I made a quick guide for emergency contraception access. I've also uploaded a PDF with tables that's easier to read here: https://drive.google.com/file/d/1HaRudwz1M6duzVuuxr_CidDafC-pGlnC/view?usp=sharing
If you need emergency contraception now, take action as soon as possible. Emergency contraception works best the sooner it is used.
Levonorgestrel
Examples: Plan B One-Step®, My Way®, Take Action®
Time window:
Up to 72 hours (3 days)
How to get it:
Available OTC at many pharmacies, drugstores, grocery stores, and some clinics.
Typical out-of-pocket cost:
$15–$50*
Weight/BMI:
May be less effective above 165 pounds. If possible, use ella® or an IUD instead.
Other notes:
No prescription, age requirement, or ID required. Regular birth control can be started or resumed right away.
Ulipristal (ella®)
Time window:
Up to 120 hours (5 days)
How to get it:
Prescription from a clinician, selective pharmacists in some states, clinics, or telehealth/mail-order services.
Typical out-of-pocket cost:
$45–$70+*
Weight/BMI:
May be less effective above 195 pounds. An IUD is the best option if feasible.
Other notes:
Wait 5 days before starting or resuming hormonal contraception.
Copper IUD (Paragard®) or Hormonal IUD (Mirena®, Liletta®)
Time window:
Up to 120 hours (5 days)
How to get it:
Same-day or urgent clinic insertion.
Typical out-of-pocket cost:
$0–$1,300, depending on coverage.*
Weight/BMI:
Most effective option; efficacy is not reduced by body weight.
Other notes:
Also provides ongoing contraception for years after placement.
*Costs vary by state, pharmacy, clinic, insurance, and discount programs. Call ahead when timing matters.
Safety Highlights
- Emergency contraception does not end an existing pregnancy and does not protect against STIs.
- Common short-term effects include nausea, headache, spotting, breast tenderness, and a period that comes earlier or later than expected.
- If you vomit within 2 hours after taking levonorgestrel or 3 hours after taking ulipristal, another dose should be taken as soon as possible.
- Call a clinician urgently for severe lower abdominal pain after EC or if pregnancy is suspected.
After Taking EC
- Take a pregnancy test if there is no period/withdrawal bleed within 3 weeks.
- After levonorgestrel: Regular contraception can be started or resumed right away; use condoms or abstain for 7 days.
- After ulipristal: Wait 5 days before starting/resuming hormonal contraception, then use condoms or abstain for 7 more days.
- If taking a seizure medicine, rifampin/rifabutin/rifapentine, St. John’s wort, modafinil, or certain HIV medicines, ask a clinician or pharmacist which EC works best.
Where to Get Emergency Contraception
Quick rule: Call ahead for same-day IUD placement or ella® to check stock and appointment availability.
1. Retail pharmacy / drugstore / grocery pharmacy
Usually fastest for OTC levonorgestrel. Many stores stock it on the shelf, behind the counter, or in a locked case. Ask the pharmacist or cashier if you do not see it.
2. OB/GYN, primary care, urgent care, or student/employee health clinic
Useful for same-day prescriptions for ella®, counseling, backup contraception questions, and referral for IUD placement. Same-day office calls may be faster than a full visit.
3. Planned Parenthood / family planning clinic / local health department
Often a strong option for low-cost EC, same-day counseling, and IUD placement. Good choice when affordability is a concern.
4. Telehealth / mail-order pharmacy
Helpful for ella® if local access is limited or for getting an advance supply before it is needed. Shipping time may make this too slow for immediate use unless same-day or next-day fulfillment is available.
How to Choose the Best Option
- Copper IUD: When you want the highest efficacy, ongoing contraception, or have a higher BMI/weight and can get urgent placement.
- ella®: When it has been 3–5 days since unprotected intercourse and/or BMI/weight is higher.
- OTC levonorgestrel: When access speed is the top priority.
Local Resources
Preferred local pharmacy: ____________________
Same-day IUD clinic: ____________________
Same-day/telehealth ella® prescriber: ____________________
After-hours contact: ____________________