||Plan B, Plan B One-Step, Next Choice
Levonorgestrel is specially packaged for emergency
contraception. You can get emergency contraception without a prescription at most drugstores.
Emergency contraception is used after unprotected sex to
prevent a pregnancy from starting. It is most effective when it is used as soon
as possible after intercourse. It is not necessary to take a pregnancy test
before using emergency contraception.
How to take emergency contraception
experts recommend having emergency contraception pills, or a prescription for
them, on hand in case you ever need them.
Emergency contraception is most effective when used as soon as possible after unprotected sex. Your risk of becoming pregnant increases as time
For the emergency contraception option that contains 2 pills, you can take both pills at the same time. Or you can take 1 pill right away and the second pill
12 hours later.
There is also a one-pill emergency contraception option that lets you take the dose you need in just 1 pill.
You can take emergency contraception up to 5 days after
unprotected sex. But it works best if you take it right away.
How It Works
Emergency contraception pills work by
preventing ovulation, fertilization, or implantation.
contraception hormones may prevent fertilization by stopping the ovary from
releasing an egg (ovum). They also make the fallopian tubes less likely to move
an egg toward the uterus. Emergency contraception is also thought to thin the
lining of the uterus, or
endometrium. The thickened endometrium is where a
fertilized egg would normally implant and grow.
contraception does not protect against
sexually transmitted infections (STIs).
Why It Is Used
Emergency contraception is meant to
be used as a backup method for preventing pregnancy. For regular protection, be
sure that you have:
- A birth control method that you know you can
use every time you have sex.
- Condoms for protection from
sexually transmitted infections (STIs) every time you
You can use emergency contraception if you are not
confident that you were protected against pregnancy during intercourse. This
can happen if:
- You have unplanned sex without birth
- Your usual birth control method fails. For example:
- A barrier method, such as a condom or
diaphragm, has torn or dislodged.
- You have missed taking birth
- An IUD has come out, either completely or
- You are taking other medicines that may affect
contraception medicines. These include some antiseizure, antibiotic, and
antifungal medicines, and the herb St. John's wort.
- You were sexually assaulted. Some emergency rooms offer emergency contraception
as part of sexual assault care. Others will provide emergency contraception
when they are asked for it.
Be sure to plan with your doctor for your birth control
How Well It Works
effectiveness varies according to the method used.
- Emergency contraception, such as Plan B, can prevent nearly 74% of pregnancies.1
- Plan B is more effective when used for emergency contraception than combined birth control pills (estrogen and progestin).
The sooner pills are used after unprotected sex, the more
likely they are to prevent pregnancy.
effects may include the following:
- Nausea or vomiting.
If you get nauseous, nonprescription antinausea medicines, such as Dramamine or Pepto-Bismol, can
prevent or reduce nausea.
- Caution: If you
vomit within 2 hours of taking a dose, call your doctor for advice. You may
need to repeat the dose.
- Pregnancy is possible after using emergency
contraception. Although your next period may be slightly late, a delay of 3
weeks or longer may be a sign of pregnancy. If this happens, call your doctor
to see whether you need a pregnancy test.
tenderness, fatigue, headache, abdominal pain, and/or dizziness are possible after taking
Call your doctor if side effects, such as headache,
dizziness, or belly pain, continue for longer than 1 week after using emergency
See your doctor if you do not have your period within 21
days after using emergency contraception.
See Drug Reference for a full list of side effects.
(Drug Reference is not available in all systems.)
What To Think About
Some pharmacists refuse to fill
emergency contraception prescriptions based on their personal beliefs. If this
happens to you, ask for the location of a pharmacist who will fill the
prescription, or contact:
- The Emergency Contraception website http://ec.princeton.edu.
Planned Parenthood clinic nearest you, or call 1-800-230-PLAN
Emergency contraception use is not
recommended if you know or suspect you are already pregnant. If you may already
be pregnant, see your doctor.
If hormonal emergency contraception does not work and a
pregnancy develops and grows, there is no known risk to the embryo.2
Complete the new medication information form (PDF)(What is a PDF document?) to help you understand this medication.
American College of Obstetricians and Gynecologists (2010). Emergency contraception. ACOG Practice Bulletin No. 112. Obstetrics and Gynecology, 115(5): 1100–1109.
Stewart F, et al. (2007). Emergency contraception. In RA Hatcher et al., eds., Contraceptive Technology, 19th ed., pp. 87–112. New York: Ardent Media.
Other Works Consulted
Food and Drug Administration (FDA) (2013). FDA approves Plan B One-Step emergency contraceptive for use without a prescription for all women of child-bearing potential. FDA News Release, June 20, 2013. Available online: http://www.fda.gov/NewsEvents/Newsroom/PressAnnouncements/ucm358082.htm.
Primary Medical Reviewer
||Sarah Marshall, MD - Family Medicine
Specialist Medical Reviewer
||Femi Olatunbosun, MB, FRCSC - Obstetrics and Gynecology
Current as of
||March 12, 2014