Emergency contraception

I am not a GP, but yesterday someone from Singapore rang me, asking for an advice. It was about emergency contraception. Of course, it is well known as "morning after pill". In fact, this term is misleading. The pill works for up to 72 hours (three days) after unprotected sex. But it is advised that the earlier you take it, the better as it works best if taken within 12 hours of sex.

In Britain, it is the pill that people can buy from chemists without needing prescription. But the pharmacist will do a quick chat before issuing it, making sure everything is OK. According to the data, if the pill is taken within 24 hours after unprotected sex, about 95 in 100 pregnancies are prevented.

Of course, all drugs have side effects. Some people experience feeling sick after taking it. But the majority has no problem at all. At this point, I'd like to talk about something. Some people from far east thought that conventional western drugs have loads of side effects while herbal preparations have no or little side effects. That is absolutely wrong, I think . In fact, many of conventional drugs come from the purified extracts of herbal preparations. Lack of extensive scientific research dose not necessarily mean that herbal drug from some parts of world, such as Burma and Thailand, has no unwanted effect.

Obviously, morning after pill is not ideal for a long term plan and own doctor or GP is the best person to discuss about other options. At the same time, people should bear in mind that unprotected sex is one of the main mode of transmissions of viral illnesses, such as HIV, hepatitis B and C.

For the further information of emergency medication, please visit the following sites.

www.patient.co.uk

www.netdoctor.co.uk

Here is a related news you may be interested in

A pilot scheme allowing pharmacists to give women the contraceptive pill without a prescription has been given the go-ahead for next year.

Women and girls aged over 16 will be able to get the pill at two London primary care trusts, Southwark and Lewisham, Pulse magazine says.

If the pilots are successful, the pill could become available over the counter like the morning after pill. Full article on BBC

Update (22/11/2009)

This article is what I came across on The times weekend.

A The morning-after pill is effective only up to 72 hours after intercourse but the level of protection declines dramatically during that time. In the first 24 hours it prevents 95 per cent of pregnancies, but that figure drops to 85 per cent within the next 24 hours and only 58 per cent if taken after that......

Ann Furedi, of the British Pregnancy Advisory Service (BPAS), says that “for women who are not in a relationship, the morning-after pill is even safer than the contraceptive pill because it is only an occasional dose of hormones, although obviously it doesn’t protect against STIs”. The BPAS states that “there is no limit” to how many times you can use it.....

More....at The times Online