Sometimes life doesn’t go according to plan – a condom breaks, you miss a birth control pill, or maybe sex just wasn’t on your to-do list that day. When that happens, emergency contraception can be a reliable backup to help prevent pregnancy.
In this post, we’ll walk you through everything you need to know about emergency contraceptive pills (ECPs) how they work, the different types, when to take them, possible side effects, and where to get them in Nigeria.
What Are Emergency Contraceptive Pills?
Emergency contraceptive pills, often called “the morning-after pill” are medications used to prevent pregnancy after unprotected sex or contraceptive failure.
They are not abortion pills and do not harm an existing pregnancy. Instead, they work by delaying ovulation (the release of an egg), which helps prevent fertilization in the first place.
Types of Emergency Contraceptive Pills
There are two main kinds:
1. Levonorgestrel-Based Pills
- Common brands: Postinor-2, Postpill, Back-up
- Most effective when taken within 72 hours (3 days) after unprotected sex
- Available over the counter in most Nigerian pharmacies
- Best taken as soon as possible
2. Ulipristal Acetate Pills
- Common brands: Ella, EllaOne
- Can be taken up to 5 days (120 hours) after unprotected sex
- Slightly more effective than levonorgestrel, especially on days 4 and 5
How Do ECPs Work?
Emergency contraceptive pills work mainly by:
- Delaying ovulation so the egg isn’t released
- Preventing fertilization if taken before ovulation
They do not:
- Interrupt an existing pregnancy
- Cause an abortion
- Protect against sexually transmitted infections (STIs)
When Should You Use Them?
You might consider taking an ECP if:
- You had unprotected sex
- Your regular contraceptive method failed (e.g., a missed pill or a broken condom)
- You experienced coerced or forced sex
Timing is everything – Levonorgestrel works best within 72 hours, while Ulipristal is effective for up to 5 days.
How Effective Are They?
- Levonorgestrel: Up to 89% effective, if taken within 72 hours
- Ulipristal: Up to 95% effective, if taken within 120 hours
Neither method is 100% effective, and their effectiveness drops the longer you wait.
Possible Side Effects
Most people tolerate ECPs without major issues. Common short-term side effects include:
- Nausea or vomiting
- Headaches
- Breast tenderness
- Dizziness or fatigue
- Irregular bleeding or a delayed period
Tip: If you vomit within 2 hours of taking the pill, you may need another dose. If your period is more than 7 days late, take a pregnancy test.
Can You Use Them Regularly?
No. ECPs are designed for occasional use, not as a regular birth control method. Frequent use can cause menstrual irregularities and hormonal imbalance.
If you find yourself needing them often, consider talking to a healthcare provider about longer-term options that fit your lifestyle.
Where to Get Emergency Contraceptives in Nigeria
Levonorgestrel-based pills like Postinor-2 and Postpill are widely available without a prescription at most community pharmacies.
They are also available free of charge at TIERs Wellness Centre.
Final Thoughts
Emergency contraceptive pills are a safe, effective backup when things don’t go as planned, but they’re not a replacement for regular contraception or STI protection. Acting quickly is key to getting the best results.
If you’re unsure or have concerns, don’t hesitate to visit our Wellness Centre or send a WhatsApp message to 08149616381. And remember: the sooner you take them, the better they work.
