Emergency Contraception – “Morning After Pill” | Yale Health

Emergency contraception provides an important safety net when you have sexual intercourse and no contraception is used or the contraception used is compromised (missed birth control pills, missed Depo injection, condom slips/breaks, etc.).

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Emergency contraception pills are hormone-containing pills taken to give you a burst of hormonal contraception, which will likely prevent ovulation, fertilization, and/or implantation. Emergency contraception will not harm an already existing pregnancy.

You should take the emergency contraception pill as soon as possible; up to 120 hours (5 days) after unprotected sex.

Emergency contraception pills are free to all Yale students and Yale Health members when acquired at the Yale Health Center.

Emergency Contraception Pills

• My Way (Plan B &#; levonorgestrel) is available over-the-counter, without a prescription.
• Ella (ulipristal) is available by prescription from a provider in Student Health, OB/GYN or Acute Care.

(See Emergency Contraception Comparison Chart and/or contact the Yale Health Ob/Gyn Department if you&#;re not sure which option is best for you.)

Where to Get Emergency Contraception at the Yale Health Center

(free for all Yale students, and all Yale Health members)

• Yale Health Pharmacy (either going to the Pharmacy directly, or after consulting with a provider in one of our clinical departments)
• Acute Care

Other Locations (purchase price varies)

• Commercial pharmacies, like CVS, Walgreens, etc.

Effectiveness

Emergency contraception pills reduce the risk of pregnancy by approximately 75%. In other words, out of 100 women who have unprotected intercourse mid-cycle, approximately 8 would become pregnant. With use of emergency contraception pills, only 2 of the 100 would become pregnant. 

• My Way becomes less effective if used 3-5 days after unprotected sex, while Ella&#;s effectiveness stays the same for the full 5 days.
• Both medications are less effective for obese women. My Way retains its effectiveness up to a BMI of 30. Ella is effective up to a BMI of 35.
• My Way is less effective when unprotected sex occurs closer to the time of ovulation. Ella is more effective than My Way closer to ovulation.

Side Effects of Emergency Contraception Pills

The most common side effect is nausea, with or without vomiting. There are ways to decrease this if you become nauseous easily. Take the pill with food. You may elect to take prescription or over-the-counter anti-nausea medications about 30 minutes prior to the first dose of an emergency contraception pill. 

Safety

In , the Food and Drug Administration reviewed the evidence and concluded that emergency contraception pills are safe and effective. In , the FDA approved the sale of Plan B/My Way over the counter (OTC).

If you happen to already be pregnant and take emergency contraception, the hormones in emergency contraception pills have been shown not to affect the baby.

Important Note: Emergency contraception should not be used as your primary method of birth control. It is much less effective than methods designed for continuous protection from pregnancy. If you pick up 4 or more emergency contraception pill doses in a year, the Yale Health Pharmacy will notify the Ob/Gyn Department, so they can reach out to discuss better options for preventing pregnancy.

Taking the Medication

A Yale Health nurse or pharmacist will give you a dose of My Way, or you may have a provider prescribe Ella for you.

The treatment consists of one pill. If your provider recommends an antinausea medication, take it first. Wait 30 minutes to one hour and then take the emergency contraception pill. It is helpful to take the pill with food, and not on an empty stomach.

Your period may start a few days earlier or a few days later than expected. If it does not start within a week of when expected, you should come in for a pregnancy test and/or evaluation.

If you have not started your period within 3 weeks from the date of using emergency contraception, you should come in for a pregnancy test and/or evaluation. If you feel pregnant sooner, you should do a pregnancy test at that time.

Reasons Not to Take Emergency Contraception

Emergency contraception pills might not be a good option for you if you have a history of allergy to the medication, if you are significantly overweight, or if the unprotected sex occurred more than 120 hours earlier. There are no known medical conditions for which emergency contraception is unsafe.

Remember, even if it&#;s been more than 120 hours, and the episode occurred at mid-cycle, the chances of becoming pregnant are still low (less than 10%).

Additional Option

The Paragard copper-containing IUD, if inserted within 5 days (120 hours), provides over 99% effective emergency contraception, plus ongoing effective contraception for up to 10-12 years. It is inserted with a minor office procedure in the Ob/Gyn Department. You can make an appointment via MyChart or by calling 203-432-.

Additional Concerns

If barrier contraception (condom) wasn&#;t used, or if it failed, you should consider the chance that you&#;ve been exposed to a sexually-transmitted infection (STI). You should discuss this further with a nurse or provider.

If the sex was unprotected because it was nonconsensual (for example, sexual assault or date rape), please talk to one of our caregivers to learn about the resources available to you at Yale, including The Share Center.

17.1 Information for Patients

• Take My Way as soon as possible and not more than 72 hours after unprotected intercourse or a known or suspected contraceptive failure.
• If you vomit within two hours of taking the tablet, immediately contact your healthcare provider to discuss whether to take another tablet.
• Seek medical attention if you experience severe lower abdominal pain 3 to 5 weeks after taking My Way, in order to be evaluated for an ectopic pregnancy.
• After taking My Way, consider the possibility of pregnancy if your period is delayed more than one week beyond the date you expected your period.
• Do not use My Way as routine contraception.
• My Way is not effective in terminating an existing pregnancy.
• My Way does not protect against HIV-infection (AIDS) and other sexually transmitted diseases/infections.
• For women younger than age 17 years, My Way is available only by prescription.

Mfg. by:

Novel laboratories, Inc.
Somerset, NJ

Distributed by:

Gavis Pharmaceuticals, LLC

Somerset, NJ

PI

Medication Guide

My Way

Emergency Contraceptive

Because the unexpected happens

Important information about My Way,

Birth Control and Sexually Transmitted Diseases

For additional information intended for healthcare professionals, please see enclosed Product Information for My Way.

What is My Way?

My Way is emergency contraception that helps prevent pregnancy after birth control failure or unprotected sex. It is a backup method of preventing pregnancy and is not to be used routinely.

My Way can reduce your chance of pregnancy after unprotected sex (if your regular birth control was used incorrectly or fails, or if you have had sex without birth control). For example, if you were using a condom and it broke or slipped, if you did not use your regular birth control as you should have, or if you did not use any birth control, My Way may work for you.

What My Way is not.

My Way will not work if you are already pregnant and will not affect an existing pregnancy. My Way should not be used as regular birth control. It is important to have another reliable source of birth control that is right for you. My Way will not protect you from HIV infection (the virus that causes AIDS) and other sexually transmitted diseases.

When is the appropriate time to use My Way?

You can use My Way after you have had unprotected sex in the last 72 hours (3 days), and you do not want to become pregnant.

My Way can be used as a backup or emergency method to regular birth control if, for example,

• Your regular birth control method was used incorrectly or failed (your partner&#;s condom broke or slipped)
• You made a mistake with your regular method
• You did not use any birth control method

When is it not appropriate to use My Way?

• My Way should not be used as a regular birth control method. It does not work as well as most other forms of birth control when they are used consistently and correctly. My Way is a

  backup or emergency

  method of contraception.
• My Way should not be used if you are already pregnant because it will not work.
• My Way should not be used if you are allergic to levonorgestrel or any other ingredients in My Way.
• My Way does not protect against HIV (the virus that causes AIDS) or other sexually transmitted diseases (STDs). The best ways to protect yourself against getting HIV or other STDs are to use a latex condom correctly with every sexual act or not to have sex at all.

How does My Way work?

My Way is one pill with levonorgestrel, a hormone that has been used in many birth control pills for over 35 years. My Way contains a higher dose of levonorgestrel than birth control pills, but works in a similar way to prevent pregnancy. It works mainly by stopping the release of an egg from the ovary. It is possible that My Way may also work by preventing fertilization of an egg (the uniting of sperm with the egg) or by preventing attachment (implantation) to the uterus (womb).

How can I get the best results from My Way?

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You have only a few days to try to prevent pregnancy after unprotected sex. The sooner you take My Way, the better it works. My Way should be taken as soon as possible within 72 hours (3 days) after unprotected sex.

How effective is My Way?

The sooner you take My Way, the better it will work. Take My Way as soon as possible after unprotected sex. If it is taken as soon as possible within 72 hours (3 days) after unprotected sex, it will significantly decrease the chance that you will get pregnant. Seven out of every 8 women who would have gotten pregnant will not become pregnant.

How will I know if My Way worked?

Most women will have their menstrual period at the expected time or within a week of the expected time. If your menstrual period is delayed beyond 1 week, you may be pregnant. You should get a pregnancy test and follow up with your healthcare professional.

What if I am already pregnant and use My Way?

There is no medical evidence that My Way would harm a developing baby. If you take My Way (accidentally) after you are already pregnant or it does not work and you become pregnant, it is not likely to cause any harm to you or your pregnancy. The pregnancy will continue. My Way will not work if you are already pregnant.

What should I do if my menstrual period is delayed beyond 1 week and I have severe lower stomach (abdominal) pain?

If you have severe lower stomach (abdominal) pain about 3 to 5 weeks after taking My Way, you may have a pregnancy outside the uterus, which is called a tubal pregnancy. A tubal pregnancy requires immediate medical treatment, so you should see a healthcare professional right away.

Can I use My Way for regular birth control?

No. My Way should not be used for regular birth control. It is an emergency or backup method to be used if your regular birth control fails or is used incorrectly or if you have sex without birth control. You should protect yourself against STDs and pregnancy every time you have sex. If you have unprotected sex again after taking My Way, it will not help protect you from getting pregnant.

How often can I use My Way?

My Way is meant for emergency protection only, and is not designed to be used frequently. If you find that you need to use emergency contraception often, talk to your healthcare professional and learn about methods of birth control and STD prevention that are right for you.

Will I experience any side effects from My Way?

When used as directed, My Way is safe for women. Some women will have mild, temporary side effects, such as menstrual changes, nausea, lower stomach (abdominal) pain, tiredness, headache, dizziness, breast pain and vomiting. These are similar to the side effects that some women have when taking regular birth control pills. Some women taking My Way will have menstrual changes such as spotting or bleeding before their next period. Some women may have a heavier or lighter next period, or a period that is early or late. If your period is more than a week late, you should get a pregnancy test.

What warnings should I know about when using My Way?

My Way does not protect against AIDS virus (HIV) or other sexually transmitted diseases (STDs).

Do not use:

• If you are already pregnant (because it will not work)
• If you are allergic to levonogestrel or any of the ingredients in My Way
• For regular birth control

When using this product, you may have:

• Menstrual changes
• Headache
• Nausea
• Dizziness
• Lower stomach (abdominal) pain
• Breast pain
• Tiredness
• Vomiting

Keep out of reach of children.

In case of overdose, get medical help or contact a Poison Control Center right away at 1-800-222-.

What are the directions for using My Way?

Women 17 years of age and older:

• Take My Way as soon as possible within 72 hours (3 days) after unprotected sex.
• If you vomit within 2 hours of taking the medication, call a healthcare professional to find out if you should repeat the dose.
• Prescription only for women younger than age 17. If you are younger than age 17, see a healthcare professional.

What should I do if I have questions about My Way?

If you have questions or need more information about this product, call 1-800-422-, visit our website at www.mywaypill.com, or ask a healthcare professional.

Other information

Tablet is enclosed in a blister seal. Do not use if the blister seal is broken.

Store at room temperature 20&#;25°C (68&#;77°F).

You may report side effects to FDA at 1-800-FDA-.

Active ingredient: Levonorgestrel 1.5 mg

Inactive ingredients: Colloidal silicon dioxide, pregelatinized starch, magnesium stearate, talc, and lactose monohydrate

Protect yourself in more ways than one!

If you are sexually active, but you are not ready for a pregnancy, it is important to use regular pregnancy protection. There are many types of birth control. Whichever type you choose, it is important to use your regular birth control method as directed. This ensures that you have effective protection against pregnancy every time you have sex.

But things do not always go as planned. For example, if you were using a condom and it broke or slipped, or if you did not use your regular birth control as you should have, or if you did not use any birth control, My Way may work for you. My Way is an emergency contraceptive that helps prevent pregnancy after unprotected sex or when your birth control fails or is not used correctly.

Remember, My Way is only for emergency pregnancy prevention. There are many other products that work for regular birth control that are available by prescription or over-the-counter.

There is also another form of protection to think about when you have sex: protection against sexually transmitted diseases (STDs). Some common STDs are HIV/AIDS, Chlamydia, genital herpes, gonorrhea, hepatitis, human papilloma virus (HPV), genital warts, syphilis, and trichomonas. Some of these STDs can be very serious and can lead to infertility (inability to have a baby), problems during pregnancy, chronic illness, and even death.

All sexually active women are at risk of catching STDs because they may not know that their partner has an STD (the partner himself may not know). If your partner uses a latex condom correctly each and every time you have sex with him, this will help reduce, but not eliminate, the chance that you will catch an STD.

No other birth control methods will effectively protect you from STDs. The female condom may give you some STD protection, but it is not as effective as a male latex condom.

For more information on STDs, call the Centers for Disease Control and Prevention (CDC) AIDS/STD Hotline. The CDC numbers are 1-800-342-AIDS () for English, 1-800-344- for Spanish, or 1-800-243- for hearing impaired, TDD.

Be sure to protect yourself against pregnancy and STDs by using some form of birth control plus a latex condom. Of course, not having sex is the most effective way to prevent pregnancy and stay free of STDs

My Way is used to prevent pregnancy after unprotected sex.

My Way should not be used for regular birth control, if you are already pregnant (because it will not work), or if you are allergic to levonorgestrel or any of the ingredients in My Way.

The sooner you take My Way, the better it will work.

My Way does not protect against the AIDS virus (HIV) or other sexually transmitted diseases (STDs)

Common side effects associated with the use of My Way include menstrual changes, nausea, lower stomach (abdominal) pain, tiredness, headache, dizziness, breast pain and vomiting.

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