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:
- What is a morning-after pill?
- When and how to take it.
- The brands that are currently available on the market in South Africa
- How and where to buy it.
- What to expect after taking it .
So without wasting time, let’s get started.
What is a morning-after pill?
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:
- You had unprotected sex and you are not using any form of a contraception.
- The condom came off or broke whilst you were having sex.
- The vaginal diaphragm slipped out of place or you removed it too early.
- You were forced to have sex.
- You missed at least two or three active birth control pills in a row.
- You forgot to insert your ring or apply your patch.
- Your partner didn’t pull out in time during sex – a process known as coitus interruptus
- You have another reason to think your birth control pill might not have worked.
If you use the pill correctly after you have unprotected sex, you’ll be less likely to fall pregnant.
The Secret “Gem” of the Morning-After Pill.
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.
How Does The Morning-After Pill Work?
In all honest, no one has a clear understanding of how it works.
That’s strange, right?
But it is believed to work:
- By preventing the release of an egg from the ovary.
- Or preventing fertilisation of the egg by sperm (male reproductive cells).
- It may also work by changing the lining of the uterus (womb) to prevent the development of a pregnancy.
- Prevent the transport of sperm and/ or ova.
LIKE A VISUAL EXPLANATION? WATCH THE VIDEO BELOW
Here are other useful resources:
- Mechanism of action: How do levonorgestrel-only emergency contraceptive pills (LNG ECPs) prevent pregnancy?”
- How do levonorgestrel-only emergency contraceptive pills prevent pregnancy? Some considerations
Morning-after Pill Brands Available in South Africa
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 Only Correct Way of Taking Morning-after Pill
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.
Does a Morning-after Pill Really Work?
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:
- If you take it within 72 hours, the chances of you being pregnant are reduced by 87% – 90%.
- Whereas the chances drop by 72% -87% should you take the pill between 72 – 120 hours.
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.”
10 Most Common Side Effects of 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:
- Having extreme tiredness
- Soreness or tenderness of your breasts, often with a feeling of fullness.
- Delay of your menses for more than 7 days.
- Having a runny stomach (Diarrhoea)
- Pain in the lower part of your stomach
- Having the urge to vomit
- Irregular bleeding and spotting
If any of these side effects become worse, let your doctor know immediately.
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.