Afterpill (Morning-After Pill): Emergency Contraception Explained
Afterpill, commonly known as the morning-after pill, is a form of emergency contraception used to prevent pregnancy after unprotected sex or contraceptive failure. Though “Afterpill” is often used informally, it typically refers to pills containing Levonorgestrel or Ulipristal acetate, the two main emergency contraceptive options.
These pills are not intended for regular birth control but are a safe and effective backup method when needed.
🚨 What Is Afterpill?
Afterpill is designed to help prevent pregnancy by:
- Delaying ovulation (the release of an egg)
- Preventing fertilization (stopping sperm from reaching the egg)
- Altering the uterine lining to block implantation of a fertilized egg
It is most effective within 72 hours (3 days) after unprotected sex. Some types may work up to 5 days after.
đź“‹ Types of Afterpill / Emergency Contraceptive Pills
| Brand Name | Active Ingredient | Time Frame | Prescription Needed |
|---|---|---|---|
| Plan B One-Step | Levonorgestrel (1.5mg) | Up to 72 hrs | No |
| My Way | Levonorgestrel (1.5mg) | Up to 72 hrs | No |
| AfterPill (brand) | Levonorgestrel (1.5mg) | Up to 72 hrs | No (online order) |
| ella® | Ulipristal acetate | Up to 120 hrs | Yes (in U.S.) |
đź•’ How Effective Is the Afterpill?
- Within 24 hours: Up to 95% effective
- Within 72 hours: About 85% effective
- ella® may remain effective up to 120 hours
Effectiveness decreases with time and may be lower in individuals with a BMI over 25–30.
🌟 Benefits of Afterpill
- Easy to use (one single pill)
- Accessible without a prescription (in most cases)
- No long-term effect on fertility
- Safe for teens and adults
⚠️ Side Effects of Afterpill
Some women may experience:
- Nausea or vomiting
- Dizziness
- Headache
- Breast tenderness
- Changes in menstrual timing (early, late, heavier, or lighter)
If vomiting occurs within 2 hours, consult a doctor—you may need another dose.
đźš« Limitations & Warnings
- Not an abortion pill; does not work if you’re already pregnant
- Not for regular contraceptive use
- Doesn’t protect against STIs
- May interact with medications like anticonvulsants or HIV treatments
🛍️ Where to Buy Afterpill
- Pharmacies (CVS, Walgreens, Rite Aid)
- Online retailers (Amazon, AfterPill.com)
- Clinics (like Planned Parenthood)
âť“FAQs About Afterpill
Q1: What is the difference between Plan B and Afterpill?
A: Both typically contain Levonorgestrel. “Afterpill” is often used informally or as a brand name sold online.
Q2: Can I use Afterpill more than once a month?
A: While safe, it’s not recommended as regular contraception. It can disrupt your menstrual cycle.
Q3: Will Afterpill affect my ability to get pregnant later?
A: No, emergency contraception has no long-term impact on fertility.
Q4: Is Afterpill effective for overweight individuals?
A: Effectiveness may be lower with a BMI over 25. In such cases, ella® or a copper IUD is recommended.
Q5: Do I need a prescription for Afterpill?
A: For Levonorgestrel-based pills like Plan B or AfterPill, no prescription is required. For ella®, a prescription is needed in the U.S.
Q6: How soon will my period return after taking Afterpill?
A: Your period may come early, late, or be heavier/lighter than normal. If it’s more than a week late, take a pregnancy test.
đź“š Sources / Scientific References
- World Health Organization (WHO) – Emergency Contraception Factsheet
- U.S. Food & Drug Administration (FDA) – Plan B One-Step Label
- American College of Obstetricians and Gynecologists (ACOG) – Emergency Contraception
- Mayo Clinic – Morning-after pill: Emergency birth control
- Planned Parenthood – Emergency Contraception Options