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    planning baby

    Emergency contraceptive pills - Types, How to use, Contraceptive pills in India

    • 138803 views
    • 4.7   (8 Votes)
    Medically Reviewed by Dr. Deepika Tiwari - MS, MBBS on 13 Dec 2018 - Written by Dr. Srilatha Gorthi - Surgical Training, MRCOG, MD - Grammatically Approved by Dr. Kavita Jaggi Agrawal - MS, MBBS

    Emergency contraceptive pills include I pill, Unwanted 72, Preventol, Tpill - 72, Nextime pill, and No-will pill. These contraceptive pills in India are highly effective for couples. Oral contraceptive pills are the most efficient birth control methods and prevent unwanted pregnancy.

    For many women and couples who do not want unwanted or unplanned pregnancy, emergency contraceptive pills are the best choice. Taking these pills within the specified hours of unprotected sex has helped many couples to avoid getting pregnant. As it is easy to use and is effective, the number of women using emergency contraceptive pills has increased tremendously during the past few years.

    Emergency contraception pills, also called postcoital contraception or morning after pill, are one of the best birth control methods after unprotected sex. It works by altering a woman’s hormone levels. High burst of synthetic hormones interfere with natural hormone production released during ovulation or pregnancy. Emergency contraceptive pills prevent pregnancy by disrupting the growth of an egg or by interfering with ovulation. Some contraceptive pills also obstruct transport of sperms to vagina, preventing fertilization, or implantation. Emergency oral contraceptive pills are usually to be used within 72 hours unprotected sexual intercourse but some pills can also be used within 5 days after unprotected sex. It is considered as a backup plan for during unavoidable conditions rather than consistent use.

    contraception, birth control methods

    There are a variety of emergency contraceptive pills but the three most common types are:

    • Emergency pills that contain only progestin hormone or levonorgestrel 
    • Pills that contain antiprogestin called ulipristal acetate
    • Combined pills that contain progestin and estrogen

    Emergency Contraceptive Pills Containing Progestin

    Progestin-only pills work by stopping or delaying the release of egg from ovaries. The pills may also alter the lining of the uterus to prevent egg implantation or reduce the ability of the sperm to bind to an egg. It can reduce the risk of getting pregnant by 88 percent. Women have few or no side effects using these pills for emergency contraception. Usually, these pills are taken as one tablet containing 1.5mg levonorgestrel but some generic forms may also contain two tablets, each containing 750 mcg of levonorgestrel. Single tablet is effective up to 72 hours after intercourse or split dose of two tablets can be administered separated by 12 hours. However, emergency pills containing progestin does not work as well in women who weight more than 75 kg or have a body mass index (BMI) of more than 25.

    Emergency Contraceptive Pills Containing Ulipristal

    The second type of emergency contraceptive pill contains anti-progestin called ulipristal acetate which is found to be highly effective without causing any side effects. It may also cause changes in the lining of uterus, preventing implantation. These pills are considered to be more effective than levonorgestrel emergency contraceptive pills. Women can take these pills five days (120 hours) after unprotected sex but it can also be taken earlier to improve effectiveness. These ECPs contain about 30 mg of ulipristal and work by blocking the natural hormone progesterone from occupying its receptor site in the body. After taking ulipristal pills, it is advised to wait at least five days before continuing any other hormonal birth control methods such as skin patches or injection. Emergency Contraceptive Pills containing ulipristal are not recommended if a woman is already pregnant or if she thinks she is pregnant as it can be potentially harmful to an unborn baby or cause birth defects. The pills should also not be used by postmenopausal women or the ones who have just started their periods. Therefore, buying these pills requires a prescription from a doctor.

    Combined Pills

    When the two types of pills, mentioned above, are not available, women can use daily-use oral hormonal birth control methods as emergency contraception, although not recommended. These pills contain both the hormones progestin and estrogen which can cut the chance of getting pregnant by 75 percent but are more likely to cause side effects like nausea and vomiting. Each dose contains at least 100 mcg of estrogen and .50 mg of progestin. Like regular birth control pills, it prevents ovulation. It thickens the mucus inside cervix which makes it hard for sperms to travel towards egg. Multiple pills are taken in two doses with one dose within 4–5 days of unprotected sex, followed by the other one which is 12 hours later. 

    Other Emergency Contraceptive Pills

    Some emergency contraceptive pills contain small doses of mifepristone. These pills are highly effective with few side effects but are only available in few countries. Some of the best Emergency Contraceptive Pills available in India are:

    • I pill
    • Unwanted 72    
    • Preventol
    • Tpill-72
    • Nextime pill
    • No-will pill

    How to Use?

    Before taking any form of emergency contraceptive pills, it is recommended to take the advice of a doctor. If you are not ready to visit a doctor, you can take these pills by yourself but one should remember to take the doses in the correct amount. Other medications should also be avoided before or after taking these pills as it might not be as effective then. Even though these pills are cost-effective, it is not advised to use emergency contraceptive pills as your only protection against pregnancy. Moreover, these pills do not provide protection against STD's or STI's.

    birth control, oral contraceptive pills

    When to Use?

    ECP is a safe and effective way to prevent pregnancy after unprotected intercourse. It can be administered up to five days after unprotected intercourse or can be taken immediately. 

    Women can take these pills if:

    • The condom broke or slipped off, and he ejaculated inside the vagina
    • She forgets to take birth control pills, or apply contraception patch
    • The diaphragm or cap slips out of place, and he ejaculated inside of vagina
    • She miscalculated her safe days
    • She doesn’t use birth control methods 
    • She had unprotected vaginal sex

    Effectiveness of Emergency Contraceptive Pills

    Recent studies found that if a hundred women have unprotected intercourse using birth control pills, about eight will become pregnant and if the same number of women use emergency oral contraceptive pills, only one is said to become pregnant. Emergency contraceptive pills are one of the best birth control methods and taking within the first 24 hours may increase effectiveness up to 95 percent.

    Possible Side Effects of Emergency Contraceptive Pills

    Emergency contraceptive pills, also known as morning after pills, are not found to have any long-term or serious side effects. In most cases, women who take ECPs experience no complications. However, some of the EC pills can cause minor side effects. About half the women who take ECPs keep feeling nauseated and about 20 percent women experience vomiting. Due to such medical reasons, some practitioners advise taking these pills with food or with an anti-nausea medication.

    oral contraceptive pills, contraception

    Progestin-only EC pills usually only cause a few side effects. Most of these symptoms resolve once the drug is out of system. The most common side effects include:

    • Nausea
    • Tiredness
    • Fatigue
    • Dizziness
    • Vomiting
    • Headache

    EC can also affect menstrual cycle and cause periods to be one week early or late. If a woman finds her period to be late for more than a week, she may want to take a pregnancy test. Some women who take emergency contraception may have light vaginal bleeding. This usually ends within three days. However, if bleeding lasts longer than three days or becomes heavier, it may be a sign of some problem.  

    If you want any consultation on birth control pills or infertility issues, you can contact Elawoman at +917899912611. We are committed to helping infertility patients find the best doctors and hospitals. Furthermore, we also provide zero percent medical loans for patients who need financial help.

    Dr. Srilatha Gorthi

    Written by

    Surgical Training, MRCOG, MD, Diploma, DNB, Pelvic Ultrasonography, CCT
    Gynecologic Surgeon, Laparoscopic Surgeon
    Hyderabad
    Dr. Srilatha Gorthi is an infertility specialist and laparoscopy surgeon located in Hyderabad. Her area of expertise lies in the field of Gynae diseases and conditions, and Assisted Reproductive Technology (ART). She provides a number of services that comprise of In vitro Fertilization (IVF), Intrauterine Insemination (IUI), ICSI, TESA, MESA, Gynae Hysteroscopy, Laparoscopy, treatment of Ovarian Cysts, Endometriosis, PCOS, Fibroids, Polyps and so on. Dr. Srilatha Gorthi practices at The Birthplace Hospital, Revive Multi Specialty Clinics and Fertility Centre, and The Birthplace Clinic and has a rich experience of more than 18 years. Dr. Gorthi has won 9 Gold Medals in MBBS.She is a reputed member of the Federation of Obstetrics and Gynaecological Societies of India (FOGSI), European society of Gynaecological Endoscopy and British Medical Association, UK, and British Fertility Society. You can get her information at www.elawoman.com

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    8 Comments

    user_img

    Sangeeta Shah

    After pills are easily available and quite cheaper. It's effective with fewer side-effects. You might feel dizzy and weak but it's completely normal.

    Oct. 12, 2018, 12:48 a.m. 5.0

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    Nirmala Yadav

    Very effective pills to avoid pregnancy. But it doesn't work after 2 days of intercourse. So, choose the best pills for yourself!

    Oct. 9, 2018, 7:46 p.m. 5.0

    user_img

    Divya Baxi

    The combinational pills take around 1 week to work effectively. So, it's better to use contraceptive for first week of starting the medicine.

    Sept. 2, 2018, 8:44 p.m. 5.0

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    Soni Singh

    I was on birth control pills for 6 months and then I conceived a year later. I started the pills right away after 5 days of having unprotected intercourse. It took me sometimes to be regular but then it went well for me.

    Aug. 19, 2017, 5:47 p.m. 4.5

    user_img

    Anamika Pandey

    I think oral contraceptive pills are really helpful. They give the body a short, high burst of synthetic hormones that disrupts natural hormone production needed for ovulation and pregnancy. We can secretly plan to avoid pregnancy.

    Aug. 19, 2017, 5:47 p.m. 4.5

    user_img

    Surbhi Jaiswal

    It can take long to get back to your normal cycle after contraception. Combined estrogen and progestin pills are slightly less effective than progestin-only pills. Always choose them wisely.

    Aug. 19, 2017, 5:36 p.m. 4.5

    user_img

    Rita Morgan

    Do after pills work after 48 hours of having intercourse? Please suggest!

    April 24, 2017, 3:41 p.m. 4.5

    user_img

    Renu Singh

    After the unprotected sex, my husband brought me Afterpill. It was really rough for me, I had vomiting and heavy cramps after the use. Since then, I have been using i-pills birth control pills.

    Feb. 11, 2017, 6:39 p.m. 4.5

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