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I want to have sex without a condom but I'm not taking birth control pills. Will emergency contraceptive pills after sex work just as well to prevent pregnancy?

Tagged as: Big Questions, Health, Sex<< Previous question   Next question >>
Question - (28 August 2016) 9 Answers - (Newest, 5 September 2016)
A female Turkey age 26-29, anonymous writes:

This is a contraceptive related question. I wanna have sex without a condom, i'm also ovulating and i'm currently not on the pills. If i use plan B pills after sex can it be equally effective ? Or will there be a chance of unwanted pregnancy.

View related questions: condom, the pill

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A reader, anonymous, writes (5 September 2016):

Why don't you look into an IUD or something if you don't want to use condoms or the pill?

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A female reader, chigirl Norway +, writes (29 August 2016):

chigirl agony auntNo, not equally effective. Also, plan B is not a contraceptive, actually. It just prevents an already impregnated egg from aattaching to your ovaries. So actually, you must have already gotten "pregnant" when plan B interferes.

Sure it can work. Getting pregnant isnt actually easy at all. Chances are you will not get pregnant, and plan B will raise your chances. But its not 100% effective.

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A female reader, anonymous, writes (29 August 2016):

It will work most likely but not something you want to put yourself through. They aren't fun. Made me very ill before I had to go to the Hospital.

Source- Personal Experience

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A female reader, Tisha-1 United States +, writes (29 August 2016):

Tisha-1 agony auntThe short answer to your question is NO, emergency contraceptive pills are NOT as effective as prescribed birth control pills.

Talk to your doctor about your birth control options. I see your flag shows you as in Egypt so I can’t direct you to a clinic using the plannedparenthood.org site, but it could still be useful for your own personal education.

Here’s one way to frame the question: are a few minutes (or mere seconds for some men) of unprotected sex worth an unwanted pregnancy? Will you look back on those moments when you are dealing with pregnancy as a good decision or a bad decision?

Think with your brain, not your hormones.

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A female reader, Youcannotbeserious United Kingdom + , writes (28 August 2016):

Youcannotbeserious agony auntI am assuming here your partner is putting pressure on you to do this. If that is the case, trust me sweetheart, he does not care for YOU, just for his own pleasure.

You are worth more than this.

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A female reader, like I see it United States +, writes (28 August 2016):

like I see it agony auntYou're mature enough to be asking about unprotected sex, so I'll assume you're mature enough to listen with an open mind to why that is generally a really, REALLY bad idea. Unless you and your sexual partner have BOTH been tested recently for STIs and BOTH you and he have had no other sexual partners since your (clean) test results, you should be using a barrier method each time you have sex. (Note that even testing isn't 100%, because some infections take a certain amount of time before testing can detect them.)

Bareback sex may feel slightly better for your partner, but it also creates an exponentially higher risk to your own health. I know this wasn't part of your question, but it's something you need to keep in mind. Unprotected sex may last a few minutes; many STIs last you a lifetime of awkward disclosures to prospective partners (at best) and severe, enduring health and/or fertility-related consequences at worst.

Now that I've gotten that out of the way, on to your question:

Plan B is known as emergency contraception for a reason: it's not intended as a regular, first-resort form of birth control. Plan B was designed for oh-sh*t-the-condom-broke moments, drunken one-night stands, acts of non-consensual intercourse, and so on. It was never meant to be the one and only line of defense between a conscious, consenting adult woman and an unwanted pregnancy. Not only that, a single Plan B dose doesn't provide lasting protection for any intercourse that takes place after you have taken the pill. If you take it and want to have sex again the next day, you would need another dose.

Not only is Plan B not as effective as regular birth control pills, it's a larger dose of hormones than any one BCP dose contains and can really mess with your natural cycle, at least in the month that you take it. It can delay your period - which you will be anxiously awaiting after otherwise-unprotected sex - leaving you stressed out in the meantime. The larger dose of hormones can even cause vomiting, which may interfere with the effectiveness of the pill because your body doesn't have time to absorb all the hormones it needs to prevent a pregnancy. And again, this is after just ONE dose.

If you are able to get and take hormonal emergency contraception, there should be no reason why your body wouldn't tolerate a regular prescription of hormonal birth control pills. Please consider seeing your doctor, explaining your situation, and letting him or her provide you with a full description of the other, better options that you have for avoiding unwanted pregnancy.

One more thing - I notice your question is posted from Egypt, and if regular contraceptive access would be difficult for you, online sites like Women on Web (https://www.womenonweb.org/) may be able to provide you with a prescription and oral contraceptive pills after you provide a brief health history for online consultation purposes.

Hope this helps you make a safe and informed decision. Good luck and best wishes!

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A reader, anonymous, writes (28 August 2016):

I noticed that you are a very young female. I'm going to come straight with you. Some guy is asking you to to do this.

You cannot prevent sexually transmitted diseases with contraceptive pills. You can still get chlamydia infections, yeast infections, syphilis, gonorrhea, HIV, and other quiet STD's that show no symptoms; from guys who sleep around and tell you otherwise. You don't know what your partner is doing when you're not around; and you must protect yourself not only from pregnancy, but infection.

There will be moments of bad judgment, because we all make mistakes. Those pills are not so you can take risky chances. They are for moments of poor judgement and stupidity; or after a sexual-assault. I'm going to hand it to you bluntly. Use your brain.

You are making a conscious choice here. Which means you can take preventative measures. Condoms don't work 100%, but they do offer a barrier that can protect you from not only pregnancy, but from infections that can be sexually transmitted which can change your life. If not end it!

Use protection, no matter what he says. No protection, no sex.

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A female reader, Honeypie United States + , writes (28 August 2016):

Honeypie agony aunt

Are you kidding? You want to USE emergency contraceptive so you can have "bare-back" (no condom sex).

Do you realize WHAT the Emergency pill DOES to your body? It's not a gummibear we are talking about.

My advice? Don't. It's as foolish as playing REAL Russian roulette.

But TALK to your doctor. IF you don't WANT a pregnancy do what you NEED to do to prevent it that means USE birth control, not emergency contraception.

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A female reader, fishdish United States +, writes (28 August 2016):

fishdish agony auntThere's a bigger chance of pregnancy. From webMd--

"If you take it within 72 hours after you've had unprotected sex, Plan B One-Step can reduce the risk of pregnancy by up to 89%. If you take Plan B One-Step within 24 hours, it is about 95% effective. But you should know that Plan B One-Step is not as effective as regular contraception."

And if taken correctly, the pill is 99.9% effective. Plan b is meant as just that, a plan b, a back up plan if things didn't go as planned. It is NOT intended as regular contraception, and it shouldn't be used like that. There are other options you can use to reduce pregnancy chances--spermicide, a contraceptive sponge (although neither have as high a rate of effectiveness as birth control, they're around 88 effective) but condoms are the only one of these choices that give you protection against STD's/STI's as well. Do more research before you have sex. Talk to a doctor, I don't think any doctor would recommend you use plan B as your only form of birth control.

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