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Plan B Emergency Contraception

By Dawn Stacey M.Ed, LMHC, About.com

Updated: October 7, 2007

About.com Health's Disease and Condition content is reviewed by Meredith Shur, MD

"Plan B"

(c) 2007 Dawn Stacey licensed to About.com, Inc.
Definition: Plan B is a brand of progestin-only pills approved by the U.S. Food and Drug Administration (FDA) specifically for emergency contraception. It is also known as the morning-after pill.

History: Plan B is manufactured by Barr Pharmaceuticals, Inc.
  • The FDA approved it as the first progestin-only emergency contraceptive available in the U.S on July 28, 1999.

  • The FDA announced its approval of the sale of Plan B over the counter to women and men 18 and older on August 24, 2006.

  • In November 2006, Barr Pharmaceuticals began shipping nonprescription packages of Plan B to pharmacies across the country.

What It Is: Plan B consists of two pills; each pill contains the progestin hormone levonorgestrel. The pills can be taken 12 hours apart or at the same time.

The name "morning-after pill" can lead to some confusion since Plan B emergency contraception actually consists of 2 pills which do not necessarily have to be taken the morning after unprotected sex occurs.

How to Obtain: Plan B can be purchased over the counter at local pharmacies for women and men 18 or older. Females under the age of 18 must obtain a prescription for Plan B from their doctor. The product is sold behind the counter in retail pharmacies so that age can be verified prior to dispensing.

As a precaution, those girls under 18 can inquire with their doctor about obtaining a prescription for EC to have just in case an emergency occurs. This way, these girls will already have the prescription to use immediately and will not need to wait to get a medical appointment.

When to Use: Plan B can be initiated up to 5 days (120) hours after unprotected intercourse or contraceptive failure.
Side Effects: There have been no reports of serious complications among the millions of women who have used emergency contraception. Side effects caused by progestin-only emergency contraception will usually decrease within one – two days. These side effects include:
  • Nausea and vomiting – although the risk for this is much lower with progestin-only EC (versus combination EC). Nausea occurs approximately 23% of the time while vomiting happens in approximately 6% of progestin-only EC users.

  • A woman may experience breast tenderness due to EC

  • Dizziness and/or headaches are also common
  • EC may change the amount, duration, and/or timing of a female’s next period about 10-15% of the time. This side effect is typically minor, and menstruation will usually occur a few days earlier or later than anticipated.

  • Frequent use of EC may cause periods to become irregular and unpredictable.

  • Emergency contraception, like other contraceptives, may decrease the risk of ectopic pregnancy. However, to be cautious, a woman should inform her healthcare provider that she had taken emergency contraception should she become pregnant following its use, so her doctor can test for the existence of an ectopic pregnancy.

Effectiveness: Plan B is most effective the sooner it is started. Studies have shown that a single administration of two full doses of Plan B EC is just as effective as taking 2 doses, 12 hours apart.

If started within 72 hours of unprotected intercourse, Plan B reduces the risk of pregnancy by 89%. Of every 100 women who use this method, only 1 woman will become pregnant.

Plan B EC will not continue to prevent pregnancy during the rest of a woman’s cycle, so additional contraceptive methods should be used.

Costs: There is a wide variation in cost for emergency contraception.
  • One pack of Plan B can range from $10-$45
There are also costs associated with doctor’s visits should a female require a prescription form of EC.

STD Protection: Plan B EC offers no protection against sexually transmitted infections.

Read A Quick Recap of Emergency Contraception. Then, test your knowledge by taking our Emergency Contraception Quiz!

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