The pill afterwards

No one is immune from a breakdown in contraception: the "pill" was forgotten, the condom is torn, the diaphragm slips. Or love and desire were so overpowering that it was not prevented at all. With the "morning after pill", a pregnancy can be prevented in such exceptional situations. The "morning after pill" is one way to prevent unwanted pregnancy when normal contraception has failed or has not occurred.

Early intake of the pill afterwards important

It has to be taken within 72 hours of unprotected intercourse - the earlier, the higher the likelihood that it will work: if you start taking it in the first 24 hours, 95% of pregnancies will be prevented, after 24 to 48 hours 85%. Thereafter, the effect drops to 58%, 72 hours after sexual intercourse, the "pill after" no longer works.

Up to 5 days after the unprotected sexual intercourse, there is an alternative possibility, the "spiral afterwards" - consult your gynecologist!

In contrast to the abortion pill, the "morning after pill" does not cause a termination of pregnancy, an egg already buried is not damaged. Instead, it prevents pregnancy by delaying or preventing the ovulation and possibly the implantation of already fertilized ice. The "morning after pill" does not affect future fertility; their effect does not last! Re-sexual intercourse after ingestion must be completely normal again.

Pill afterwards only on prescription - that was once

Since the beginning of 2015, the "morning after pill" is available over the counter. Until then, the recipe for the "morning after pill" had to be issued by a doctor (not necessarily a gynecologist - a gynecological examination is not necessary!). It could be a resident or a doctor working in a pro-familia counseling center. On weekends and holidays, the emergency medical service or a doctor in an emergency room in the hospital could issue the prescription. The cost of the drug is 16-18 euros and must be taken over by the woman herself.

Exceptions are insured persons up to the age of 20 - with them, the health insurance covers the costs.

Contraception and side effects

The pill thereafter is a preparation containing one or two tablets (taken concomitantly) containing the sex hormone levonorgestrel (a progestin). Since the dosage is very low and the application is unique, side effects are rather weak and usually last no longer than 2-3 days after ingestion.

Concomitant symptoms include chest tightness, lubrication or bleeding, but also minor abdominal pain and nausea, headache, fatigue and dizziness. Rarely, vomiting occurs. If this occurs within the first two to three hours after ingestion, it must be assumed that the "morning after pill" has been carried out with the stomach contents and has no effect. In this particular case, it is recommended to repeat the intake immediately.

  • After taking the drug, severe liver disease can worsen - if you suffer from it, you must refer to the prescription.
  • Take medicines, inform the doctor - some drugs such as antibiotics can reduce the effectiveness of the pill afterwards.
  • If you have an ectopic pregnancy in the past, you should have a check-up with your gynecologist after taking the drug.
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