The non-hormonal emergency contraception involves inserting a copper IUCD into the uterine cavity within 5 days of unprotected sex. This is relatively cheap but effective method with approximately 99% success. It may however be difficult to insert in women that have not given birth before as the cervix may be tight. If successfully inserted, it can then act as a long term contraceptive as it lasts for 5 years before it needs to be changed. Copper IUCDs can be associated with heavier menses so alternatively, some women may prefer the progesterone only oral contraceptive pill, Ella, which is a single table to be taken orally within 5 days of unprotected intercourse. As it is a hormone, it is not associated with heavy menses and may be more suitable for women who have never given birth before. It is however associated with vomiting so if this happens, you will need to see your gynaecologist for another tablet. Ella is often therefore prescribe with an anti-emeitc to reduce the likelihood of vomiting. Ella is equally effective. Ella should not be used as a regular short-term method of contraception. You should follow up with your gynaecologist for more reliable reversible long-term or short-term contraception.
Dr Christopher NgGynaeMD Women's & Rejuvenation Clinic
#04-03A Camden Medical Centre
1 Orchard Boulevard