How to prepare for a video visit about Emergency Contraception (Plan B)

Audience: adult

Emergency contraception (EC), often called Plan B, is a method used to help prevent pregnancy after unprotected sex or contraceptive failure. A video visit with a healthcare provider can help you learn about EC options, how to use them, and whether they are right for you. Preparing for your telemedicine appointment can make the visit more helpful. During the visit, you may discuss your health history, timing of intercourse, and any medications you take. Emergency contraception is most effective when taken as soon as possible, typically within 72 hours after unprotected sex. This guide will help you prepare for your video visit, understand what telemedicine can and cannot do regarding EC, and know when to seek urgent in-person care.

Red flags — go in person / ER

• Severe abdominal pain or cramping after taking emergency contraception — seek emergency care immediately.
• Heavy or prolonged vaginal bleeding following emergency contraception use — contact a healthcare provider urgently.
• Signs of allergic reaction such as rash, swelling, difficulty breathing, or dizziness — call emergency services right away.

What telemedicine can do

• Providing information about emergency contraception options and usage.
• Assessing timing and risk related to unprotected sex.
• Prescribing emergency contraception pills when appropriate.
• Answering questions about side effects and follow-up care.

What telemedicine cannot do

• Performing physical examinations or pregnancy tests.
• Diagnosing or treating complications such as ectopic pregnancy.
• Managing severe side effects or allergic reactions.
• Providing ongoing contraception management beyond emergency contraception.

What is Emergency Contraception?

Emergency contraception (EC) is a way to reduce the chance of pregnancy after unprotected sex or if your usual birth control method fails. It includes pills like Plan B, which contain hormones to delay ovulation, and other methods your provider may discuss. EC is not the same as abortion; it prevents pregnancy before it starts.

Preparing for Your Video Visit

Before your video visit, gather important information such as the date and time of unprotected sex, your menstrual cycle details, and any medications or supplements you are taking. Find a private, quiet space with a reliable internet connection. Have a list of questions or concerns ready to discuss with your provider.

What to Expect During the Telemedicine Appointment

Your healthcare provider will ask about your health history, timing of intercourse, and any allergies or medications. They will explain your EC options, how to use them, and possible side effects. The provider may also discuss follow-up care and ongoing birth control methods.

When to Seek In-Person Care

If you experience severe abdominal pain, heavy bleeding, or signs of an allergic reaction after taking EC, seek emergency medical care immediately. Also, if you suspect you are already pregnant or have repeated unprotected sex, an in-person visit may be needed for further evaluation.

Understanding Telemedicine for Emergency Contraception

Telemedicine can provide education, counseling, and prescriptions for emergency contraception quickly and conveniently. However, it cannot perform physical exams, pregnancy tests, or treat complications that require hands-on care.

How to prepare for your tele-visit

• Note the date and time of unprotected intercourse or contraceptive failure.
• Record the first day of your last menstrual period.
• List any medications, supplements, or allergies you have.
• Find a private, quiet place with a stable internet connection for the video call.
• Prepare any questions or concerns you want to discuss with the provider.

After your tele-visit

• Take emergency contraception as directed, ideally as soon as possible after unprotected sex.
• Monitor for side effects such as nausea, fatigue, or spotting.
• Avoid unprotected sex until your next menstrual period or consult your provider about ongoing birth control.
• Contact your healthcare provider if you experience any red flag symptoms.
• Consider scheduling follow-up care for regular contraception planning.

FAQs

How soon after unprotected sex should I take emergency contraception?

Emergency contraception is most effective when taken as soon as possible, ideally within 72 hours (3 days) after unprotected sex. Some types may work up to 120 hours (5 days), but effectiveness decreases over time.

Can emergency contraception cause pregnancy?

Emergency contraception reduces the chance of pregnancy but does not guarantee prevention. It works mainly by delaying ovulation. If you are already pregnant, EC will not terminate the pregnancy.

Are there any side effects from taking Plan B?

Common side effects may include nausea, fatigue, headache, dizziness, breast tenderness, or changes in your next period. These side effects are usually temporary.

Can I use emergency contraception more than once?

Emergency contraception can be used more than once, but it is not intended as a regular birth control method. Frequent use may cause menstrual changes. Discuss ongoing contraception options with your provider.

Do I need a prescription for emergency contraception?

In many places, some types of emergency contraception are available over the counter without a prescription. However, a healthcare provider can help determine the best option for you during a telemedicine visit.

Sources

1. Emergency Contraception — MedlinePlus, U.S. National Library of Medicine.
2. Emergency Contraception — Centers for Disease Control and Prevention (CDC).
3. Emergency Contraception: What You Should Know — Mayo Clinic.
4. Emergency Contraception — National Library of Medicine.

This telemedicine guidance is for educational purposes only and is not a substitute for in-person medical care. If you experience severe symptoms or have urgent health concerns, seek immediate medical attention.