Emergency Contraception

Emergency contraception (EC) is intended to prevent pregnancy after unprotected sex or contraceptive failure.  Two types of EC are Plan...

Emergency contraception (EC) is intended to prevent pregnancy after unprotected sex or contraceptive failure.  Two types of EC are Plan B One-Step and Ella.

Plan B One Step is a single pill that contains a large amount of a progestin hormone found in some birth control pills.  Plan B is taken within 72 hours of sex.  Plan B may work in two ways: preventing the egg and sperm from meeting and /or preventing the embryo from implanting in the uterus, leading to the death of the embryo.  It will not end a pregnancy that has already implanted.

Ella is a progesterone blocking hormone developed specifically as emergency contraception.  It is intended to be used within 5 days of unprotected sex.  Ella may work in two ways.  It may prevent or postpone ovulation.  It may also prevent or disrupt an embryo from implanting in the uterus or developing further.   The impact on existing pregnancies was not tested in women; however, Ella did cause abortions in pregnant animals, including monkeys; and carries the same potential in humans.

Both Plan B One step and Ella emergency contraceptives are not only contraceptive in effect, but are potentially abortive, resulting in the embryo’s death.

WEBSTER v. REPRODUCTIVE HEALTH SERVICES,” The Oyez Project at IIT Chicago-Kent College of Law, accessed June 21, 2014,http://www.oyez.org/cases/1980-1989/1988/1988_88_605/.
Larimore, W. L. (2000). The abortifacient effect of the birth control pill and the principle of the ‘double effect. Ethics & Medicine16(1), 23-30.
Mayo Clinic (2012, December 4). Fetal development: The first trimester – Mayo Clinic. Retrieved June 22, 2014, from http://www.mayoclinic.org/healthy-living/pregnancy-week-by-week/in-depth/prenatal-care/art-20045302.
Plan B One-Step | Drug Summary | PDR.net. (2014). Retrieved June 22, 2014, from http://www.pdr.net/drug-summary/plan-b-one-step?druglabelid=573&id=1542.
Teva Women’s Health, Inc (2013, December). Plan B One-Step®: FAQs: How does Plan B One-Step® work? Retrieved June 22, 2014, from https://www.planbonestep.com/faqs.
Watson Pharma, Inc. (2014, January). ELLA- ulipristal acetate tablet: Mechanism of Action. Retrieved June 22, 2014, from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4216625/
U.S. Food and Drug Administration (2014, April). ELLA (ulipristal acetate): Mechanism of Action. Retrieved on June 22, 2014 from http://www.accessdata.fda.gov/drugsatfda_docs/label/2012/022474s002lbl.pdf.
29.1. PDR.net (2014). ParaGard | Drug Summary | PDR.net. Retrieved June 22, 2014, from http://www.pdr.net/drug-summary/paragard?druglabelid=572.
29.2. Larimore, W. (2000). The abortifacient effect of the birth control pill and the principle of ‘double effect’. Ethics & Medicine16(1), 23-30. 29.3. U.S. Food and Drug Administration (2014, April). ELLA (ulipristal acetate): Mechanism of Action. Retrieved on June 22, 2014 from HTTP www.accessdata.fda.gov/drugsatfda_docs/label/2012/022474s002lbl.pdf.
29.4. Teva Women’s Health, Inc (2013, December). Plan B One-Step®: FAQs: How does Plan B One-Step® work? Retrieved June 22, 2014, from HTTPhttps://www.planbonestep.com/faqs/.

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