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Effectiveness of emergency contraceptive - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Excellent Posted in: Birth Control
Answered by

General & Family Physician
Practicing since : 2009
Answered : 593 Questions
User :   Can tri-sprintec be used as an "emergency contraceptive", like some of the other birth control pills as long as I take a certain number of pills in 120 hours?
Doctor :   Hi
Doctor :   How can I help you?
User :   hi
User :   Can tri-sprintec be used as an "emergency contraceptive", like some of the other birth control pills as long as I take a certain number of pills in 120 hours?
Doctor :   These are not effective as emergency contraceptive pills.
Doctor :   Emergency contraceptive pills are progesterone only pills.
Doctor :   You would need those.
User :   I did a little bit of research on the emergency contraceptive like plan b etc, and searched for the closest place around where i live that provides them, and the closest one is 25mi, away..
Doctor :   Ok
User :   but i heard that some birth control pills would work.. so I was trying to go that route, since I can't drive to get the emergency contraceptive
Doctor :   The effectiveness of these pills are not sure.
Doctor :   For better effectiveness, you would need those pills.
User :   Ok, I understand.
Doctor :   To help you better, can I know the details of your menstrual periods?
User :   my last one ended a about a week ago, they only last a few days 3-4, and are pretty regular
Doctor :   Ok.
Doctor :   When was your last sexual intercourse?
User :   yesterday morning
Doctor :   Ok.
Doctor :   Let me explain.
User :   ok
Doctor :   Based on the calculation method of contraception, if your periods had been regular and your periods are once during the month,
Doctor :   You are probably in the safe period.
Doctor :   Safe period on average women are one week before and after periods.
Doctor :   The chances of pregnancy are less.
Doctor :   However this is a very gross calculations.
User :   Ok, I did not now that.
Doctor :   It is better that you get those pills for more effectiveness.
Doctor :   Have you followed what I said?
User :   ok. my periods are regular and once a month, and I would feel more comfortable if I could get the pills. Yes I understand what you're sayig.
Doctor :   Do you have any other query that can assist you with?
User :   just one... do you happen to know if any stores like Walmart, Walgreens, etc. carry the emergency contraceptive, or does it just vary
Doctor :   I am not sure, I would be able to help you with that,
Doctor :   If it is not possible for you to get those pills, then the best alternative would be use the oral birth pills that you have.
Doctor :   You need to take atleast 4 to 5 of those together.
Doctor :   It seems you have moved out of the chat window. Please log in back if you have medical queries.
Doctor :   Hi
User :   hi
Doctor :   I was telling you that you need to take the same pill.
Doctor :   However, you would need atleast 4 or 5 pills together for better effectiveness than a single pill.
User :   ok, so take 4-5 of the pills i have... at the same time?
Doctor :   That would be the last choice, if you are not able to get the emergency Plan B pills.
Doctor :   Have you followed what I have suggested?
User :   yes I have
Doctor :   Do you have any more doubts or queries?
User :   Do I need to take 4-5 more 12 hours after the first set? (websites have suggested doing this)
Doctor :   Emergency contraceptive pills have to be used within 72 hour following sexual intercoures.
Doctor :   If your second dose is within this period, then you may take the second dose of the same medication.
Doctor :   However a single dose can also be effective.
Doctor :   Have you followed?
User :   Ok. I understand, and the second dose would be in the 72hr frame, if I chose to take it again
Doctor :   Yes.
Doctor :   I would suggest you to get the plan B medication, if possible.
Doctor :   However, only if you do not find those, then
Doctor :   1. According to your dates the chances of pregnancy are unlikely, so you can wait and watch.
Doctor :   2. If you do not want to do that, then as an alternative, you may try the second course of medication with those birth pills.
Doctor :   Have you followed?
User :   Yes. I have
Doctor :   Do you have any further queries?
User :   No, that is all. Thank you, you've been extremely helpful.
Doctor :   Please do fill the feedback form too.
Doctor :   Thanks for consulting me. Bye for now. Please refer your friends to our service.
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