I recently heard that regular birth control pills can be used as a form of post-coital contraception. Is this true? If so, what are the risks involved? How many regular pills are of an equivalent dosage to the morning-after pill?


Actually what you heard is absolutely true. The morning after pill contains the same hormones that are in regular birth control bills, estrogen and progestin. The Food and Drug Administration recently declared that high dosages of normal birth control pills taken within 72 hours of sexual intercourse can be used as a form of emergency contraception. However, you need to know what laboratory produces your pill, in order to figure out the exact dosage. Like the regular morning-after pill, you must take the same dosage twice 12 hours apart. Emergency contraception does not prevent the fertilization of an egg by a sperm, but it creates a hostile environment in the uterus for the implantation of an egg and so prevents the beginning of a pregnancy.

The side effects of post-coital contraception are similar whether you take the morning-after pill or high dosages of regular birth control pills. Vaginal bleeding usually occurs within a week after taking the pill, although this is not a sure sign of effectiveness. Normal menstruation should return within 4 to 6 weeks. Nausea, vomiting, headaches and breast tenderness may accompany use of the morning-after pill. It is important to evaluate what you would do if a pregnancy did occur despite the post-coital contraception, since the treatment can damage the fetus. The range health effects of post-coital contraception have not been conclusively studied, and it is possible that frequent use of it could have harmful effects. It should not be used as a form of birth control but as an emergency option for preventing a likely pregnancy. The morning after pill is the only immediate option available for preventing pregnancy in circumstances of rape, or failure of a barrier method (if a condom tears, etc.) or when a couple does not want to risk pregnancy after unprotected intercourse.

While taking your own birth control pills at home sounds like a convenient idea, there are some important things to keep in mind. It is a good idea to take a pregnancy test before self-administering emergency contraception. There is a chance that you may already unknowingly be pregnant from another incidence of failed protection or unprotected intercourse. If you are already more than three days pregnant, you should not be using post-coital contraception. In addition, when you go to a clinic or Health Services to receive the morning-after pill, anti-nausea pills are also prescribed to prevent you from vomiting. If you vomit after taking the post-coital contraception pills, you may throw up the drug, undoing its effectiveness. For these reasons, it is advisable to go to Health Services or a clinic to receive the morning-after pill instead of medicating yourself.

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