One of the famous drugs in history.
You might have heard about it from your colleagues, friends or your partner. And you probably wonder:
“What is this morning-after pill? And how does it work?.”
Well, consider yourself lucky.
Because today, I am going to deconstruct the world of this miracle pill.
After reading this post, you will be fit enough to know:
So without wasting time, let’s get started.
It is an emergency contraceptive pill.
A pill that’s used by millions of people around the world to prevent unplanned pregnancy.
But when can you take it?
You can take the morning-after pill if:
If you use the pill correctly after you have unprotected sex, you’ll be less likely to fall pregnant.
What makes a morning-after pill so special?
The pill has a manufactured hormonal substance known as Levonorgestrel.
In his book, Science and Political Controversy, David Newton notes that Levonorgestrel was first manufactured in the 1960s. And it only started being used as a birth control method in the 1980s.
Levonorgestrel is used in a number of birth control methods.
It is also listed in the World Health Organization’s List of Essential Medicines, the most important medicines needed in a basic health system.
Levonorgestrel belongs to a class of drugs known as progestogens, which are a group of hormones.
Hormones are chemical substances that are produced by the body organs to control other organs.
Image credit: Major Differences
Think of hormones as messengers.
Messengers who are sent around the body to certain organs and cells to exert a certain function. Or pass a message.
By nature, hormones are available in your body.
And as a woman, hormones play a critical role in preparing your body for pregnancy.
On monthly basis, your body prepares itself for pregnancy. It first builds up the wall of your uterus. Making it thicker for it to be able to carry a fertilised egg.
From there, it releases an egg (a fertilisation process known as ovulation).
The released egg will get in contact with a sperm from your sexual partner. If fertilisation happens, a fertilised egg is the result. And that is the start of the prenatal development (development of the baby).
Progestogens are one of the major role players in this whole process.
In all honest, no one has a clear understanding of how it works.
That’s strange, right?
But it is believed to work:
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Here are other useful resources:
In South Africa, you can buy a morning-after pill over-the-counter.
That means you can buy it without a doctor’s prescription.
Isn’t that good news?
There are 2 brands currently registered with the MCC and available on the market.
Namely Norlevo and Escapelle.
Norlevo is made by Actor pharma and it comes with 2 tablets in a box.
So which one to take between the 2?
It’s your choice.
You can either take the 1.5 mg single levonorgestrel dose (Escapelle). Or two of the 0.75 mg doses of levonorgestrel taken 12 hours apart (Norlevo).
The emergency contraceptive pill should be taken as soon as possible. Within 72 hours after unprotected sexual intercourse.
Yet, it is most effective if taken within the first 24 hours.
If you vomit less than 2 hours after you take it, take another dose immediately.
You must continue using your regular method of birth control. Or consult your doctor immediately and get a regular birth control pill. Because you can become pregnant soon after treatment with levonorgestrel.
How effective is the morning-after pill?
The emergency contraceptive pill is best taken with 24 hours after unprotected sex.
According to a study in the American Journal of Obstetrics and Gynecology:
The morning-after pill is not as effective as your regular contraception. It is only for emergencies.
So don’t take it as your main form of birth control pill. That’s why it’s called a “morning-after pill.”
The emergency contraceptive pill has its long list of side effects. Like with any other medication.
In this case, I will only be covering the common ones.
And remember, you might or might not experience. So don’t be confused if they don’t occur.
So here are the most common side effects you might experience:
If any of these side effects become worse, let your doctor know immediately.
As I have noted above, you may have unusual bleeding but it should disappear within no time.
So before you take the emergency pill, there are a few things I would like to share with you.
And I think they are crucial.
So here they are:
Did you know? You can still fall pregnant, even after taking the emergency contraceptive pill.
Yes, that is possible. And if you become pregnant, there’s a possibility that it might be an ectopic pregnancy.
But what is an ectopic pregnancy?
According to WebMD:
“In a normal pregnancy, your ovary releases an egg into your fallopian tube. If the egg meets with a sperm, the fertilised egg moves into your uterus to attach to its lining and continues to grow for the next 9 months. But in up to 1 of every 50 pregnancies, the fertilised egg stays in your fallopian tube. In that case, it’s called an ectopic pregnancy or a tubal pregnancy.
If you experience any sharp pain on the lower part of the stomach. Or have a pain in your pelvic area, you should consult your doctor or any other healthcare provider immediately.
READ MORE: What to Know About Ectopic Pregnancy
Getting help quickly is paramount. That can reduce the risk of you having severe bleeding and preserve your fertility.
If you have a severe liver problem, it is not recommended to take the morning-after pill.
Because the liver plays a crucial role in clearing levonorgestrel out of your body.
Image credit: Medscape
Your body dislikes medicines.
It regards it as a foreign substance.
If you have a dysfunctional liver, the drug will stay in your body longer.
This, in turn, will make you more prone to undesirable side effects.
If you have one of the following malabsorption conditions:
The morning-after pill might not work.
Because in malabsorption conditions, your intestines aren’t able to absorb certain nutrients into the bloodstream.
As such, malabsorption of the morning-after pill will lead to its ineffectiveness.
After taking the pill, your periods are usually normal and happen at the expected date. But there is a possibility that your next one will be delayed or have it earlier than normal.
When taking a morning-after pill, you are introducing a high dose of levonorgestrel. As a hormone, levonorgestrel plays a control role on your monthly menstrual cycle.
So the moment you take it, it will come in and disturb the natural flow of things.
If you are taking any other medicines, especially the ones below:
Most of these drugs interact with the levonorgestrel and may lessen the effectiveness.
Some of the drugs increase or reduce the metabolism of the pill, making it more or less effective.
Please keep in mind that this is not a complete list of drugs that interacts with the pill.
If you are taking any chronic medication, I suggest you inform your healthcare professional. He or she will then tell you if the morning-after pill is the best choice.
Now it’s your turn….
It is clear now that a morning-after pill should only be used in emergency cases.
It is also clear that it is not suitable for everyone. And is not as effective as conventional forms of contraception.
Now that you’ve read about the morning-after pill, I would like to hear from you.
Have you ever used a morning-after pill and how was your experience?
Or maybe you have a question about it.
Either way, leave a comment below.