Red flags & when to go in person for Emergency Contraception (Plan B)

Audience: pediatric

Emergency contraception, often called Plan B, is a medicine used to prevent pregnancy after unprotected sex or contraceptive failure. It works best when taken as soon as possible, usually within 72 hours. Many young people can safely learn about and access emergency contraception through telemedicine. However, some symptoms or situations require in-person care to ensure safety and proper treatment. This guide helps pediatric patients understand when to seek emergency care or a physical visit. It also explains what telemedicine can and cannot do regarding emergency contraception. Remember, this information is educational and not a substitute for professional medical advice.

Red flags — go in person / ER

• Severe abdominal pain or heavy vaginal bleeding — go to emergency care immediately.
• Allergic reactions such as rash, swelling of face or throat, or difficulty breathing — seek emergency care.
• Vomiting within two hours after taking emergency contraception — contact healthcare provider for advice.

What telemedicine can do

• Provide education about emergency contraception
• Assess timing and appropriateness for emergency contraception use
• Guide on how to take emergency contraception pills

What telemedicine cannot do

• Diagnose pregnancy or other medical conditions
• Manage severe side effects or allergic reactions
• Perform physical examinations or lab tests

What is Emergency Contraception (Plan B)?

Emergency contraception is a pill that helps prevent pregnancy after unprotected sex or if your usual birth control method didn’t work. It’s most effective when taken quickly, usually within 72 hours, but can be used up to 5 days after. It does not end an existing pregnancy and is different from abortion pills.

When to Use Emergency Contraception

Use emergency contraception if you had sex without protection, your condom broke or slipped, or you missed birth control pills. It’s a backup method and not meant to be used regularly. If you think you might be pregnant already, emergency contraception will not work.

Red Flags: When to Go In Person or to Emergency Care

Seek in-person care immediately if you experience:

Also, if you have known allergies to the medicine or certain health conditions, see a healthcare provider before use.

What Telemedicine Can and Cannot Do for Emergency Contraception

Telemedicine can:

Telemedicine cannot:

Preparing for a Telemedicine Visit

Before your tele-visit, have ready:

After Using Emergency Contraception

After taking emergency contraception:

How to prepare for your tele-visit

• Know the date and time of unprotected sex
• Have information about your menstrual cycle handy
• List any allergies or medications you take
• Find a private, quiet space for your telemedicine visit
• Prepare questions or concerns to discuss with the provider

After your tele-visit

• Monitor for side effects like nausea or spotting
• Use regular contraception methods after emergency contraception
• Take a pregnancy test if your period is more than a week late
• Seek in-person care if severe symptoms develop

FAQs

Can emergency contraception cause pregnancy?

No, emergency contraception does not cause pregnancy. It works to prevent pregnancy after unprotected sex. It will not terminate an existing pregnancy.

How soon should I take emergency contraception?

Emergency contraception works best when taken as soon as possible, ideally within 72 hours after unprotected sex. Some types may be effective up to 5 days, but earlier use is better.

Can I use emergency contraception if I am already pregnant?

Emergency contraception is not effective if you are already pregnant. If you suspect you are pregnant, consult a healthcare provider for appropriate care.

What if I vomit after taking the pill?

If you vomit within two hours of taking emergency contraception, contact a healthcare provider. You may need to take another dose to ensure effectiveness.

Is emergency contraception safe for teenagers?

Yes, emergency contraception is generally safe for teenagers. If you have concerns or health conditions, discuss them with a healthcare provider.

Sources

1. Emergency Contraception — MedlinePlus, U.S. National Library of Medicine.
2. Emergency Contraception: What You Should Know — Centers for Disease Control and Prevention (CDC).
3. Emergency Contraception — 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 any emergency symptoms or have concerns, seek care from a healthcare professional immediately.