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Doctor insights on: Ella Miropolskiy

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If I have taken Ella one after being late on a few pills. Will results be somewhat reliable after 2 days after taking the ec?

If I have taken Ella one after being late on a few pills. Will results be somewhat reliable after 2 days after taking the ec?

Late on bcp: Ella may or may not have been effective in preventing pregnancy. There is only one time when being "late" taking oral contraceptives presents a possibility of pregnancy, and that is at the end of the active pills: if more than seven days elapses before starting another cycle, ovulation can occur. Have a serum test (HCG) done to make certain you are not pregnant. ...Read more

Dr. Heidi Fowler
641 Doctors shared insights

Emergency Contraception (Definition)

Emergency contraception is the method a woman can use to avoid getting pregnant, after she has received sperm in her vagina. She takes the hormone pills, which are usually larger doses of hormones used in oral birth control pills, within a short time (days) after her sexual activity, ...Read more


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My girlfriend used ella twice in two weeks in one cycle. Once because of precum once because I ejaculated in her. Would it decrease its effectiveness

My girlfriend used ella twice in two weeks in one cycle. Once because of precum once because I ejaculated in her. Would it decrease its effectiveness

Morning after use.: In short, multiple uses won't effect effectiveness. I would discuss a better family planning program jointly with your girlfriend and her OB/Gyn or Family Physician. ...Read more

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My girlfriend took two ella in one month. I'm afraid that her period can be late for 2 months or so. Is it possible and what would be the side effects?

My girlfriend took two ella in one month. I'm afraid that her period can be late for 2 months or so. Is it possible and what would be the side effects?

Side effects: Potential side effects w emergency contraception include: menstrual flow changes (spotting, bleeding, early or late period), nausea, vomiting, dizziness, fatigue, headache, breast tenderness & abdominal pain or cramps. Take pregnancy test & notify dr if your period is 7 or > days late. ...Read more

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I took ella (ulipristal acetate) ec last week, however, last night I think my partner may not have pulled out in time. Is it ok to take another pill in the same cycle?

I took ella (ulipristal acetate) ec last week, however, last night I think my partner may not have pulled out in time. Is it ok to take another pill in the same cycle?

Try Plan B: Ella (ulipristal acetate) ec is effective from preventing pregnancy from a single episode and up to 5 days later and may not be effective if you have 2 separate incidents within the 5 days due to long life of sperm. Manufacture of Ella (ulipristal acetate) do not recommend taking more then once per cycle so suggest another form such as plan b. ...Read more

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Ella has ulsa like lumps and the back of her mouth and has had them for a few months now.?

Ella has ulsa like lumps and the back of her mouth and has had them for a few months now.?

See pediatrician: Or otolaryngologist for this problem. This is not a diagnosis that can be made without a physical exam. I would not put it off, especially because it has lasted so long! ...Read more

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Because period is over a week late after taking Ella one does that necessarily mean pregnancy?

Because period is over a week late after taking Ella one does that necessarily mean pregnancy?

Probably not: Ella, Plan B, and other emergency contraception pills can alter the menstrual bleeding for the cycle in which Ella was taken, and sometimes the next cycle too. One should be sure to check a home pregnancy test about 3 weeks after sex, because Ella works most of the time, but not all of the time. Cycles should return to "routine" after the first or second cycle. ...Read more

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Please tell me, could I take ella (ulipristal acetate) after I've already taken a levonorgestrel pill?

Not needed: If you took emergency contraception and followed the instructions correctly then taking a second type of emergency contraception is not needed. If you had unprotected sex again at a different time and now are asking if you can use Ella after a different exposure during the same menstrual cycle then yes it is ok to do that. ...Read more

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Is paragard and ella (ulipristal acetate) a good combination? Do they have any conflicting chemical properties?

Is paragard and ella (ulipristal acetate) a good combination? Do they have any conflicting chemical properties?

Fine but...: It is fine to use emergency contraception while using a paragard iud. The only issue is that it is not necessary. Paragard iuds are very effective. It is not necesssary to take emergency contraception when you have an iud. You are already protected. ...Read more

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Can I breastfeed while taking the ella (ulipristal acetate) pill?

Can I breastfeed while taking the ella (ulipristal acetate) pill?

Ella (ulipristal acetate) Pill: According to the drugs label, Ella (ulipristal acetate) should not be taken while breastfeeding. This is because of the possibility that it can be excreted in human milk. ...Read more

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Can I take Ella (ulipristal acetate) morning after pill twice in one month and can it have an effect on my body?

Can I take Ella (ulipristal acetate) morning after pill twice in one month and can it have an effect on my body?

You can: You can take two times in a month but for future it may be advisable to use a different method of contraception like BCP or Condom
You can get side effects like spotting, bleeing from the vagina
And morning after pill snot 100% effective 89% ...Read more

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I took ella (ulipristal acetate) pill with 24 hours but I am overweight 1.70 snd 99kg will it work? The pharmacist suggested it

Should be effective: Ella (ulipristal acetate) contains ulipristal, a drug which blocks the effects of hormones needed for pregnancy. It is more effective than Plan B/progesterone only emergency contraception. When taken within 24 hours, as you report, it is about 95% effective at preventing pregnancy. I could not find information suggesting it is measureably less effective in the obese patient. Consider reliable contraception methods/IUD ...Read more

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I took Plan B but then I was reading that it is less effective on women that are overweight. Can I take ella (ulipristal acetate) even though I already took plan b?

I took Plan B but then I was reading that it is less effective on women that are overweight. Can I take ella (ulipristal acetate) even though I already took plan b?

Usually one only: You can discuss this with your physician. It depends on when you want the intervention after intercourse. Doubling on these types of medication could cause more side effects. Your physician can answer this better because she or he will know about your case, life style, co-morbidities, etc. ...Read more

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Hi, I have taken ella (ulipristal acetate) one on 5th & again on 7th aug (pull out method also used) Period was due on 11th now 6 days late I'm worrying is this normal? I

Hi, I have taken ella (ulipristal acetate) one on 5th & again on 7th aug (pull out method also used) Period was due on 11th now 6 days late I'm worrying is this normal? I

Take a test: After using emergency contraception it is always a good idea to take a test about 2 weeks later to make sure it worked. Cycle disruption after use is common as it delays or prevents ovulation. Consider birth control to avoid these scares in the future. ...Read more

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EC pill ella (ulipristal acetate): took it 8 days ago, 36 hours after unprotected unconsented sex. Bleed day after taking, normal flow, lasted 4 days. Did ella (ulipristal acetate) work?

EC pill ella (ulipristal acetate): took it 8 days ago, 36 hours after unprotected unconsented sex. Bleed day after taking, normal flow, lasted 4 days. Did ella (ulipristal acetate) work?

Maybe. Maybe not.: EC pills work most of the time, but not all of the time. Always do a pregnancy test 3 weeks after taking emergency contraceptive pills. Between the time of taking the pills and doing the pregnancy test, focus on other things... as whatever will be, will be. ...Read more

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I had sex two days before my period and took an Ella one pill. The period came as scheduled but it was very light and short. Is this normal?

I had sex two days before my period and took an Ella one pill. The period came as scheduled but it was very light and short. Is this normal?

That may be a: Side effect from the Ella One pill. Potential side effects w emergency contraception includes menstrual flow changes (spotting, bleeding, early or late period). Consider regular use of oral contraceptives vice use of emergency contraceptive. ...Read more

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I took Ella on Day 11 of my cycle. I usually ovulate on Day 14/15. I have always used Plan B but never ulipristal acetate. Is this effective?

Ulipristal: Hi, Ella (ulipristal acetate) can prevent pregnancy if taken up to 120hours of sexual activity, depending upon when in the cycle has been taken the rate of success is different, if it's taken prior to surge in hormone LH (usually before day 14th in 28day cycle) then 100% delays the ovulation for 5 days, if taken after LH starts going up then delays the ovulation for 5 days in 78% of cases and if taken during the peak ...Read more

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Used ella (ulipristal acetate) 2months ago. Have slight pain on my inguens+breasts around the possible time im ovulating. Had 3cycles taking 27&23 days. Is this pain normal?

Used ella (ulipristal acetate) 2months ago. Have slight pain on my inguens+breasts around the possible time im ovulating. Had 3cycles taking 27&23 days. Is this pain normal?

Not ella (ulipristal acetate): Ella (ulipristal acetate) is an progesterone agonist/antagonist and is out of your system entirely well before the end of the week. You should not still be having any side-effects. Cycle lengths of 27 and 23 days are normal if you aren't using contraception but it sounds like you need to be on a reliable method of contraception. It is normal to have breast tenderness the week before your period starts. ...Read more

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Why have I come on my period 2 weeks early? I had the ella (ulipristal acetate) 1 pill last week?

Why have I come on my period 2 weeks early? I had the ella (ulipristal acetate) 1 pill last week?

Side effect of pill: An early cycle is a common side-effect of the Ella (ulipristal acetate) one pill. ...Read more

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I took ella (ulipristal acetate) about two weeks ago and my period is 4 days late. What can I do to make it come or is this normal?

I took ella (ulipristal acetate) about two weeks ago and my period is 4 days late. What can I do to make it come or is this normal?

Ella (ulipristal acetate): Ella (ulipristal acetate) is the newest emergency contraceptive in the US and is a progesterone antagonist which is as effective on day 5 as on day 1.Just like with the other emergency contraceptives, it does disrupt your menstrual cycle and will effect your bleeding/your period. Remember, now is the time to consider other more reliable contraceptive options and 95% effective is not 100% so a pregnancy test is in order ...Read more

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Had protected sex, condom split but partner didn't ejaqulate. Took Ella one within 3 days and got my period (on time) 3 days later. 2nd period delay! ?

Had protected sex, condom split but partner didn't ejaqulate. Took Ella one within 3 days and got my period (on time) 3 days later. 2nd period delay! ?

Can do preg. Test: Ella, Plan B, and other emergency contraception pills can alter the menstrual bleeding for the cycle in which Ella was taken, and sometimes the next cycle too. One should be sure to check a home pregnancy test about 3 weeks after sex, because Ella works most of the time, but not all of the time. Cycles should return to "routine" after the first or second cycle. ...Read more

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Sex 1 day b4 ovulation, condon slipped off, took Ella (ulipristal acetate) 36 hours after sex. Now milky discharge 1 day after ella (ulipristal acetate) pill. Will it work?

Sex 1 day b4 ovulation, condon slipped off, took Ella (ulipristal acetate) 36 hours after sex. Now milky discharge 1 day after ella (ulipristal acetate) pill. Will it work?

"Plan B": Taking "Plan B" types of pills 36 hours after unprotected sex may work, but it is not certain. This kind of medication "works" by making the lining of the womb not "hospitable" for implantation of the fertilized egg. It may have been taken too late to create this effect. So get a serum HCG test if your period is at all delayed to know for certain. ...Read more

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I took Ella (ulipristal acetate) on Day 11 of my cycle. I usually ovulate on Day 14 or 15. I am scared that Ella (ulipristal acetate) won't work because its a new product. Can I take Plan B?

I took Ella (ulipristal acetate) on Day 11 of my cycle. I usually ovulate on Day 14 or 15. I am scared that Ella (ulipristal acetate) won't work because its a new product. Can I take Plan B?

Not advised. . .: If you took Ella (ulipristal acetate) within 5 days of sex. It prevents pregnancy by suppressing your natural progesterone and delaying ovulation. It is not recommended that you take Plan B too, as that contains progestins which may interfere with the action of Ella (ulipristal acetate). If you had been taking BCP's and missed doses, use alternate protection as well until your next cycle. Neither is recommended for maintenance BC. ...Read more

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Condon slipped off 1 day before ovulation, took Ella (ulipristal acetate) 36 hours after the incident. 1 day after Ella (ulipristal acetate) I have a milky white discharge. Will Ella (ulipristal acetate) work?

Discharge: It sounds like you did exactly what you're supposed to do. The condom slipped off during a time when you were at risk and you took Ella (ulipristal acetate) within the right time frame. The discharge is unlikely to be related, though should raise concern for STDs if this is a new partner. Take a pregnancy test in two weeks to be sure. ...Read more

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If I took ella (ulipristal acetate) after ovulation could I still be pregnant if there was an unknown pregnancy?

If I took ella (ulipristal acetate) after ovulation could I still be pregnant if there was an unknown pregnancy?

Yes: Ella (ulipristal acetate) works well to prevent pregnancy but it does not work 100% of the time. Of you miss your period then do a pregnancy test. If unsure then visit your gyn. ...Read more

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Took the ella (ulipristal acetate) 1 pill on the 4th day aft having sex few days aft I was bleeding then bleeding again 16day aft for 3days can I be preg?

Took the ella (ulipristal acetate) 1 pill on the 4th day aft having sex few days aft I was bleeding then bleeding again 16day aft for 3days can I be preg?

Pregnancy possible: Whenever a woman's bleeding is your regular whatever the cause may be, pregnancy needs to be ruled out by means of a Urine or blood pregnancy test. ...Read more

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Had ella (ulipristal acetate) 1 pill on the 4th day aft having sex had light bleeding for 3 days 16 days aft taking ella (ulipristal acetate)1 pill can I get preg?

Had ella (ulipristal acetate) 1 pill on the 4th day aft having sex had light bleeding for 3 days 16 days aft taking ella (ulipristal acetate)1 pill can I get preg?

Yes: Emergency contraceptive pills are not 100% effective, so one should always check a pregnancy test 3-4 weeks after sex, and also already be using a reliable form of contraception after the EC was taken. ...Read more

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Hi doctor, I have a question about the EC pill ella. I took it 8 days ago, 36 hours after unprotected unconsented sex. I then got bleed that I assume was my period the day after, which was a normal flow for me, however, it only lasted about 4 days. Now th

Hi doctor, I have a question about the EC pill ella. I took it 8 days ago, 36 hours after unprotected unconsented sex. I then got bleed that I assume was my period the day after, which was a normal flow for me, however, it only lasted about 4 days. Now th

Wait for the test: The home urine pregnancy test is to be done 3 weeks after sex, whenever a woman has used an emergency contraceptive pill. One can just wait for the test result, which usually is negative, and then not worry about pregnancy again (this time). She must be sure to have good contraceptive plans, so that she won't need Ella (ulipristal acetate) again. ...Read more