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Plan B - Levonorgestrel - Emergency Contraception Pill


What is Plan B

Plan B is an emergency contraceptive that can be used to prevent pregnancy following unprotected intercourse or a known or suspected contraceptive failure (i.e., a broken condom). To obtain optimal efficacy, the first tablet should be taken as soon as possible within 72 hours of intercourse. The second tablet must be taken 12 hours later.

Is Plan B safe

When used as directed, Plan B is safe for most women. There have been no serious complications associated with Plan B. Common side effects include nausea, abdominal pain, fatigue, headache, and menstrual changes. Women who are pregnant, have undiagnosed vaginal bleeding, or have an allergy to the product should not use Plan B. Plan B cannot terminate an established pregnancy.

How effective is Plan B

Taken within 72 hours of unprotected intercourse, Plan B can, when used correctly, reduce the risk of pregnancy by 89 percent after a single act of unprotected sex. Effectiveness declines as the interval between intercourse and the start of treatment increases.

Dosage and administration

Each Plan B packet includes a single course of treatment and consists of two tablets; each tablet contains 0.75 mg levonorgestrel. The first tablet should be taken orally as soon as possible within 72 hours (three days) of unprotected intercourse. The second tablet must be taken 12 hours later. Plan B is not a substitute for routine methods of birth control. Plan B does not provide protection from HIV (the virus that causes AIDS) and other sexually transmitted infections.

Timing of treatment to effectiveness with Plan B

The sooner Plan B is taken after unprotected intercourse, the more effective it is. Effectiveness of Plan B declines as the interval between intercourse and the start of treatment increases. The decline in efficacy from a delay in treatment is why a broad range of health professionals believe that barriers to more timely access to Plan B should be removed, including making the product broadly available without prescription.

How does Plan B works

Plan B is believed to act as an emergency contraceptive principally by preventing ovulation or fertilization (by altering tubal transport of sperm and/or ova). In addition, it may inhibit implantation by altering the endometrium. Plan B is not effective if a woman is pregnant. Plan B is a contraceptive and cannot terminate an established pregnancy.

Plan B and Pregnancy

There is no evidence that Plan B would harm a pregnant woman or a developing fetus if the product were accidentally taken during early pregnancy. Studies involving women who have inadvertently taken combined oral contraceptives containing levonorgestrel during early pregnancy suggest that these drugs do not have an adverse effect on the fetus.

Is Plan B the same as Abortion Pill RU486

No, Plan B is not an abortifacient. It is an emergency contraceptive and should not be confused with RU486 or any other abortifacient. Plan B is not effective if a woman is pregnant.

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