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Took Next Choice 48 Hours after Unprotected Sex

12 Comments

Unknown (age 16) writes: Hi, I’m really scared so I don’t know where to begin.. Well my last period was on january 5th and lasted til about the 10th. I had unprotected sex on the 21st and my boyfriend isn’t sure if he cummed inside of me or not. I’m not on birth control.. The soonest I could get an emergency contraceptive was about 48 hours later. I took Next Choice at about 6 pm on the second evening after having sex and the second pill 12 hours later. It is now a week after having sex and I am experiencing lower back pain and cramps as if I’m getting my period. Am I pregnant?! I’m so scared, I’m only 16..

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Dear Unknown,

Ovulation (when you are most fertile) typically happens around 14 days before you expect your next period to begin. If I’m going to assume your period is an average 28 day cycle, then the 18th-21st is probably your most fertile time during the month of January. The egg can last about 24 hours or so after it’s released; sperm can last several days inside you, waiting to fertilize the egg once they find it. So … we can conclude that you had unprotected sex during a very high risk time of the month (assuming your period is regular).

Which leaves us with how effective Next Choice is at the time that you took it. (Note that current research says that you can take both Next Choice/Plan B pills at the same time to increase their effectiveness.) Levonorgestrel (the man made hormone which is found in Plan B One Step, Plan B and the generic Next Choice) is most effective when taken as soon as possible after an unprotected sex incident. The sooner you take Levonorgestrel, the higher your probability for its success. The longer you wait, the less likely it will be effective. Some studies have reported its being effective even up to 120 hours after having sex. I usually always recommend girls take it within 12 hours after having sex for best results.

Since you took it around 48 hours after having sex, that gives you fairly high odds for not getting pregnant. If I were to place a bet, then I would definitely place it on your not getting pregnant. I’d probably say you’re around 90% chance of not getting pregnant (give or take). However, I would strongly recommend that, if your next period doesn’t come, that you take a home pregnancy test around the time that your next period would have ended. The pregnancy test will verify how well the Next Choice dose worked and it will help relieve any worries.

Cheer up!
Hannah

Filed Under: Emergency Contraception

Reader Interactions

Comments

  1. Unknown says

    January 29, 2012 at 9:31 am

    Thanks so much. I researched Next Choice when I got it and it said I could take them at the same time but the little booklet that came witch Next Choice said not to so I didn’t wanna risk it. But is it at all possible that these cramps and back pains are side effects from Next Choice? And also, I’m very stresse and worried and get myself feeling like I’m going to throw up. Could this also be why I’m experiencing these symptoms?

    Reply
  2. Hannah says

    January 29, 2012 at 2:17 pm

    Yep, the research which says you can safely take both simultaneously is the latest news on that type of contraception. For a long time, pharmacists thought it could be dangerous to take both doses simultaneously. When they discovered it was safe, they came out with Plan B One Step (which is both pills combined – Plan B is the brand name; Next Choice is a generic version). As an aside, what you never want to do is take two rounds of Plan B One Step back to back – that would be a huge dose!

    As far as the symptoms, yes, those could be easily caused by Next Choice and your nerves.

    Reply
  3. Anonymous says

    February 1, 2012 at 4:54 pm

    Hi, I had somewhat of a situation like this. My last period was on the 2nd of January. I had sex on the 22nd of January. We used a condom, but it broke. He did not ejaculate, but we were worried about the pre-ejaculation. So about 10 hours later, I took the first Next Choice pill. and (as instructed) I took the next pill 12 hours later. I’m expecting my period in about 1-2 days, but I’m bloated, fatigued, and I think i’m urinating more frequently. (My urinating frequently may be happening on account that I drink so much soda? I’ve had a UTI before because of that.) I am also VERY stressed out. I didn’t have any symptoms from taking Next Choice, and I’m very worried that I’m pregnant. Please help??

    Reply
  4. Hannah says

    February 2, 2012 at 9:01 am

    Dear Anonymous,
    Not everyone notices blatant side effects from taking emergency contraception. Because there was little sperm involved and because you took Next Choice right away, you should be fine. The bloating, fatigue and frequent urination must be related to something other than you being pregnant. You can still take a home pregnancy test maybe a week from now, but there is little reason to be worried that you are pregnant.
    Good luck!
    Hannah

    Reply
  5. Anonymous says

    February 2, 2012 at 7:06 pm

    Thank you! Do you know if by taking Next Choice, my period could be delayed? I’m still going to take a HPT, to make sure, just wondering! And all of my symptoms have subsided, for now, I think it may have been in my head. Thanks again! :)

    Reply
    • Hannah says

      February 2, 2012 at 10:40 pm

      Sure thing :) And, yes, Next Choice (and its cousin, Plan B) commonly cause changes in your cycle. Those changes can run from having your period earlier than normal, having your period delayed, or even making you completely miss your next period. Occasionally, emergency contraception can even cause lingering effects into the next month’s period too. But then you have some people who can pop the pill and barely experience anything. Don’t we wish we were in that group!

      Reply
  6. mika says

    April 16, 2012 at 7:17 pm

    Hello:
    I am very worried because I had sex march 19th and I took the next choice pill the 20th I was supposed to get my perior the 25th but I didnt instead I had some brownish bleeding for like 2 days and since then my period hasnt shown would it be a risk of me been pregnant? Please answer I am deseperat and sad

    Reply
  7. Tiffany says

    June 22, 2012 at 1:48 am

    Hello,

    I am concern about taking the second Generic Plan B pill after 25 hours from taking the first pill. If this helps, I took the first Generic Plan B pill about a hour after the unprotected sex [just done it one time]. My partner and I are not even sure if my partner came inside. I am taking this Generic Plan B just in case if my partner did. Please help, thank you.

    Reply
  8. Rosemary says

    June 28, 2012 at 1:40 pm

    I guess I can say i’m in the same situation. I started my period on june 16 and ended on the 21. and had unprotected sex the 24 and took plan b 43 hours later. am I okay?

    Reply
  9. tiffany says

    July 18, 2012 at 11:26 am

    Hello,

    me and my parnter had unprotected sex and used the pull out method on the 11th and the earliest I could get Next Choice was on the 13th. My last period was June 20th to the 24th. I’m supposed to come on between July 18 or July 19. I have been experiencing my ususal cramping before my period but still no sign of blood.

    I’m very worried since I didn’t take it right away!

    Reply
  10. Scared says

    August 22, 2012 at 1:34 am

    Hi, okay I didn’t know where to put this. So here it goes. My girlfriend and I had unprotected sex and I finished inside of her. About 35 hours after she took next choice then 12 later took the second pill. That was Sunday. She was supposed to start her period Sunday or monday I just want to know what the chances of her being pregnant are. She’s only a day and a half or 2 days late. But I’m still scared. Please help. She is also on birth control

    Reply
  11. Johnney Dobson says

    September 11, 2012 at 10:05 pm

    Hi, Im a guy (17) and im really stressed out about my current situation. I had sex in sunday at 1 in the a.m and I slipped inside her without me noticing(dont ask cuz i wasnt paying much attention while fooling around) anyway I think that I had sperm on my penis when it went inside her. After realizing not more than a couple seconds later I realized and pulled it out. This happened on the day she ended her ovulation(saturday) and I bought the next choice one dose for her on monday, like about a day day in 16 hours later. The reason I did this is becuase a paper came in the mail not to long ago saying that her birth control is 98% inaffective towards preventing pregnancy and I didnt think the 2% protecting us was enough. So I got the next choice one dose. I freak out about these things and would like to know what to expect and how to know the pill is working or if that even can be determined. She doesnt freak out till the day shes supposed to get her period wich is in like a week on wednesday. She has a 28 day cycle and it started on the 23rd of august and we had sex on the 9nth of september at 1 in the morning. Should she continue on her regualar pills even though she took the next choice pill? Or is that going to mess anything up?So statistics or information would be much appreciated. Thanks!

    Reply

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