Emergency contraception

Emergency contraception (EC) is designed to prevent pregnancy when you have not used a method of contraception or your normal methods of birth control have failed. For example, if you forget to take the pill, or if a condom splits.

There are two types of emergency contraception available:

Emergency Contraception tablets – sometimes also called ‘the morning after pill’.
Intrauterine device (IUD) sometimes called ‘the coil’.

It’s really important to remember that if you have had unprotected sex (condom-less sex), then you are also at risk of a sexually transmitted infection (STI). STIs are very common and often have no signs or symptoms.

You can find your nearest EC provider on the NHS.uk site here. You can also use the ‘Find a Service’ option on this website.

Your local sexual health clinic will also be able to advise on your sexual health, get advice on contraception and STI testing. .

Who can use it?

Anyone at risk of pregnancy can use the ‘morning after pill’ for emergency contraception, even if they can’t use hormonal birth control on a regular basis. It is suitable for for any age, including under 16s.

Most people at risk of pregnancy can use the copper IUD for emergency contraception too.

Where can I get it?

You can get all forms of emergency contraception (EC) free from any Devon Sexual Health clinic, please call our service (Monday-Friday 9-5pm) and we will review you the same day.

You can also get emergency contraceptive pills (the morning after pill) from most pharmacies and from your GP. If you have had unprotected sex then it’s important that you take the ‘morning after pill’ as soon as possible afterwards.

EC pills are available free from GPs and also from some pharmacies if you are 13-24. You can find your nearest EC provider on the NHS.uk site here.

In addition, EC pills can be bought online, although the cheapest medication may not always be the best option.

Wherever you are reviewed, you should be offered testing for STIs at the same time.

If you have been raped or sexually abused you can get advice, support, emergency contraception and STI testing at a Devon & Cornwall SARC.

How effective is it?

The sooner you use emergency contraception, the more effective it is.

There are two types of EC pill:

Levonelle, is only licensed within 72 hours (3 days) of having unprotected sex, although it may work up to 96 hours. Be careful though, it becomes less effective as time passes.

Ulipristal acetate (UPA or EllaOne), is also a ‘morning after pill’ which is licensed up to 120 hours (5 days) after having unprotected sex, however, it is also most likely to work if taken as soon as possible.

Both pills work by stopping you producing an egg (ovulation). If you have already produced an egg that month they are unlikely to work.

There are also certain conditions that will make the ‘morning after pill’ less effective. If you throw up (vomit) within 3 hours of taking the pill then the hormones won’t have been absorbed into your body. If you are taking other medication then it can also reduce the effectiveness of the morning after pill.

Intrauterine device (IUD) is a small copper and plastic device that is inserted into your uterus (womb) by a doctor or a nurse. The IUD can be inserted up to 5 days after unprotected sex and sometimes even later than that depending on when your last period was. It is 99% effective at preventing pregnancy. You can also choose to leave the IUD in as a continuing method of birth control.

Whichever method of EC you use, it is very important that you do a pregnancy test 3 weeks after the unprotected sex to ensure you are not pregnant. You cannot rely on you next period as it might be affected by the emergency contraception you have used.

Which type?

Levonelle

Best taken within 3 days
Available at pharmacies and clinics and GPs
Can be 85-95% effective
May make you feel sick or cause headaches

UPA (EllaOne)

Must be taken within 5 days
Available at pharmacies and clinics and GPs
Can be 95% effective
May make you feel sick or cause headaches

IUD Copper Coil

Must be fitted within a certain time frame
Available at clinics
Can be 99% effective
May cause some short term soreness when fitted

Side effects

Long term side effects of any of these forms of emergency contraception are rare. However you may experience some short term discomfort.

Side effects of the ‘morning after pill’ may include: headaches; stomach ache; feeling sick; or changes to your next period – it could be earlier, later, lighter or heavier.

Side effects of the IUD copper coil may include, temporary pain or discomfort when fitting, and longer, heavier periods if you choose to keep it as a form of birth control.

Frequently asked questions about
Emergency Contraception

How much does the 'morning after pill' cost?

Emergency contraception pills are available available free of charge from any Devon Sexual Health clinic. They are also free from GPs and some pharmacies if you are aged 13-24, otherwise there is a charge. You can find your nearest pharmacy or GP here.

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What does the 'morning after pill' do?

The morning after pill provides hormones which prevent or delay the release of an egg (ovulation). The copper coil IUD works by releasing a small amount of copper which is toxic to sperm, and works as emergency contraception by preventing implantation of a fertilised egg into the womb (uterus).
How long after taking the 'morning after pill' am I protected from getting pregnant?

You aren’t and you should use additional contraception such as condoms. For information and advice about when to restart your usual form of contraception after taking the morning after pill please ask for advice at your nearest Devon Sexual Health clinic.
What age can I take the 'morning after pill'?

You can take the ‘morning after pill’ at any age including if you are younger than 16. Any conversations or visits to a Devon Sexual Health clinic are completely confidential and we won’t tell your parents or anyone else unless we are worried about you.
Will taking the 'morning after pill' affect my fertility?

No, the hormones in the ‘morning after pills’ only have a short effect on your body although they may cause your next period to occur sooner, later or be heavier than usual.
How many times can you take the 'morning after pill'?

The ‘morning after pill’ was developed for use in emergencies. It contains much higher doses of hormones than the contraceptive pill and is not designed for continued use. It is also less effective at preventing pregnancy than the contraceptive pill and is far more expensive. It is possible to take EC pills more than once a cycle, but if you find that you are taking the ‘morning after pill’ on a regular basis then you need to visit a Devon Sexual Health clinic for contraception that is right for you. We will talk to you about your health and your lifestyle and recommend a better form of contraception that is also free of charge.
Can you get pregnant during your period?

It’s unlikely that you would get pregnant during your period but not impossible. Sperm has the ability to stay alive in your body for anywhere between 3 and 5 days, plus many women have irregular period cycles. It’s best to stay on the safe side and use an alternative form of contraception such as condoms or having an IUD fitted.