You should never take Levonorgestrel and ellaOne within the same menstrual cycle as each other. Most women experience no side effects after taking Levonorgestrel. Should side effects occur, the most common are irregular bleeding, headache, nausea and stomach pain. Certain medical conditions make Levonorgestrel unsafe to take.
If you order through our site, one of our doctors will check that you are eligible beforehand. If you're sick within 3 hours taking Levonorgestrel, you will need to take another tablet as soon as possible. If vomiting recurs then your body has probably rejected the treatment. You should seek another form of emergency contraception — mostly likely the IUD coil see below.
The IUD is the most effective form of emergency contraception. The coil stops the egg and sperm from surviving in the womb or fallopian tubes. It is commonly used as a form of long-term contraception. However the coil is also a very effective emergency contraception — indeed more so than either Levonorgestrel or ellaOne.
You can get the coil fitted within five days of unprotected sex and it will be To have the coil fitted you must visit your GP or local sexual health clinic. There you will have an internal examination to discover the size and position of your womb.
The insertion process takes between 15 to 20 minutes. The coil can be an effective form of contraception for 5 to 10 years, depending on the version used.
However, if you want to remove the coil the procedure can be done at any time by a trained doctor or nurse. Once the coil is removed your fertility will return to normal. Some women find the coil causes vaginal bleeding and pain.
Most, however, experience no discomfort. Periods can be heavier although this tends to clear after a few months. The doctor or nurse fitting the coil will examine you beforehand to ensure the coil is appropriate for you. For more information, visit your GP or local sexual health clinic. No, not at all. If you have had unprotected sex and are worried that you might have an STI then you should visit your local sexual health clinic for testing.
It is designed for one-off use. If you do not want to use long-term hormonal contraception, barrier methods such as condoms could be the answer. They are far cheaper than using emergency contraception regularly, and offer effective protection against sexually transmitted infections. The morning after pill, a form of emergency contraception, can be an extremely useful and effective way of preventing accidental pregnancy.
There are two kinds of branded emergency contraceptive pill available in the UK, one called Levonelle and one called ellaOne. The other form of emergency contraception sometimes used, apart from own-brand morning after pills, is the IUD, or copper coil, which can be used up to five days after sex has taken place. The morning after pill should be taken as soon after unprotected intercourse or failed contraception as you can.
It can also be used if you have missed two or more contraceptive pills in a pack. The earlier it is taken after unprotected sex, the more effective it is. You can get the morning after pill at most GP surgeries, some GUM and sexual health clinics, and community contraception clinics.
Most NHS walk in centres and accident and emergency departments also stock the morning after pill. It is also available to buy at most pharmacies following a short consultation with the pharmacist, or even from online doctors. Levonelle has to be taken within 72 hours three days of intercourse, while ellaOne has a slightly longer window and needs to be taken within hours five days of having intercourse.
And how does the morning after pill actually work? Levonelle has been used as a form of emergency contraception for many years. It contains the hormone levonorgestrel, a synthetic man-made version of progesterone. Levonelle is thought to work mainly by preventing or delaying ovulation the release of the egg. In a normal menstrual cycle, an egg matures and is released ovulation. The ovary then produces progesterone to stop the release of further eggs.
It is believed that the levonorgestrel in Levonelle tricks the body into thinking that ovulation has already occurred due to the high levels of synthetic progesterone , preventing the release of the egg. Levonorgestrel also causes an increase in the thickness of mucus in the cervix forming a barrier to make it difficult for sperm enter the womb.
There are generic versions of Levonelle available. These contain the same amount and type of levonorgestrel and will be equally effective, but do not have the trade name. Generic equivalents may be simply called levonorgestrel 1. Typically, they are significantly cheaper than the branded version of the product. EllaOne is a newer form of emergency contraceptive pill that is thought to be more effective than Levonelle in certain scenarios, including in that you have longer to take it.
The active ingredient in ellaOne is called ulipristal acetate. Ulipristal tricks the body into believing that ovulation has already occurred, resulting in ovulation being delayed or completely prevented. Both Levonelle and ellaOne are generally effective only if taken before the release of an egg from the ovary ovulation , i. The sooner you take them, the more effective they will be. If you have unprotected sex in the 24 hour window immediately after ovulation, the period of time when the released egg can still be fertilised, then taking emergency contraception after this is unlikely to be effective, although the morning after pill may make the uterus environment less receptive to implantation, so there is a possibility that pregnancy could still be prevented.
The bottom line is if you take the morning after pill very soon after unprotected intercourse it probably does not matter which type you take, however, if it was more than 12 to 24 hours ago, then ellaOne may be more effective. If you do get pregnant after taking this medicine there is a possibility that the pregnancy will be ectopic occurring in the fallopian tubes rather than the womb. For this reason, you should consult your doctor if you experience any sudden or abnormal abdominal pain after taking this medicine, and if your next period is shorter or lighter than your normal period.
The morning after pill doesn't provide continued contraception to prevent pregnancy after you have taken it. It is recommended that after taking it, you use a barrier method of contraception such as a condom or cap, until your next period comes.
This is also recommended even if you are also taking the pill. You should talk ask your doctor, pharmacist or family planning clinic for advice about regular methods of contraception. This medicine should only be used as an emergency measure. It is not recommended for repeated use, as it is possible that it can disrupt your menstrual cycle. Emergency contraception does not protect you from sexually transmitted infections. Who should not take Levonelle one step?
Women who are or think they might already be pregnant see below. Women with rare hereditary blood disorders called acute porphyrias. Women with rare hereditary problems of galactose intolerance, the Lapp lactase deficiency or glucose-galactose malabsorption Levonelle one step tablets contain lactose. This medicine is not recommended for women who may be more at risk of ectopic pregnancy, for example women who have previously had inflammation or infection in the fallopian tubes salpinigitis or an ectopic pregnancy.
This medicine is not recommended for women with severely decreased liver function. Levonelle one step should be used with caution by Women with severe malabsorption syndromes, such as Crohn's disease as these may prevent the tablet being properly absorbed.
Can I take Levonelle one step while pregnant or breastfeeding? This medicine should not be taken by women who are already pregnant. If you think you could be pregnant , if your period is late, or if your last period was more than five days late or unusually light or heavy, you should tell your doctor, as you may already be pregnant. Taking this medicine if you are already pregnant will not stop the pregnancy.
Emergency contraception does not prevent a pregnancy in every instance. If this medicine doesn't work to prevent a pregnancy, it is not known to have adverse effects on a pregnancy that develops in your womb. However, there is a possibility that a pregnancy could be ectopic after taking the morning after pill, so you should consult your doctor immediately if you think you could be pregnant after taking it.
Ask your doctor, pharmacist or family planning clinic for more information. Small amounts of this medicine pass into breast milk. If you need to take this medicine while you are breastfeeding this is not thought to be harmful to the nursing baby. However, you can minimise your baby's exposure to the medicine by taking the tablet immediately after giving a feed. By the time the next feed is due, the amount of medicine in the breast milk will then be reduced.
What are the possible side effects of Levonelle one step? Very common affect more than 1 in 10 people Headache. Feeling sick. Abdominal pain. Vaginal bleeding not related to your normal period.
Common affect between 1 in 10 and 1 in people Breast tenderness. Delayed start of next menstrual period consult your doctor if your next period after taking this medicine is more than seven days late.
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