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In Case of Emergency Call On... the

It doesn’t matter now how it happened. Whether the condom broke or came off, or you forgot to take your birth-control pill, forgot about contraception in general or felt too good to think about that, you sexual partner didn’t pull out in time (he definitely felt that good too), or in definite circumstances you were forced to sex. The only thing that matters now is which measures to take against unwanted ejaculation and to prevent undesired pregnancy.

The good news is that you have about 120 hours (or approximately 5 days) to get to the help of emergency contraception. But this fact should not become the reason to put out – the earlier you take emergency contraception, the more effective it will be.

“The morning after pill” or “morning after contraception” are the names for the emergency contraception, the options of which are emergency contraception pills and copper IUD (intrauterine device).

The pills are hormone-based birth control pills which should be taken in two doses: the first one – as soon as possible, and the second pill must be taken within 12 hours after. Some brands produce pills which are taken one by one without 12 hour time break. As a rule emergency contraception pills contain hormones found in usual birth-control pills, though in higher doses.

It is preferable to take the combination of pills, the combination of progestin and progestin – synthetic hormones which prevent pregnancy by stopping ovulation or fertilization. After taking the 1st pill woman may experience nausea and start vomiting. If this happened you should take anti-nausea medication an hour before taking the next pill. The vomiting is less probable in progestin-only pills. You may also take your second dose as a vaginal suppository – just insert it into vagina as high as you can reach with your fingers.

So probably your first thought would be where to go to get the emergency contraception. Any general practice that provides contraceptive services, contraception clinic or sexual clinic will provide you with the pills you need and you’ll get a professional advice on their use too. You can also buy emergency contraception at most pharmacies if you are older than 16 (18 in some countries). Otherwise you’ll need the prescription from the doctor to buy the pills.

IUDs are also used as an emergency contraception option and are inserted into woman’s womb to keep the sperm from meeting an egg or keeping the egg from attaching to the uterus. The Intrauterine Device can be removed after the next period, or you may want to discuss with your doctor to keep it for 10 years more as your regular birth control.

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The IUDs are 99.9 percent effective in preventing unwanted pregnancy so you may sleep well knowing you are safe. The disadvantages of IUDs are that they are not so immediately available as emergency pills, may cause cervix perforation if inserted by inexperienced doctor and may not be used by women who have certain cervix or womb problems.

The side effects of emergency pills are those as of birth-control pills: nausea, abdominal pain, fatigue, headache, and menstrual changes; breast tenderness and dizziness may also occur.

Hopefully, your birth control method never lets you down and let nothing causes “emergency cases”!

Diana L.

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