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Can someone please explain to me how the morning after pill works?

Tagged as: Big Questions, Health, Sex<< Previous question   Next question >>
Question - (6 December 2011) 8 Answers - (Newest, 11 December 2011)
A female United States age 36-40, anonymous writes:

Can someone please explain to me how the morning after pill works? I keep getting different answers from different sources.

It's my understanding that it's supposed to delay or even prevent ovulation (if your body has not yet already ovulated), but what if you HAVE already ovulated? How does it work, then?

I know that, given my age, this may seem silly in asking. But better late than never. So...Another few questions:

If a man fingers a woman after touching himself, and/or attempts to penetrait, but is stopped, or decides not to, while she is in her fertile window, what are the realistic chances of her becoming pregnant from that?

Back story:

I ask because I'm in this predicament... and I have never been in this situation before. I've never had sex. I was either not interested, knew the time wasn't right for me, and agreed with myself it's not happening until preferrably AFTER college (check)--but even then, only when I knew without a doubt that I was ready. Though, over the past few months, I've been very, very slowly broken in to messing around. Even now I have mixed emotions about it, which is part of why I know I am still not ready either emotionally or psychologically for this. He started to attempt (and didn't get very far), but stopped because I nearly freaked out. I was on day 14-15 of my menstrual cycle. (on day 17 now...) Even if that was not the case, I would have said no, because, like I said, I simply do not feel at all ready for it.

Not wanting to take ANY chances (and not at all being able to afford to take any chances at this point in my life :( ) I went and for the first time in my life took the morning after pill- it came with two doses, and I took the first one immediately after purchasing (which was by that point nearly some 8 to 12 hours after we were messing around) and the second dose about 9 hous later because I felt drowsy and didn't want to risk forgetting. ...He stayed with me through it all. I don't know if I had aldready ovulated sometime between when we were messing around and when I took the first pill, but if I had...? What are the risk factors?

I'm scared. Really scared. Please help.

Thank you in advance

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A female reader, anonymous, writes (11 December 2011):

Original poster here, again...

I decided to do an update, since it has been a week since I have taken the pills. The effects it has had on me? Sensitive breasts, but that is about it. It didn't make me spot or have a mini period, and I am not sure if that is good or bad..

....Is there anything else I should expect?

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A female reader, chigirl Norway +, writes (7 December 2011):

chigirl agony auntYou need to ask your doctor for other options as well. There are several other options, but your doctor will ultimately be the best to explain them all to you and help you find what works best for you.

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A female reader, anonymous, writes (7 December 2011):

Original poster here;

Thanks everyone. :) I feel a little less on the edge.

I probably should have mentioned that the birth control pill isn't really an option for me; because I have dysmenorrhea (very, very severe menstrual cramps- so painful I sometimes faint if left untreated or unprepared), I was on it when I was 19 and for a while it worked, but then it really, really, screwed me up. I was bleeding for weeks at a time. I'm surprised I could function.

In the last year and a half, I have been getting a lot of headaches- they are easily triggered. In addition to that, my menstrual pains started to come back after almost two years of being dormant- I learned that the hard way when I fainted in class after the instructor (she was a slave driver..) would not let me go home.

Long story short: I went to the gynecologist and asked about getting back on birth control to ease the cramps and make my academic life and work life easier (not being forced to choose between staying home or passing out in public once a month and having that effect my grades is nice :P ) but she said because I got so many headaches without a known cause, it was not safe for me to do so. :/

...Sigh.

Apart from birth control, what other options are there?

Thanks again for your help!

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A female reader, Purple Pillow Power Iceland +, writes (7 December 2011):

Purple Pillow Power agony auntthe morning after pill actually makes you have a mini peiriod. if you have un-protected sex and you think oh damn! what if im preggers you take the morning after pill and it collects some blood from the linning of you womb (only if your pieriods have not come at that moment) and flushes the unfertial or fertial egg out. to be honest if a man gives you hundreds of sperm sells during sex how are 10-15 half dead cells going to make there way 'up there' 'thought there' and get into the egg fertiall but there is 1 millionth of a chance a cell might have just perked up that last 100 meter spring although i think you have nothing to worry about

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A female reader, chigirl Norway +, writes (6 December 2011):

chigirl agony aunt It is my understanding that the pill primarily does not prevent ovulation, but prevents an egg from attaching in the womb. However if it has already been attached (meaning you got pregnant), it does nothing. The morning after pill does not necessarily cause you a menstruation, usually it doesn't affect your cycle at all. However if you take more than one pill during one cycle your cycle can be affected by in-between bleedings and spotting, or your period coming at a different time than predicted. But to get a very specific answer just read the leaflet or ask your doctor.

Realistic chances for a woman to get pregnant in your scenario? Extremely small. Unless there was sperm on his hands and he shoved it inside you, close to zero chance of pregnancy. I mean there needs to be sperm, ok, him just touching himself doesn't mean there is a risk of pregnancy.

You're not going to get pregnant, not from this, and certainly not after taking the morning after pill. I didn't know of types that come in two doses, I've just used Norlevo which is one single pill.

Maybe you should consider starting with birth control pills so you do not have to worry about these things? If you are on birth control you can have him rub up against you as much as you please without worrying about it.

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A female reader, bluecow United Kingdom +, writes (6 December 2011):

bluecow agony auntAs a general rule the morning after pill has a two pronged effect.

It alters the lining of the womb (by blocking certain hormones temporarily) to make it impossible for an egg to implant

It prevents ovulation (if you havent already ovulated).

Some contain a hormone which will break down the lining of the womb - meaning you will have an early period.

Like any contraception it is not 100% effective... however it is most effective when taken within the first 24 hours of sex. You took your first dose within 12 hours so that is covered.

IF your really worried, wait 2-3 weeks from the date, and take a test.

As for the chances of getting pregnant through non-penetrative sex. Its possible but not probable. It would be a very very unlucky lady to get pregnant that way.

Can I suggest that whilst you are still "messing around" that you consider some form of longer lasting contraception? And get yourself and your OH off for a health check to make sure your both free of any nasties. Its not just sperm which can be transferred when messing around.

IF you feel so uncomfortable with what you have been doing... then STOP. Only you have control of this, and if you dont want to do it then stop! If your OH loves and respects you he will understand that you need to slow down.

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A female reader, k_c100 United Kingdom +, writes (6 December 2011):

k_c100 agony auntThis should explain it - http://www.levonelle.co.uk/about-levonelle/how-does-it-work.htm

Basically it does stop ovulation so the sperm cant fertilise the egg (because there is no egg). If you have already ovulated, then it moves onto the next step - prevents the sperm from fertilising the egg. And it also changes the womb lining so no egg could attach itself if it was fertilised. So it has 3 ways of stopping you getting pregnant, depending on whether you have ovulated or not maybe only 2 of them will occur.

As for the question - can you get pregnant if he touched himself then touched you/tried to penetrate you - did he ejaculate and then attempt to enter you or finger you with ejaculate on his fingers?

If he ejaculated and then tried to penetrate you or finger you then there is a very small chance that you could be pregnant.

If he did not ejaculate then there is always the chance there was some pre-ejaculate which contains some sperm - but the chances are even less likely than the above scenario.

Overall I would be 99% certain that even without taking the morning after pill there is no way you could be pregnant, if he didnt get very far inside you then it is highly unlikely you could get pregnant from that.

But you have taken the morning after pill, you took it very quickly so there is no way you will be pregnant now, try and relax you really dont have anything to worry about.

And perhaps as a future note, think about going on birth control if you are fooling around, even if you are not planning on having sex it will still put your mind at ease and things like this wont happen again.

I hope this helps and good luck!

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A female reader, anonymous, writes (6 December 2011):

I am no medical expert but I dare say you are 99.99999% fine.

Basically for a normal woman (my understanding anyway) you ovulate mid cycle and around 14 days later, your body prepares for either a pregnancy or to shed the lining of your uterus to flush out the unfertilised eggs - your period (if you do not fall pregnant)

The morning after pill basically 'tricks' your body into flushing out your eggs/uterus - mkaing you bleed. In other words, if any sperm is on its way to an egg, the body flushes it out before it gets a chance to meet the egg and well impregnate it. Theres probably more to it but being basic, thats my understanding of it.

Now as for any fluids - there is a small chance that if a guy is touching himself, cums on his fingers then inserts them quite well into a woman, she could fall pregnant. But as for pre-cum (fluid before the man actually cumming) or fondling, theres very very slim chance of a women actually falling pregnant.

Basically there was slim chance tobegin with and now youve taken the morning after pill, theres even less chance you are pregnant.

I think its a great thing that you are so concerned. It shows you aren't ready yet for sexual activity. I think its great you are able to identify this fear and not rush into something you dont feel comfortable with. Take your time with an understanding guy and always use protection. If you are extremely worried and are becoming sexually active with your boyfriend, consider going on the pill and using a condom also and it will ensure you are well protected from pregnancy (and risk of STIs by using a condom).

Also try reading online for other information. Web md website is great if you go to women's section. theres lots of questions just like yours and information for women. All the best!

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