hours apart.

Birth Control 1st Dose 2nd Dose
Ovral* 2 pills 2 pills
Levlen 4 pills 4 pills
Lo-ovral* 4 pills 4 pills
Nordette* 4 pills 4 pills
Tri Levlen** 4 pills 4 pills
Triphasil** 4 pills 4 pills

* Take pills from the first three weeks of the birth control packet. ** Take pills from the third week of the birth control packet (pills are yellow). Be certain to see your health care provider in conjunction with using this series of pills.

First Dose:
* Swallow the pills in the first dose no later than 72 hours - three days - after having unprotected sex. The treatment is most effective if the first does is taken immediately after unprotected sex.
* In order to prevent nausea, you may want to eat saltines or soda crackers while taking each dose.'
* If you vomit within three hours of taking the first dose, take the second dose immediately.

Second Dose:
* Swallow the second dose 12 hours after taking the first dose.
* If you vomit after taking the second dose, call your healthcare provider immediately.

     If you are not currently taking oral contraceptives there are certain drugs that your doctor can provide. The Food and Drug Administration has approved two prescription medications for use as emergency contraception: Proven (approved 09/01/98) and Plan B (approved 07/28/98). Contact your health care provider to obtain a prescription or information about these drugs.

     After taking the pills, be sure to use another form of contraception (condoms plus a spermicide is best) if you have vaginal intercourse before your next period. If your regular form of birth control is the pill, you should start a new pack on the first Sunday of your next period.

Side Effects:

     Women have complained of nausea and vomiting after starting the "Morning After Pill". Your health care provider can prescribe medication to help control the nausea. Despite these symptoms, it is very important that you complete the entire treatment to ensure that the treatment is successful. If the nausea becomes unbearable, contact your health care provider.

     Using this emergency birth control method may also delay the start of your next period. Not all women experience this side effect.

Did it Work?

     If the pills worked, your regular period should start at about the expected time. Although the treatment could delay the menstrual cycle, you should get a regular period. If you do not get a regular period, contact your health care provider.

Cost:

     Despite the fact that the full "morning after" treatment consists of taking only four (4) to eight (8) pills, the entire packet of pills may be dispensed. You will be required to purchased the entire packet of birth control pills. One pack of combination pills will cost approximately $20.

Not the Abortion Pill!

     Emergency birth control works by preventing the possibly fertilized egg from reaching the uterus. The Abortion Pill (RU486) works after implantation has occurred and pregnancy is established. Therefore, you are not aborting a fetus that has already started to develop.

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