Emergency contraceptives

Emergency contraception is available in the form of oral medication taken after unprotected sex or contraceptive failure. The options offered differ mainly in how long after intercourse they can be used.

Levonorgestrel emergency contraception is taken as a single tablet and works by delaying ovulation. It is most effective when taken as soon as possible and can be used up to 72 hours (3 days) after unprotected intercourse.

Ulipristal acetate emergency contraception is also taken as a single tablet and works by delaying ovulation. This option can be used for a longer time window, up to 120 hours (5 days) after unprotected intercourse.

The most suitable option depends on timing and individual circumstances.

Emergency contraception is intended for individuals who have had unprotected or inadequately protected intercourse and want to reduce the risk of pregnancy. It is not intended for regular use and should not replace ongoing contraception methods. It is suitable for various situations, including:
- Condom breakage or slippage
- Missed birth control pills
- Expired or damaged contraception methods
- Sexual assault or coerced intercourse
- Inconsistent use of contraception

Emergency contraception itself is a treatment for reducing the risk of unintended pregnancy. It is a one-time, high-dose option to prevent pregnancy following a specific instance of unprotected intercourse. It is not intended to be a regular form of birth control, as it is less effective than ongoing methods. For ongoing contraception needs, individuals should consider regular methods such as oral contraceptives, IUDs, or barrier methods.

Emergency contraception plays an important role in situations where regular contraception has not been used or has failed. It provides a time-limited opportunity to reduce the risk of pregnancy after unprotected intercourse.

Because effectiveness depends on how soon it is taken, access to emergency contraception allows timely action when it matters most. This makes it a practical option for managing unexpected situations and reducing the likelihood of unintended pregnancy.

Emergency contraception is intended for occasional use and supports informed reproductive choices when standard contraceptive measures are not in place.

Further information about emergency contraception and how it works is available on Apotheek.nl, a pharmacy information platform supported by the Royal Dutch Pharmacists Association (KNMP).

https://www.apotheek.nl/medicijnen/noodanticonceptie

Emergency contraception is most effective when taken as soon as possible after unprotected sex. Depending on the type of emergency contraceptive pill, it should be taken within 72 hours (levonorgestrel) or up to 120 hours (ulipristal acetate) after the incident. If you're considering the copper IUD, it can be inserted within five days of unprotected intercourse. The sooner you take or use emergency contraception, the higher the likelihood of preventing pregnancy.

No, emergency contraception does not cause an abortion. It works primarily by preventing or delaying ovulation, thus reducing the chances of fertilization. If fertilization has already occurred, emergency contraception may also affect the uterine lining, making it less conducive to implantation. It does not terminate an established pregnancy. If you suspect you are pregnant or have concerns, it's important to consult a healthcare provider.

While emergency contraception is safe and effective for occasional use, it should not be relied upon as a regular form of contraception. Repeated use within a short period can disrupt your menstrual cycle and may not provide the same level of effectiveness as regular contraceptive methods. If you find yourself frequently needing emergency contraception, it's advisable to discuss more reliable contraception options with a healthcare provider.
There are some occasional instances where the egg might already have been released, and this is why the morning after pill is not 100% effective.

Yes, some emergency contraception options are available without a prescription, while others require a prescription from a healthcare provider. Levonorgestrel emergency contraceptive pills are available over-the-counter at pharmacies. Ulipristal acetate emergency contraceptive pills and copper IUD insertion usually require a prescription. It's important to consult a healthcare provider for guidance on which option is best for your situation.