Emergency Contraception Effectiveness Calculator
See how effective emergency contraception is based on time since unprotected sex. The sooner you take it, the better it works.
- ✓ Effective up to 72 hours (3 days)
- ✓ Most affordable option
- ✓ Single 1.5mg dose
- ✓ Effective up to 120 hours (5 days)
- ✓ Higher efficacy throughout window
- ✓ Best for later timing or higher BMI
Both options are highly effective at this timing. Mifestad offers slightly higher efficacy (98% vs 95%).
How effective is emergency contraception after 24 hours?
Levonorgestrel (Postinor) is about 85% effective at 24-48 hours. Ulipristal acetate (Mifestad) maintains 97% effectiveness at this timing.
Can I take emergency contraception after 72 hours?
Ulipristal acetate (Mifestad) is effective up to 120 hours (5 days) after unprotected sex, maintaining about 85% effectiveness even at 72-120 hours.
Which emergency contraception should I choose?
If within 24 hours, both options are highly effective. After 24 hours, ulipristal acetate (Mifestad) is recommended due to higher effectiveness. After 72 hours, only Mifestad remains effective.
Related medical terms
These glossary entries explain the clinical terms that affect emergency contraception timing, product choice, and pregnancy risk.
How the calculator works
The Ruth Health Effectiveness Calculator estimates how well emergency contraception is likely to work based on the number of hours that have passed since unprotected sex. It compares the two options most commonly used in the Philippines: Postinor (levonorgestrel 1.5mg) and Mifestad (ulipristal acetate 30mg). The effectiveness percentages are sourced from WHO and FDA labelling for both products and reflect the typical performance reported in clinical studies.
For Postinor, effectiveness is highest in the first 24 hours (about 95%), holds in the mid-80s between 24 and 48 hours, and drops to roughly 58% by hour 72. After 72 hours the medication is no longer considered reliable, which is why the calculator stops showing a number for Postinor past that point.
For Mifestad, effectiveness is approximately 98% in the first 24 hours, 97% from 24-48 hours, 95% from 48-72 hours, and around 85% in the 72-120 hour window. The 120-hour cap reflects the upper boundary of evidence supporting Mifestad's use after unprotected sex.
What the percentages mean (and what they don't)
Effectiveness numbers express how often a medication prevents pregnancy in studies of people who use it correctly within the indicated window. They are not a personal guarantee, and they don't capture individual factors like body weight, current medications, or how close to ovulation you are when you take the pill.
For most people in most situations, the headline numbers are still the most useful summary because they reflect real-world outcomes across thousands of patients. But there are a few cases where the standard percentages can shift. Higher body weight reduces levonorgestrel's effectiveness more than ulipristal acetate's. Certain enzyme-inducing medications (rifampicin, some anti-epileptics, St. John's wort) can reduce effectiveness across both products. If you're unsure whether any of these factors apply to you, a Ruth Health clinician can review your situation before you order.
The calculator is intended as a decision aid, not a substitute for medical advice. Use it to make a more informed choice between Postinor and Mifestad, and reach out to support if your situation involves anything the standard numbers don't cover cleanly.
What to do once you have a recommendation
Once the calculator points you to a product, the fastest next step is to place the order through Ruth Health. In Metro Manila, same-day Lalamove delivery typically arrives within 40 minutes to two hours of dispatch. Outside the metro, J&T Express handles provincial shipments in one to four business days, which is one of the reasons Mifestad is recommended for most non-Metro orders — its longer effective window covers the time the package is in transit.
The intake form is short and designed to be filled out on a phone in a couple of minutes. If your situation includes any factors that need clinician input — uncertain timing, medications, breastfeeding, higher body weight — those questions are flagged for review before dispatch. The clinician confirms the right product (sometimes upgrading to Mifestad even when you initially selected Postinor) and the order ships from there.
If you'd rather pick up at a pharmacy, that's a valid option too. Postinor is available over the counter in most major Philippine pharmacy chains. Mifestad usually requires a prescription, which a Ruth Health clinician can issue if you'd prefer pharmacy fulfilment. Support can talk through the trade-offs if you're undecided.
Medical Disclaimer: This calculator provides general information only. Effectiveness varies by individual factors. Consult a healthcare provider for personalized advice.
Data sourced from WHO and FDA guidelines on emergency contraception.