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Emergency Contraception (EC)

over 99% effective

A few days to several years

Physician's visit and/or prescription may be required

Cost can be from $0-$1300

Table of Contents

Emergency Contraception is a safe way to prevent pregnancy after unprotected sex.

There are 2 ways to prevent pregnancy after unprotected sex:

  1. Call your provider’s office to set up for an IUD within 120 hours (five days) after having unprotected sex. This is the MOST effective type of emergency contraception.
  2. Take an emergency contraception pill (aka the morning-after pill) within 120 hours (5 days) after having unprotected sex
    This will only work if you take it before you ovulate, so take it as soon as possible to be on the safe side

There are 2 forms of morning after-pills:

Ulipristal acetate, also known as ella

It is the most effective type of morning-after pill. You need a prescription for this and may set up with your provider for this, there are typically triage spots same-day for these types of visits. If unable to quickly get into the office for this you can also use PRJKT RUBY and Nurx.

It is important to know you can take this up to 120 hours (5 days) after unprotected sex, but the sooner you take it the more effective it will be.

If you weigh 195 pounds or more Ella may not work.

Levonorgestrel also known as Plan B One Step, Take Action, My Way, Option 2, Preventeza, AfterPill, My Choice, Aftera, EContra

You can buy this over the counter from most drugstores, pharmacies, or superstores.

These types of morning-after pills work best when you use them within 72 hours (3 days) after unprotected sex, but up to 5 days after they can be taken. The sooner you take them the more effective they are.

If you weigh more than 165 pounds these may not work.

How do I know I can use emergency contraception?

If you did not take your birth control method as planned or are worried you may accidentally become pregnancy from unprotected sexual intercourse you can take emergency contraception.

If you were forced, pressured, or coerced into having unprotected sex you may take emergency contraception to prevent a pregnancy

These methods are very safe and do not cause long-term side effects.

Will this prevent me from getting pregnant in the future or affect fertility?

No, it is for immediate unprotected sexual intercourse in the last 120 hours. It does not affect future fertility (ability to get pregnant).

Can I use this as my birth control method?

It is not recommended to use this as your sole or primary method, there are more effective long-term methods that can be used. If you have questions please call your provider to set up an appointment to discuss your options.

Can I use two forms to make sure I am covered?

If you use 2 different morning after pills at the same time or within 5 days they can counteract each other and not work. Discuss with your provider if you are concerned you need more than one type of emergency contraception.

What are the side effects of the morning-after pill?

Bleeding between your periods, nausea are common side effects

How does emergency contraception work?

Pregnancy does not occur right after sex. Pregnancy occurs once a sperm meets an egg in the fallopian tube and fertilizes the egg, and this then implants into the uterus. Sperm can live inside the body for up to 6 days after vagina-in-penis sex. The pills work by stopping ovulation, the ovaries from releasing an egg. If you have already started ovulating these pills will not work for you, so depending on timing of sex and your menstrual cycle they may not be effective.

How do IUDs work as emergency contraception?

While emergency contraceptive (EC) pills are the most widely known option, the most effective form of EC is actually getting an IUD inserted within five days of unprotected sex.

Three IUDs are known to work for this purpose: Paragard, LILETTA, and Mirena. In addition to preventing pregnancy after unprotected sex, these IUDs also provide long-term, highly effective birth control.

IUDs work as emergency contraception by preventing fertilization and, in some cases, by preventing a fertilized egg from implanting in the uterus. Paragard, which is copper-based, releases copper that is toxic to sperm, while hormonal IUDs like LILETTA and Mirena thicken cervical mucus and thin the uterine lining, making it much harder for sperm to reach an egg or for implantation to occur.

When do I need to check a pregnancy test?

If you do not get your period within 3 weeks from the emergency contraception used, you should take a pregnancy test.
Your period can be later than normal when using these medications and can have breakthrough bleeding or spotting between now and your next period, or change the flow/heaviness of your period.

 

Not sure
which option is right for you?

Our providers can help you choose the method that fits your body and your life. Schedule a consultation today.

FAQ's

Spokane OBGYN

No this is not the same thing as an abortion. The morning-after pill is NOT the same thing as an abortifacient medication also called a medication abortion. It will NOT work if you are already pregnancy and it will not harm an existing pregnancy. Emergency contraception including the IUD is a birth control, not abortion. These methods do not end a pregnancy.

It can depend on your insurance. Over the counter levonorgestrel can cost anywhere from $11-45 approximately. ella costs around $50 typically. If you have health insurance the pills can be free. The IUD can be anywhere from $0-$1300, but with health insurance it is also typically free or low-cost.

Plan B and IUDs will not affect your breastmilk

If you use ella, you need to pump and discard your milk for 24 hours after taking it

Construction Notice

The City of Spokane Valley is improving the Pines & Mission Intersection near our Spokane Valley location. 

Starting April 15th, 2024, most of the work will happen between 8:00 PM and 6:00 AM, with some daytime work too.

They’ll try to limit traffic disruptions, keeping the intersection open and businesses accessible but please plan accordingly when visiting our Spokane Valley office.

Click below for more details:

We can expect minor traffic changes mostly around the northeast and southeast corners of the intersection. This involves digging for the wall, upgrading traffic and pedestrian signals at Pines & Mission intersection, and improving its northeast and southeast corners.

Traffic revisions involve closing westbound Mission Avenue and the northwest shoulder of Pines Road near the 190 offramp, with ongoing modifications to traffic signals, retaining wall construction, sidewalk improvements along northwest Mission Ave, and prep work for repaving Pines Road and Mission Ave.

Traffic changes will close westbound Mission Avenue and part of the northwest Pines shoulder, limit center lanes on the east side of Mission and the south of Pines, pave parts of Mission Avenue and Pines Road, and reconstruct the traffic island at the Pines Road and Mission Avenue intersection.

Mission Avenue will be fully closed from the Pines intersection westbound to just before Applebee’s parking lot’s west driveway, with center lane restrictions on eastbound Mission. The project involves grinding existing asphalt, paving new asphalt, adding traffic islands, installing new road markings and signs, and landscaping the northwest quadrant of Mission and Pines.

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