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Emergency Contraception if you are already using the contraceptive pill, patch, ring, injection or intra-uterine contraception

You doctor will have told you the form of contraception you are using. If you taking the pill, you can confirm which type of pill you are taking by reading the patient Information leaflet provided with the pill.

  • If you are taking Combined oral contraceptive (COC) pill (except Qlaira®) emergency contraception is required if:

     Two or more active pills have been missed (more than 48 hours late) in week 1 and there has been Unprotected Sexual Intercourse or barrier failure in week one or during the pill-free interval.

  • If you are taking the progestogen-only pill emergency contraceptionis required if:

     A pill is missed or taken more than 3 hours late (12 hours late for desogestrel-only pill) and there has been Unprotected Sexual Intercourse or barrier failure before effectiveness of the pill been re-established (effectiveness is established 48 hours after restarting contraception).

  • If you are using the combined contraceptive patch emergency contraception is required if:

     The patch lifts completely or partially for more than 48 hours, or there is a delay of more than 48 hours in changing patches at the end of week 1 or 2, or there is a delay of more than 48 hours in applying a new patch after the patch-free week, and there has been Unprotected Sexual Intercourse or barrier failure in the past 5 days.

  • If you are using the combined contraceptive vaginal ring emergency contraception may be required if the vaginal ring is:

     Expelled and left outside the vagina for more than 3 hours during week 1 or 2 and Unprotected Sexual Intercourse or barrier failure occurs in the 7 days following this.

     Found to be broken during use, and Unprotected Sexual Intercourse has occurred in the previous 5 days or Unprotected Sexual Intercourse or barrier failure occurs in the 7 days following this.

     Not immediately replaced after the 7-day ring-free break (which then starts a new cycle) and Unprotected Sexual Intercourse occurs during the lengthened ring-free interval.

  • If you are using the progestogen-only injectable, emergency contraception is required if:

     There is a failure to use additional contraception when starting the method and Unprotected Sexual Intercourse or barrier failure occurs during the time that additional precaution is required.

     It is more than 14 weeks since the last injection of medroxyprogesterone acetate or more than 10 weeks for norethisteroneenantate and Unprotected Sexual Intercourse has occurred.

  • If you are using the intrauterine contraception(Cu-IUD) and levonorgestrel intrauterine system (LNG-IUS)emergency contraception is required if:

     Unprotected Sexual Intercoursehas occurred in the 5 days prior to removal, perforation, or partial or complete expulsion of the IUD/IUS.

     There is a failure to use additional contraceptive precautions when starting the LNG-IUS and Unprotected Sexual Intercourseor barrier failure occurs during the time that additional precaution is required.[1]

 

    Please note: it is advised to have a pregnancy test if you start hormonal contraception soon after using emergency contraception, even if bleeding occurs; Pregnancy can be excluded by a urine pregnancy test taken 21 days after unprotected sex.