Levonorgestrel

Uses

Levonorgestrel Uses Levonorgestrel is used for emergency contraception. It provides a safe and effective method to prevent unintended pregnancy following unprotected sex or contraceptive failure.

How it Works

How Levonorgestrel works Levonorgestrel is a progestin-only emergency contraceptive pill. It primarily functions by preventing or delaying the release of an egg from the ovary, a process known as ovulation. Therefore, the sooner it is taken, the more effective it is.

Side Effects

Common side effects of Levonorgestrel include depression, diarrhea, breast tenderness, headache, fatigue, nausea, dizziness, breast pain, abdominal pain, menorrhagia (heavy menstrual bleeding), lighter menstrual bleeding, vomiting, vaginal discharge, nervousness, vaginal inflammation, pain during periods, weight gain, decreased libido, and high blood pressure.

Expert Advice

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  • As an emergency contraceptive:
    • This medicine can be taken only by women aged 16 years and over.
    • This medicine is intended for occasional use only and should not be used more than once in a monthly cycle.
    • It is not a substitute for long-term contraception.
    • If you vomit within 3 hours of taking the tablet, you will need to take another tablet.
  • Do not take:
    • If you are allergic to any of the ingredients in this medicine.
    • If you are pregnant.
    • If you have ever had a disease called salpingitis (inflammation of the Fallopian tubes).
  • Talk to your doctor before taking levonorgestrel:
    • If you have severe liver problems.
    • If you have severe digestive problems (e.g., Crohn’s disease).
    • If you have ever had an ectopic pregnancy (where a baby develops outside the womb), fallopian tube surgery, or pelvic inflammatory disease.
    • If you are under 16 years of age (your local family planning clinic may also be able to help).
    • If you are breastfeeding.
  • This medicine can sometimes disturb your normal monthly cycle (period). If your period is delayed by more than 5 days, or is unusually light or heavy, you should talk to your doctor as soon as possible and have a pregnancy test.
  • This medicine may make you feel dizzy or tired. Do not drive or use machines until you are sure you are not affected.
  • A pregnancy will not normally be affected by taking this medicine; however, there is a risk that a pregnancy may continue outside of the womb (ectopic pregnancy). It is important that you talk to your doctor about it.
  • As an IUD:
    • You should not use this device if you are allergic to levonorgestrel, silicone, silica, silver, barium, iron oxide, or polyethylene.
    • Do not use this device if you have:
      • Abnormal vaginal bleeding.
      • An untreated or uncontrolled pelvic infection (vaginal, cervical, uterine, or bladder).
      • A history of pelvic inflammatory disease (PID), unless you have had a normal pregnancy after the infection.
      • Treated uterine fibroid tumors.
      • Past or present breast cancer, known or suspected cervical or uterine cancer.
      • Liver disease or liver tumor (benign or malignant).
      • If you have another intrauterine device (IUD) in place.
    • After each menstrual period, you should check to make sure you can still feel the removal strings. Wash your hands with soap and water, and insert your clean fingers into the vagina. You should be able to feel the strings at the opening of your cervix.
    • Call your doctor at once if you cannot feel the strings, or if you think the device has slipped lower in your uterus or out of your uterus.
    • A sudden increase in menstrual flow may be a sign that the device has slipped out of place.
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Frequently asked questions

Levonorgestrel is an emergency contraceptive pill used to prevent unintended pregnancy after unprotected sex or contraceptive failure.
Levonorgestrel is most effective when taken within 72 hours after unprotected sex or contraceptive failure; the sooner it is taken, the better the effectiveness.
Take one tablet as soon as possible, within 72 hours (3 days) after unprotected sex or contraceptive failure.
It should be taken in emergencies such as unprotected sex, contraceptive failure (e.g., broken condom), or irregular use of birth control pills.
Levonorgestrel can be taken multiple times in a month, but it is intended only for emergency contraception. Regular contraceptive methods should be used to prevent unwanted pregnancy.
Common side effects include nausea, vomiting, headache, lower abdominal pain, breast tenderness, and potential irregular bleeding. If your period is delayed by more than a week, consider taking a pregnancy test.
Yes, Levonorgestrel is safe during breastfeeding and is unlikely to affect milk quantity or harm the infant.
No, Levonorgestrel is not intended for regular birth control; it is only for emergency use after unprotected sex or contraceptive failure.
No, Levonorgestrel does not provide protection against STDs or HIV/AIDS. Use condoms for protection against these infections.
A pregnancy test is recommended if your period is delayed by more than a week, though Levonorgestrel does not harm an established pregnancy.
Yes, Levonorgestrel is effective after several acts of intercourse within 72 hours. It is advisable to use barrier contraception until your next period to prevent unintended pregnancy.
Emergency contraceptive pills like Levonorgestrel prevent fertilization by delaying ovulation, while abortion pills terminate an established pregnancy. Levonorgestrel does not affect a fertilized egg.
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