Both medications have risks. There are several side effects you may experience after taking a ECP. Side effects may last several days and include: nausea, vomiting, headaches, fatigue, dizziness, lower abdominal pain or cramps, tender breasts, spotting between periods, or irregular or heavy menstruation.

ECP’s are NOT the same as the abortion pill (Mifeprex/RU-486).

They may not be effective if you have already ovulated and a fertilized egg implants in the uterus (i.e., already pregnant). Some women may experience some bleeding or spotting after taking Plan B. ECP’s may delay your next period up to 1 week. if your period is delayed beyond 1 week you should consider the possibility of pregnancy. Please contact our center at the number below if this may be the case. Important to know about Ella: Unlike Plan B, Ella is a chemical cousin to the abortion pill Mifeprex. Some experts claim that like the abortion pill, Ella has the ability to damage an already fertilized embryo’s attachment to the uterus, potentially causing its death. Therefore, it is important to know if you are pregnant prior to taking any form of ECP.

It is especially important to note that according to the FDA, up to 10% of reported pregnancies in clinical studies after routine use of progestin-only contraceptives resulted in an ectopic pregnancy (pregnancy that implanted outside the uterus). This can be a life-threatening emergency. If you are experiencing severe lower abdominal pain and possible pregnancy after taking a ECP you should be examined by a physician.

ECP’s may be less effective if you wait longer to take it. It also may be less effective for women who are overweight.

You should not take a morning after pill if you are pregnant or suspect you might be.

Make sure to talk to a doctor before taking a ECP if you are:

  • Allergic to any component of the pill
  • Breastfeeding
  • Postmenopausal
  • Pre-menstrual (have not yet had your first period)
  • Taking certain medications of herbal supplements that may decrease the effectiveness such as: barbiturates, bosentan, carbamazepine, felbamate, griseofulvin, oxcarbazepine, phenytoin, rifampin, St. John’s wort, topiramate, and certain HIV/AIDS medications.

ECP’s are NOT Birth Control or Long Term Contraceptive Plan. They are one-time pills designed for use after unprotected sex. ECP’s do not offer continued protection from pregnancy. If you have unprotected sex in the days or weeks after taking the pill, you’re at risk of becoming pregnant. According to Mayo Clinic ECP’s can still fail even with correct use. Research states Plan B is not as effective as other oral contraceptives (OCP) and your risk of getting pregnant will increase if used in this manner.

ECP’s do NOT protect you from sexually transmitted diseases or infections. You are at increased risk of STI with unprotected sex. If you believe you may have an STD/STI or have multiple partners (are not in a committed monogamous relationship) it is recommended that you and your partner(s) get tested and treated ASAP. Your Choices Randolph offers limited STI testing for chlamydia and gonorrhea to female clients free of charge. Please contact our office at 336-629-9988 for more information or an appointment.

If you have questions about emergency contraception, the abortion pill, or other types of abortion we welcome you to contact our center for information and answers. We also offer free pregnancy testing and limited ultrasounds (to determine age and viability of pregnancy). You can contact us by phone or text 336-629-9988.