If you are under 18, you may need your parents' permission in order to use emergency birth control depending on which state you live in. In California, for example, you do not need to tell your parents if you are 16 or older, but you still need a prescription from your doctor. To find out whether or not you can get EBC pills without parental consent call Planned Parenthood at 1-800-230-PLAN or 1-888-NOT-2-LATE.

Remember, your medical records are confidential and your privacy is protected by law, so it would be illegal for your doctor to tell anyone - even your parents - without your permission.

For more information about emergency birth control and where to get, contact call Planned Parenthood at 1-800-230-PLAN or call the Emergency Contraception Hotline at 1-888-NOT-2-LATE.
Even though regular birth control and emergency birth control are similar drugs that work in similar ways, EBC pills are a controlled high-dose regimen carefully designed to maximize effectiveness while minimizing side effects. You therefore should not use a large dose of regular birth control pills as a means of emergency contraception unless you are instructed to do so by your doctor. If you are considering using emergency birth control, you should either contact your doctor directly or contact call Planned Parenthood at 1-800-230-PLAN or 1-888-NOT-2-LATE for more information on what form of emergency birth control is best for you.

EBC Pills

There are two types of EBC pills: combination estrogen-progestin pills, and progestin-only pills.

Combination Estrogen-Progestin EBC Pills (such as Preven)

Combination estrogen-progestin EBC pills are based on the regimen developed by Dr. Yezpe in 1974. The most common pill of this type is sold as the 'Preven Emergency Contraception Kit'. This type of EBC pill causes nausea in 30-50 percent of women, and vomiting in 15-25 percent of women. Taking anti-nausea or anti-emetic medication beforehand may reduce these side effects. Women who take this type of EBC pill may also experience breast tenderness, fatigue, abdominal pain, irregular bleeding, headaches, and dizziness. These side effects usually subside 1-2 days after the second EBC pill has been taken.

Progestin-Only EBC Pills (such as Plan B)

Progestin-only EBC pills were approved by the FDA in 1999. The most common pill of this type is sold as Plan B. This type of EBC pill is newer and has fewer side effects than pills such as Preven. Studies also suggest that they more effective than Preven as well. This type of EBC pill causes nausea in approximately 25 percent of the women who take it, and vomiting in 5-10 percent.

In 10-15 percent of women treated, EBC pills alter the length and timing of the next menstrual period, as well as the amount of menstrual flow. The effect is usually minor. Studies suggest that if EBC pills are used frequently, periods may become irregular and unpredictable on a more permanent basis.

EBC IUD (intrauterine device) Insertion

Side effects of emergency birth control IUD insertion may include abdominal pain, vaginal bleeding or spotting, heavy menstrual flow, cramping, uterine puncture, and infection. IUDs can cause infections, which can lead to pelvic inflammatory disease (PID). PID can cause infertility.

IUDs may also interfere with fertility by stimulating an auto-immune response, effectively turning the body's defenses against its own eggs and against sperm. Research suggests that these effects may be permanent in some cases, and for these and other reasons IUDs are not recommended for women who wish to have children in the future. IUDs are also not recommended for women who already have a sexually transmitted disease such as HIV, gonorrhea, or chlamydia.

Emergency birth control should only be used in emergencies, and not as a means of regular birth control. While EBC pills may be used safely more than once, research suggests that frequent use may cause long-term menstrual cycle irregularities. Additionally, EBC pills are less effective and more expensive than regular birth control pills.

You should consult your doctor or health care provider each time you are considering using EBC pills.

If you are sexually active you should strongly consider using regular birth control as your primary method of preventing pregnancy. Regular birth control pills are safe, simple, highly effective, and inexpensive. Talk to your doctor to learn more about your options.

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