Monday, September 13, 2004


I am sure there is something borderline illegal about my dispensing of medical advice on the internet, but there are just some things I need to share with people. Also, I was recently told by one of my attendings that he thinks all sexually active women need to know the following info, and that if they don't know it, the medical community has failed them.
Since I don't want to contribute to that failure, today I will share a recipe for emergency contraception, known as the Yutzpe Method.
This recipe uses your basic birth control pills to prevent pregnancy after unprotected or unplanned sex.
There are just a few rules you need to follow:
1. You have to do this within 72 hours of sex to have the best effect
2. You have to take the second dose promptly 12 hours after the first dose for maximum effect.
So, here you go.
Each dose is either:
2 pills of Ovral or Ogestrel, OR
4 pills of Cryselle, Levlen, Levora, Lo/Ovral, Nordette, Tri-Levlen, Tri-Phasil, Trivora, Lo-Ogestrel, OR
5 pills of Alesse, Aviane, Lessina, or Levlite.
Take the first dose ASAP after the sex. Then take the second dose (identical in quantity to the first) 12 hours later.
The most likely side effect will be nausea and vomiting (due to all the estrogen you just swallowed).
If you throw up, take something for nausea (dramamine is available over the counter) and then repeat the dose an hour after taking the anti-nausea meds.

Of course, there are some other handy products, such as Plan B, that are "available," but that lots of chain drug stores have decided not to carry, so they may be hard to find. If you can get it, though, then the advantage is that you only take one pill in each dose, and the pills have no estrogen, so you won't get nauseated. For more info, go to

These methods are 80-90% effective in preventing pregnancy. They will NOT end an already established pregnancy, and if you happen to have conceived from the unplanned sex, then this won't affect that, either. This is why you want to take the pills as soon as possible.

Also, my attending recommended that we ask all our patients if they would like a prescription for PLan B so they can get it filled and have it around for the "just in case." If your doc hasn't offered it, and you are interested, then demand your Plan B, ladies! If you can't find Plan B in your area pharmacies, then ask to have an extra pack of pills so you can do the Yutzpe (your doc can also prescribe you a more powerful medicine to prevent the nausea that might come from taking the regular birth control pills).

Let me know if you have any questions!

1 comment:

Anonymous said...

Once again I am reminded of why I had my tubes tied!