Taking Plan B On Birth Control
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Taking Plan B On Birth Control
Medically Reviewed by Brunilda Nazario, MD on April 17, 2020
Levonorgestrel is a hormone that can be used for emergency contraception. Emergency contraception should not be used as a routine method of birth control.
Levonorgestrel can prevent pregnancy after unprotected sex. People sometimes call it the "morning after pill." But you don't have to wait until the morning after sex to take it. In fact, levonorgestrel is more effective the sooner you take it. It is a one-dose regimen: you take one pill. The pill contains 1.5 milligrams of levonorgestrel , which is used in lower doses in many birth control pills .
Levonorgestrel brands include Econtra EZ, My Way, Next Choice One Dose, Plan B One Step, Preventeza, and Take Action. These are given as a one pill emergency contraception or as 2 pills taken separately within 72 hours of unprotected sex.
Depending upon where you are in your cycle, levonorgestrel helps prevent pregnancy after unprotected intercourse. It may prevent or delay ovulation .
Levonorgestrel is not the same as RU-486, which is an abortion pill. It does not cause a miscarriage or abortion. It will not work if you are already pregnant when you take it. Learn more about how emergency contraception works .
If you take the pill within 72 hours after you've had unprotected sex, levonorgestrel can reduce the risk of pregnancy by up to 87% if taken as directed. If you take Plan B One-Step within 24 hours, it is much more effective.
But you should know that Plan B One-Step is not as effective as regular contraception . So don't take it as a form of birth control . And, it does not protect you against sexually transmitted diseases. Think of it as a backup -- not for routine use. That's why it's called Plan B. Get more information on emergency contraception and its effectiveness.
Plan B One Step can be purchased over the counter at drugstores without a prescription or proof of age. Because it is most effective when taken as soon as possible (up to 72 hours after unprotected sex), consider having a ready supply in your medicine cabinet. Better yet, use a reliable form of birth control, and plan for a backup method of birth control.
Remember:Plan B will not protect you from getting pregnant if you have unprotected sex after taking it. To protect you against getting pregnant, you need to take it right after you have unprotected sex and use a form a contraception when you have sex
Many women have taken emergency contraception without serious complications. But it's a good idea to ask your doctor about possible interactions with other medications .
Levonorgestrel is considered safe for most women. You should not take it if you are pregnant because it will not end the pregnancy.
Potential side effects of levonorgestrel include:
If you vomit within two hours after taking the drug, call a healthcare professional to find out if you should repeat the dose.
With levonorgestrel, you may also have some unexpected bleeding. It should go away by the time of your next period. However, it is possible that levonorgestrel may cause your next period to be heavier or lighter than usual. It may also come earlier or later than is normal for you. If you don't get your period within three weeks, get a pregnancy test to make sure you're not pregnant. Read more on emergency contraception side effects .
FDA: "FDA's Decision Regarding Plan B: Questions and Answers" and "Plan B (0.75mg levonorgestrel) and Plan B One-Step (1.5 mg levonorgestrel) Tablets Information."
The National Women's Health Information Center: "Emergency Contraception (Emergency Birth Control)."
Planned Parenthood: "Emergency Contraception (Morning After Pill)."
Office of Population Research, Princeton University: "Get Emergency Contraception NOW."
University of Illinois at Urbana-Champaign: "Plan B One-Step Emergency Contraception."
UpToDate.com: "Emergency Contraception." "Intrauterine Contraception."
What you should know to prevent pregnancy.
© 2005 - 2022 WebMD LLC. All rights reserved.
WebMD does not provide medical advice, diagnosis or treatment.
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When you need to take emergency contraception like Plan B , it's usually just that — an emergency. Maybe a condom broke, for instance. Or maybe you were taking a hormonal birth control pill , but after having sex realized you'd missed a few days that month, and chose to take Plan B for extra security. This is a total valid and common experience — but, in that case, you might wonder whether it's safe to take Plan B on birth control. Does Plan B cancel out birth control, meaning you should stop taking the pill for the rest of the month? Or should you keep taking your regular birth control as usual, and just use a backup method of birth control (like condoms) until you start a fresh pack? And what about if you took a different type of emergency contraceptive, like the prescription-only Ella?
These are all common questions, which is why POPSUGAR spoke with two OB-GYNs. They answered all our most pressing concerns and queries about Plan B and birth control. More about whether it's safe to take Plan B while taking birth control, whether you should keep taking birth control after taking Plan B, and how long you need a backup method of birth control after taking a morning after pill, ahead.
First, some background. Plan B works by interfering with ovulation so fertilization can't occur, thereby preventing pregnancy. It contains progestin, a synthetic form of the sex hormone progesterone, and should be taken within three days of unprotected sex . You can buy it over the counter, and it sometimes causes side effects such as nausea, abdominal pain, and irregular bleeding. Worth noting: Depending on what morning-after pill you take, if you are over a certain BMI, there's a chance it may not be as effective , though the FDA says evidence for this is limited .
The Plan B website states, "Plan B does not impact the effectiveness of any regular birth control methods, so you can continue your regular birth control right away — or start one, if you don't have a regular method." The same goes for other progestin-only morning-after pills . This is the case whether you're taking a progestin-only birth control , or a combination pill, which contains both estrogen and progestin (and is the more widely prescribed type in the US). "You can take both [Plan B and birth control] at the same time because it really is just like additional ovulation blocking. It's not something that is working by a completely different mechanism," explains Wendy Goodall McDonald , MD. "What confuses [people] is they feel like Plan B truly is a substitute for the birth-control pill, and they'll stop taking their pill pack, which is not what we want them to do," adds Natalie Crawford, MD, a board-certified ob-gyn and fertility physician. Dr. McDonald suggests resuming your birth control once a day from where you left off. (That being said, consulting your ob-gyn, who's familiar with your personal health history and medication, is always a good idea.)
Plan B is OTC, but there is a prescription morning-after pill, ulipristal acetate (UPA), which is most commonly sold under the brand name Ella . It can be taken up to five days after unprotected sex. And unlike Plan B, you cannot begin taking birth control immediately after taking this type of morning-after pill. Ella is a hormone blocker, and can keep a hormonal oral contraceptive from working effectively, according to Healthline . So it's suggested that you wait at least five days before you start back up on your regular birth control (or begin birth control for the first time). As always, though, talk to your doctor for specific guidance when taking this drug.
After taking Plan B, UPA, or another type of emergency contraceptive, you may need to use a backup method of birth control when having sex, like condoms, to effectively prevent pregnancy. Dr. McDonald advises that you use backup contraception for at least a week after starting up on birth control again after taking an emergency contraceptive (and remember that if you took UPA, you also have to wait at least five days before taking the pill again). Dr McDonald says that seven days is "a good general window for preventing ovulation going forward," but it's still a good idea to ask your doctor for advice specific to you, your situation, and the pill you take, to be on the safe side. (Are you sensing a theme? When it comes to safeguarding your reproductive health, it's always a good idea to talk to a healthcare professional you trust so you can get advice specific to you, especially now .)
Condoms are important; you can't count on a morning after pill to protect you from pregnancy resulting from unprotected sex you have immediately after taking the emergency contraception. "The effectiveness of either Plan B or UPA is really preventing pregnancy from an encounter that could have occurred three [with Plan B] to five days [with UPA] ago, but that's not necessarily preventing pregnancy for a future encounter," Dr. McDonald says. And Dr. Crawford stresses that birth control does not protect against STIs , so condoms are crucial in that sense as well. (You may want to get screened for STIs if you are taking an emergency contraceptive because your usual barrier method of birth control, like a condom, broke, slipped off, or failed.)
Dr. Crawford said she'll see some patients become concerned that their birth control isn't working after using Plan B because the morning-after pill can interfere with your period . She typically has to tell patients before they use Plan B that they should expect an abnormal period afterward due to the high dose of progestin, which could trigger menstruation. But if you're concerned the emergency contraceptive didn't work, your best bet is taking a pregnancy test. Planned Parenthood suggests taking one if you haven't gotten a period within three weeks of taking a morning after pill . But, again, you can also ask your doctor about the best time to take a pregnancy test.
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Can I Take Plan B While Taking Birth Control? July 30, 2020 by The Ginger-U Team
© 2022 Ginger-U, LLC ® . All rights reserved.
If you forgot to take your birth control pill and had unprotected sex, what do you do now? You've probably heard of Plan B, the alternative birth control method when other means of birth control fail. But is it safe to take if you're on the pill? The answer is yes, but there are few things to keep in mind when it comes to taking the morning-after pill on birth control.
Levonorgestrel morning-after pills, like Plan B One-Step, Take Action, and My Way are sold over the counter. Regardless of your age or gender, you don’t have to show an ID or have a prescription from a doctor to buy the morning-after pill.
How Plan B Interacts With The Birth Control Pill:
Plan B pills are an emergency contraceptive containing the hormone levonorgestrel - this hormone prevents ovulation and blocks fertilization. If you choose to take the Plan B pill, you must continue to take your birth control pills as usual - unless a doctor advises otherwise. The Plan B pill often has higher doses of hormones than your regular birth control pills, so when you take them simultaneously, you may experience some side effects.
What To Expect After Taking Plan B While On Birth Control:
While everyone will react differently (you could be one of the lucky girls without any side effects), some women may experience potential side effects, including:
While many women tolerate the hormones in Plan B well, it's good to know the potential side effects. Nevertheless, contact your doctor if you are unsure about how you feel.
Plan B is considered to be safe for most women and has shown no long-term consequences. If you're taking Plan B because you skipped or missed one (or more) doses of your birth control pill, get back on track asap - Ginger-U can help make sure you never miss a pill again , by the way!
Most gynos recommend using additional backup birth control, like condoms, for the next week after you take Plan B. Even if you've resumed taking your birth control pills as scheduled, you can never be too cautious!
The morning after pill could delay your period by up to a week. If you don’t get your period within seven days after expecting, take a pregnancy test.
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