Which Plan B Is The Most Effective – Sold under several brand names, levonorgestrel is the main ingredient in over-the-counter morning-after pills, which must be taken within 72 hours of unprotected sex.Kristoffer Tripplaar/Alamy

If you’ve recently had unprotected sex and know you don’t want (or aren’t ready) to have children, you need emergency contraception — fast.

Which Plan B Is The Most Effective

If taken soon after unprotected sex, emergency contraception (EC) can be very effective in the case of birth control failure, sexual assault or rape, or any other situation where it is felt you may be pregnant and you don’t want to be.

Morning After Pill

Court decision in June 2022, access to abortion became an issue to be decided on a state-by-state basis. As a result, in many states, abortion has become illegal immediately or is expected to be illegal.

There are concerns that lawmakers in some states may try to ban emergency contraception as well. Although emergency contraception does not end a pregnancy – defined as the implantation of an embryo in the lining of the uterus – and is generally considered a different concept than abortion, some still lump them together and believe that the all should be banned.

Different methods are more effective depending on several variables, such as how long it has been since you had unprotected sex and your weight. To help find out which method of emergency contraception is recommended for you, take the quiz from Planned Parenthood.

Remember, it’s important to find a reliable and consistent method of birth control to minimize the potential of an unplanned pregnancy. “You shouldn’t rely on EC pills as a long-term form of birth control,” says Pari Ghodsi, MD, an obstetrician-gynecologist in Los Angeles and spokesperson for the nonprofit group Power to Decide, a campaign to prevent unplanned pregnancy. pregnancy “They are a backup method, not a first-line method of birth control.”

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Also known as the “morning-after pill,” the progestin or levonorgestrel pill is often associated with its leading brand, Plan B One-Step. Generic brands include Take Action, My Way, Option 2, My Choice, AfterPill, Preventenza, Aftera, EContra, and Next Choice One Dose, among others, according to Planned Parenthood.

The progestin pill is a single pill that should be taken as soon as possible — within 72 hours of unprotected sex — and the sooner you take it, the better it works, according to the Plan B One-Step website.

The pill contains the hormone levonorgestrel, which is a progestin found in birth control pills and other forms of hormonal contraception that stops or delays ovulation to prevent pregnancy, said Dr. Ghodsi. Progestin is a synthetic version of progesterone, a natural hormone produced by a woman’s ovaries that plays an important role in pregnancy.

According to Planned Parenthood, progestin morning-after pills can lower your chances of getting pregnant by 75 to 89 percent if you take them within three days of unprotected sex. May be less effective if you weigh more than 165 pounds (lbs).

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Progestin side effects aren’t very common, but your next period may come earlier or later than expected, and be heavier, lighter, or more spotty, Planned Parenthood says. You may have an upset stomach, feel lightheaded or dizzy, or have tender breasts for a short time. If you vomit within two hours of taking the pill, it will not be effective and you will need to take it again.

Progestin pills are available over the counter. “One of the challenges is that people don’t know that you don’t need a prescription to get emergency contraception,” said Keosha T. Bond, EdD, an adjunct assistant professor of health behavior and community health at New York Medical College in Valhalla. “An individual may be discouraged to request emergency contraception because they think you have to be female and show ID. The truth is you don’t have to be female or have identification.”

Plan B typically costs about $40 to $50 nationwide, according to Planned Parenthood. On the Plan B website, it costs $49.99 plus tax. Generic versions usually cost about $11 to $45.

If you have health insurance or Medicaid, you can probably get the progestin pill for free — but you’ll need to get a prescription from your doctor or health care provider for your health insurance to cover it (even if you don’t need a prescription for buy these types of pills over the counter).

Important Facts About Over The Counter Birth Control Pills

You can also get the morning-after pill for free or at low cost from a Planned Parenthood health center, your local health department, or another family planning clinic.

Progestin pills are available in the family planning aisle of many major pharmacy chains. In cases where it is confined or behind the counter, a pharmacist “should be able to provide it for you, but you may encounter some pharmacists who may try to prevent you from taking it, because many people are too judgmental ,” said Dr. Bond. “They see it as an abortion pill, but it’s not. It prevents ovulation.”

Keep pushing for what you need, or ask to work with another pharmacist in the store if you encounter this type of behavior. Or check out Bedsider’s Emergency Contraception Locator tool to find local clinics or physicians who can help you get emergency contraception in your area.

Ella is the brand name of a pill that contains ulipristal acetate, which delays or possibly prevents ovulation, according to Planned Parenthood.

How Long Can You Wait To Take Plan B?

As with progestin, you only take one pill. “When taken as directed, ulipristal is more effective at preventing pregnancy than progestin-only or combined emergency contraception pills,” Ghodsi said.

According to Planned Parenthood, ulipristal reduces your chances of getting pregnant by 85 percent if you take it within five days of unprotected sex.

Ulipristal works better than other EC pills for people who weigh 165 lbs or more. But if you weigh 195 pounds or more, ulipristal may not be as effective.

Like progestin, after you take ulipristal, your next period may come earlier or later than expected, and be heavier, lighter, or more spotty, Planned Parenthood says. It’s not common, but you can get an upset stomach. If you vomit within two hours of taking ulipristal, it will not be as effective and you will need to take it again.

Plan B Alternatives & Where To Get Them

According to Planned Parenthood, you need a prescription to get ulipristal. Talk to a healthcare professional right away if you want to use this option — they may be able to send a prescription to your local pharmacy.

You can also get a prescription for ulipristal online ($105) and have it shipped to you with next-day delivery. Or visit your local Planned Parenthood or another family planning or health clinic.

Depending on which state you live in, you may be able to get a prescription for ulipristal directly from your pharmacist.

Ulipristal usually costs about $50 at a pharmacy, according to Planned Parenthood, but it may be free if you have health insurance or Medicaid.

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You can also get ulipristal for free or at low cost from a Planned Parenthood health center, your local health department, or another family planning clinic.

If you can’t access another form of emergency contraception (it’s a good idea to keep a supply on hand), regular birth control pills that contain both progestin and estrogen can be taken in higher doses. to prevent pregnancy, according to the Cleveland Clinic.

Known as the Yuzpe method, this is not the preferred EC method, as it causes more side effects and is less effective than other methods. It should also be done under the supervision of a physician. (The number of pills you take depends on the brand of birth control you have.)

The Yuzpe method is believed to be about 75 percent effective at preventing pregnancy, and is best used within three days after unprotected sex.

How Does Plan B Work?

This may be a good option if you already have a prescription and easy access to a supply. But “don’t try to do it yourself,” says Ghodsi. “You have to know the exact amount to carry.” Talk to a reproductive health care provider or a pharmacist about how many pills to take if you are on this type of birth control method and you have it, because “the number of pills that need to be used as emergency contraception is different for each pill brand,” he said.

The Paragard nonhormonal IUD (also called a copper IUD) is a small T-shaped piece of flexible plastic with copper wrapped around it.

The device, which makes it less likely that sperm will fertilize an egg, can be used as a regular form of birth control or as a form of emergency contraception. According to Planned Parenthood, if you have one inserted within five days of unprotected sex, it is more than 99.9 percent effective against pregnancy and then provides reliable contraception for up to 10 years.

“The IUD is the most effective EC method in preventing pregnancy,” says Ghodsi. It can then be left in and used for long-term birth control, or removed at any time if you want to try to conceive.

Plan B One Step Emergency Contraceptive Tablet

Copper IUDs can make your periods heavier and cause cramping, especially in

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