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Guide

Emergency Contraception After Unprotected Sex

Quick Answer

If you've had unprotected sex and want to prevent pregnancy, emergency contraception can help. Postinor is 95% effective within 24 hours, and Mifestad works up to 5 days. The sooner you take it, the better it works.

First, Don't Panic

Having unprotected sex doesn't guarantee pregnancy. Your actual risk depends on:

- Where you are in your cycle - Risk is highest around ovulation (mid-cycle)
- Whether ejaculation occurred - Pre-ejaculate can contain sperm, but risk is lower
- Your fertility - Many factors affect conception

Emergency contraception significantly reduces your risk regardless of these factors.

Your Emergency Contraception Options

You have two main pill options available:

OptionWorks Up ToBest EffectivenessAvailability
Postinor (Levonorgestrel)72 hours95% within 24hOTC
Mifestad (Ulipristal Acetate)120 hours98% within 24hRx

Why Timing Matters

Emergency contraception works by preventing or delaying ovulation. The sooner you take it:

- More time for the medication to work before ovulation
- Higher probability of preventing pregnancy
- Less stress and uncertainty for you

Don't wait to see if you "feel pregnant" - by then, EC won't help.

How to Get Emergency Contraception

Options for getting EC quickly:

  • Order through Ruth - Same-day delivery in Metro Manila, discreet packaging

  • Visit a pharmacy - Postinor is available over-the-counter

  • Telehealth consultation - Required for Mifestad prescription

What to Expect After Taking EC

After taking emergency contraception:

1. Common side effects: Nausea, headache, fatigue (usually mild, resolve in 24-48 hours)
2. Period changes: May come earlier or later, heavier or lighter
3. Pregnancy test: Take one if your period is more than 7 days late
4. Future contraception: EC is not ongoing protection - discuss regular options

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What this guide means in practice

Real situations are messier than the textbook examples in medication leaflets. A condom that broke, a missed pill day, a contraceptive injection that was scheduled too late, an IUD that came out — each is a valid reason to consider emergency contraception, and each comes with its own timing pressure and follow-up questions.

These situation guides are designed to start where you are. They acknowledge the specific event that caused you to look up EC in the first place and then walk through what to do next: how to estimate the time since the event, which product is most appropriate for that window, how to source it quickly in Metro Manila or the provinces, and what to track in the days that follow.

The goal is to keep one decision from spiraling into a stack of unfamiliar choices. Once you know which product fits your timing and your location, the rest of the process — ordering, receiving the medication, and confirming with a pregnancy test if needed — becomes much more straightforward.

Frequently Asked Questions

If you had vaginal intercourse without contraception (or with contraception failure) and don't want to become pregnant, EC is appropriate. When in doubt, taking EC is safer than waiting.

Count from the earliest possible time. If you're unsure whether it's been 48 or 72 hours, Mifestad is the safer choice as it maintains high effectiveness longer.

EC significantly reduces your risk but is not 100% effective. Postinor prevents about 7 out of 8 pregnancies that would have occurred; Mifestad prevents about 6 out of 7.

Yes. EC is for emergencies only. It's less effective than regular contraception and doesn't provide ongoing protection. We can help you explore regular options.

How Ruth Health supports this decision

Ruth Health was built around the practical realities of emergency contraception in the Philippines. That means treating timing seriously, offering discreet same-day delivery in Metro Manila, and ensuring the right product is dispatched for the patient's situation — including provincial delivery windows where Mifestad's longer effectiveness window matters.

Every order goes through a brief, evidence-based intake. When a clinician should weigh in — for example, when a patient is breastfeeding, on enzyme-inducing medications, or unsure about the time elapsed — that review happens before dispatch. Packaging is unbranded, delivery is tracked, and follow-up support is available through chat for as long as it is helpful.

When the situation has urgent components — severe pain, heavy bleeding, possible sexual assault, or signs of serious health issues — the recommendation is always to seek immediate care at a hospital or clinic, with EC support continuing alongside that care rather than replacing it.

Medical Sources

  • WHO Emergency Contraception Fact Sheet
  • FDA labeling for levonorgestrel and ulipristal acetate
  • ACOG guidance on emergency contraception
  • Peer-reviewed studies where noted in Ruth content

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