RH Reality Check
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Get Real! Can I Just Use EC as Birth Control?

Heather Corinna's picture
LizzyUK2002 asks:

I am going to have sex with my boyfriend soon, but I am really scared about getting pregnant. We are going to use a condom but I'm paranoid that I'm going to get pregnant. I could go on the pill but my mum wont let me.. so I'm going to ask my friend's mum, also. If I could get the morning after pill and take it just in case it won't harm me will it?

Heather replies:

It won't do you harm that once, nor will using emergency contraception more than once: there isn't any data at this time which shows single or repeat use presents health risks beyond those we see with other hormonal BC. You can take a look at this page or this one for more information on EC, including possible risks or side effects.

But Plan B is not likely to be a workable long-term birth control plan for you.

After all, if you're going to have sex together once, it's likely enough you'll do so again. You probably can't be -- and probably won't want to be -- using EC every single time.

EC is very expensive, for starters (over £22 in the UK if you're paying for it yourself). It also can tend to result in feeling a bit under the weather for a few days -- and for some women, a few weeks -- and in tossing your menstrual cycle out of whack, which is doubly stressful for someone terrified about pregnancy. When you're scared of being pregnant, that period coming on time is often a serious sanity-saver.

As well, emergency contraception is really not meant to be used save for in emergencies and when you KNOW or strongly suspect a birth control method has failed. It's not designed for use as ongoing backup contraception. While the hormones in it are the same as hormones used in some other methods of in-advance hormonal contraception, when it comes to hormones, we know that we usually want to do what we can to put as few in our bodies as possible. The level of hormones in EC is higher than that in, for instance, birth control pills, so if you want a hormonal method you can use as a backup regularly, it's a better idea to obtain an ongoing method you can use with lower daily doses.

The morning-after pill is also less effective than before-the-fact hormonal methods, like the birth control pill, the vaginal ring or Depo-Provera. For people who don't want to become pregnant, we usually want to look first to the most effective methods we can use rather than to those which are less effective.

So, here's what I see as your options right now.

1) Just wait for partnered sex and/or intercourse until you CAN do all the things which really are needed for that, like getting regular sexual healthcare and being able to use whatever birth control method you need, and until you are more comfortable with and feel more able to handle the risk of pregnancy which will be present (even when it's small) with intercourse no matter what method of birth control you use.

Sex isn't going to be very enjoyable for you -- before, during or after -- if you're terrified the whole time, after all, and if it's not something you can feel relaxed and safe with, it just doesn't make much sense to be doing it. Too, please understand that besides having higher risks, and additional risks of pregnancy, vaginal intercourse isn't something somehow SO different from other kinds of sex. In other words, if you and yours have what you need to do other things safely, you're not going to be getting any less intimacy or pleasure from just doing those things for now than you would by adding intercourse, especially since you're female. The majority of women don't reach orgasm from intercourse, and some don't find it physically or emotionally satisfying, particularly all by itself.

2) Read up on condoms, both of you. After all, avoiding pregnancy should be a concern you share and both commit to. Learn all you can do to use them right, how they fail, and what you can do to prevent that. By all means, you can keep a packet of EC around for if the condom fails, and use it then if need be. But really, when you're both using condoms properly and consistently, they are not likely to fail, and you can usually tell when they have. If they haven't been used for all direct genital contact, if they slip off into the vagina, if they break or tear, then you have a possible failure and you can know when and if any of those things happen and if you'd need to use EC. With perfect use, condoms are around 98% effective, and doing things like being sure to use them with additional lubricant, or even adding a spermicidal film or foam (which you can purchase at the pharmacy where you buy condoms) are ways to bump up that effectiveness even higher if you can't yet access or don't want to use hormonal methods.

3) Go and get the sexual healthcare and birth control that you need, on your own. It's not actually up to your mother if you do or do not use a method of contraception. You can obtain contraception without her company or permission, and use it without her permission as well.

It appears you're in the UK. You can go to a GUM clinic for that healthcare and birth control, or to a Brook center, for instance. That way, you can get what you need, add the condoms, and feel better prepared. If I guessed wrong, and you're somewhere else, do an Internet search for your country, state or province and "birth control," "contraception," or "family planning," to find clinics near you.

I'd still suggest sticking with condoms even if you do get an ongoing hormonal method, though, both because combining two methods beats one alone and because other methods of birth control don't give you any protection against sexually transmitted infections, a protection you also need which condoms provide. You'll also need to get started in the habit of yearly testing for sexually transmitted infections if you're already or going to be sexually active (and so should your boyfriend: both partners need regular testing, not just one). You can get that healthcare at those places, too.

Finally, I would just be sure this is something you're really ready for now. Again, no method of birth control is 100% effective, so one part of sound readiness for intercourse is feeling and being capable of handling an accidental pregnancy if it happens. Mind, when you are using condoms plus another reliable method of birth control, that isn't very likely, but it is still always a possibility that we always need to feel we could at least handle, if it happened. If it doesn't feel like you could deal with that yet, then it's probably best for you to hold off on sex until you feel more capable of handling that risk. Sometimes, in our lives, even if we've had intercourse before, we may take a break just because at any given time, we're not ready to manage a possible pregnancy or just don't even want to deal with worrying about it.

And if your partner can't wait until you're as ready as you can get -- including dealing with these risks, having the time you need to get prepared, and feeling more relaxed about all of this -- and this is seeming like something you feel you have to rush, that's a big sign that HE isn't ready for sexual partnership, either, and that doing this now would probably be a bad idea. The right partner for any of us, no matter our age or sexual experience, is always going to be one with the maturity and care to accept and honor our needs as well as our limitations at any given time.

Here are a few more links for you that should help out:


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6 comments
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Another thing to read up on is ways to give each other sexual pleasure without a risk of pregnancy. As long as you wash anything that's been in contact with his penis before it comes in contact with your vagina (hands, washcloths, etc.) and use flavored dental dams and condoms for oral sex (sperm can go from the penis to mouth to partner's mouth to vagina in some rare cases, and STIs are always a risk with oral sex), you will not have a pregnancy risk.

If you can't find dental dams take a flavored condom and cut the tip off then cut it lengthwise, OR take a flavored dentist's glove, cut the fingers off (leaving the thumb intact) and cut it vertically near the thumb, and you have a (slightly larger than condom-cut) dental dam with a little thumb grip to one side.

Submitted by Michelle on August 16, 2008 - 11:20am.

If you think you are not protected from condom alone, I suggest you using Plan B emergency contraceptive pills. Take one pill within 3 hours of unprotected sex and another after 12 hours. However, EC may not be solution for you if you are sexually active. In that case, you will need to go for monthly birth control pills doses. May I suggest you to visit at mybirhtocntrolstore.com where you can find the list of major birth control pills women are mostly using? Thanks.

Submitted by Linda Crowford on August 17, 2008 - 3:05am.

nice article

Submitted by Prakash Thapa on October 15, 2008 - 4:53pm.

One of the things I don't see covered in this article or answer is the concern for possible STD's.

If you are considering having intercourse, one really big risk you need to be aware of is the potential that non protected sex with someone opens not only the potential for pregnancy, but the potential to contract a disease.

If you are not completely serious about this person, or are not sure how long this relationship will last, or you have not had any meaningful open discussion about previous partners, or previous past, you are dealing with potential high risk behavior.

Pregnancy is one thing, a life long or even life threatening STD is completely another.

Matt

Submitted by Matt @ porcelain veneers on November 5, 2008 - 4:11am.

I was listening to NPR this week, and they were talking about abstinence programs in schools, and how they weren't really working.

The challenge is that teens, when they are ready to have sex, are going to have sex. So, the important thing is to teach about sex, and the consequences.

Educating about abstinence as the best way, but also providing the important ideas about what can happen and the consequences to sex, then allowing teens to decide is going to make the differnece.

Lizzy, using a condom is a good idea, but the morning after pill I think you need prescription for. If you are paranoid, then don't have sex. You will drive yourself crazy.

When you are completely ready, you will know.

Mike

Submitted by Mike@ Clean Red Widgets on November 15, 2008 - 4:00am.

for the morning after pill if you are 18 or older. and in the state of california, minors can get the morning after pill without a prescription and without parental notification.

Submitted by betty brown on November 15, 2008 - 5:24am.