First, pregnancy isn't as easy as you might think.
In general, emergency contraceptives taken within 72 hours have been shown to have a 75% success rate. The contraceptive success rate is a number that shows how much you can reduce your chances of using contraception compared to people who don't take emergency contraceptives.
It is commonly believed that women who do not take emergency contraceptives have a 20-30% chance of becoming pregnant through sexual intercourse during their fertile period during their menstrual cycle. In other words, if the average sexual intercourse leads to 20 out of 100 pregnant women, 75% of the 20 people who take the emergency contraceptive pill, or 15 of them, will be able to use contraception. That's just 5 out of every 100 women who get pregnant.
Second, you should take emergency contraception as soon as possible.
To increase the success rate of contraception, you should eat as soon as possible after sex. You don't have to follow the general rules, such as 30 minutes after eating. It's important to eat quickly, no matter what you eat or when. This is because the success rate of contraception is as high as 95% if taken within 12 hours, but drops to 58% after just three days. If taken within a day, the success rate of contraception is 95%, which can drastically reduce the chance of natural pregnancy in 80 out of 1,000 women to about 4 in 1,000.
Third, there are emergency contraceptives that have been proven to be effective for 120 hours.
In general, emergency contraceptives such as Norebowong (levnogestrel) are recommended to be used within 72 hours. Recently, however, there is also a product called Elaone (ulipristal acetate) with a different ingredient. These are drugs that have been proven to lower contraception by up to 120 hours.
Elaone has more medical advantages than Norevo. All in all, it is known that the success rate of Ellaone's contraception is slightly higher than that of Norevo. Ellaone is also beneficial for women who are overweight. Although it is limited, this is because it has been reported that the contraceptive effect of Norevo decreases in women weighing more than 75 kg.
However, there are also disadvantages. It's just that it's overpriced. If Norebo costs 18,000 won, Ella One costs 1 tablet and 22,000 won. Another disadvantage is that there may be notable side effects, such as mood disorders. If you are a woman with severe depression, this means that your symptoms may worsen with Ellawon.
Below is a graph showing the contraceptive effect of each pill over time after sexual intercourse. Levonogestrel is Norevo, and ulipristal acetate is Ellaone.
Fourth, in case of emergency, you can go to the emergency room or another medical department.
Emergency contraceptives are classified as prescription drugs in our country. It can be purchased at the pharmacy only with a doctor's prescription. This means that in addition to the cost of the medication you would pay at the pharmacy, you will also have to pay for the consultation to get a prescription from the doctor. Emergency contraceptives are non-reimbursable and require the patient to pay 100% of the cost of care.
Generally, you need to see your gynecologist to get a prescription for emergency contraception. However, if you can't find a gynecologist, you can go to internal medicine or family medicine.
If it's been more than 72 hours and you can't access the outpatient clinic because it's a night or a weekend, the emergency room is fine.
Fifth, be aware of the side effects.
1. Vomiting
Whether it's Norebo or Elawon, the most common side effect is vomiting. It appears in almost half of the time. If you vomit within three hours of taking these pills, you will need to take another pill to ensure contraception.
2. Irregular bleeding
Irregular bleeding is also common. Irregular bleeding is when you bleed when you are not menstruating. There is a lot of individual variation, but most of them take the form of petechial hemorrhages that appear on the pads between 2 and 7 days. Occasionally, you may experience bleeding to the point of wetting the pads. Normal menstrual blood is often dark and clotted, while irregular bleeding is often pink or light brown.
If there is a caveat, it is that irregular bleeding does not mean that you are not pregnant. Irregular bleeding is never an indicator of contraception. Irregular bleeding is just one of the side effects of medications. In the same way, if you don't have irregular bleeding, you don't get pregnant. Pregnancy is determined by whether or not you have a normal period, and it should be confirmed by a urine pregnancy test two weeks after the date of intercourse.
3. Menstrual cycle fluctuations
Another side effect may be a change in your menstrual cycle.This is if it is nearly a week earlier or later than the expected date. These are all mild side effects that are common with taking emergency contraceptives, so don't worry too much.
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