What Happens After a Telemedicine Visit for Emergency Contraception (Plan B)

Audience: adult

After a telemedicine visit for emergency contraception (Plan B), you will typically receive instructions on how to take the medication safely. Emergency contraception is most effective when taken as soon as possible after unprotected sex, usually within 72 hours. Your healthcare provider may discuss possible side effects, such as nausea or changes in your next menstrual period. They will also advise you on what to expect and when to seek further care. It is important to follow the guidance given during your visit and to monitor your health closely. Remember, telemedicine can provide quick access to emergency contraception but is not a substitute for in-person medical care if you experience serious symptoms or complications.

Red flags — go in person / ER

• Severe abdominal pain lasting several hours — seek emergency care immediately.
• Heavy vaginal bleeding soaking more than one pad per hour for two hours — go to the nearest emergency room.
• Signs of allergic reaction such as swelling of face or throat, difficulty breathing, or hives — call emergency services right away.

What telemedicine can do

• Providing information about emergency contraception (Plan B).
• Assessing eligibility for emergency contraception based on medical history.
• Prescribing or advising on emergency contraception use.
• Answering questions about side effects and what to expect.

What telemedicine cannot do

• Performing physical exams or pelvic examinations.
• Diagnosing or treating complications such as ectopic pregnancy.
• Managing severe side effects or allergic reactions.
• Providing long-term contraception methods requiring in-person procedures.

What to Expect Right After Your Telemedicine Visit

You will usually receive a prescription or instructions to obtain emergency contraception quickly. The healthcare provider will explain how and when to take the medication, often emphasizing the importance of taking it as soon as possible. They may also review your medical history to ensure the medication is safe for you.

Possible Side Effects of Emergency Contraception

Common side effects may include nausea, fatigue, headache, dizziness, breast tenderness, or changes in your menstrual cycle. These effects are generally temporary. If side effects are severe or last longer than a few days, contact a healthcare professional.

When to Seek Further Medical Care

If you experience severe abdominal pain, heavy or prolonged bleeding, signs of an allergic reaction (such as rash, swelling, or difficulty breathing), or if your period is more than a week late, seek medical attention promptly. These could be signs of complications that need in-person evaluation.

Follow-Up and Additional Birth Control

Your provider may discuss ongoing birth control options to prevent future unplanned pregnancies. Emergency contraception does not protect against sexually transmitted infections (STIs). Consider STI testing if appropriate, and discuss regular contraception methods with your healthcare provider.

Limitations of Telemedicine for Emergency Contraception

Telemedicine is useful for quick access to emergency contraception and basic guidance. However, it cannot replace physical exams, lab tests, or treatment for complications. In-person care may be necessary if symptoms worsen or if there are concerns beyond emergency contraception use.

How to prepare for your tele-visit

• Have your medical history ready, including any allergies and current medications.
• Know the time since your last unprotected sexual intercourse.
• Prepare a list of questions or concerns about emergency contraception.
• Ensure you have a private and quiet space for the telemedicine visit.
• Have a way to receive the prescription or medication after the visit, such as a nearby pharmacy or delivery option.

After your tele-visit

• Take the emergency contraception medication as instructed, ideally as soon as possible.
• Monitor for common side effects like nausea or changes in your menstrual cycle.
• Watch for any red flag symptoms and seek in-person care if they occur.
• Consider scheduling follow-up care for ongoing birth control options.
• Practice safer sex to reduce the risk of future unplanned pregnancies and STIs.

FAQs

How soon should I take emergency contraception after unprotected sex?

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 earlier use is better.

Can I use emergency contraception more than once?

Emergency contraception can be used more than once, but it is not recommended as a regular birth control method. Frequent use may cause more side effects and is less effective than ongoing contraception methods.

Will emergency contraception affect my regular birth control?

Emergency contraception may temporarily affect your menstrual cycle, but it does not reduce the effectiveness of your regular birth control. Continue using your regular birth control as directed unless your provider advises otherwise.

Does emergency contraception protect against sexually transmitted infections (STIs)?

No, emergency contraception does not protect against STIs. Using condoms is important to reduce STI risk. If you are concerned about STIs, talk to your healthcare provider about testing and prevention.

What if I vomit after taking emergency contraception?

If you vomit within two hours of taking the medication, it may not be fully absorbed. Contact your healthcare provider or pharmacist; they may recommend taking another dose.

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 — Merck Manuals Consumer Version.

This information is for educational purposes only and is not a substitute for professional medical care. Telemedicine guidance cannot replace in-person evaluation and treatment when needed. If you experience serious symptoms or complications, seek immediate medical attention.