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My girlfriend and I had unprotected sex on Saturday night…

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My girlfriend and I had...
My girlfriend and I had unprotected sex on Saturday night and I pulled out but her period calendar said she was suppose to ovulate on the next day. So she took plan B within an hour and we went out and when we got back we had unprotected sex again and she took plan B again that morning. Does plan Bstill work if they are ovulating and what are the risks of pregnancy
Submitted: 7 months ago.Category: OB GYN
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11/27/2017
OB GYN Doctor: Dr. J, Board Certified OB/GYN replied 7 months ago
Dr. J
Dr. J, Board Certified OB/GYN
Category: OB GYN
Satisfied Customers: 735
Experience: Gynecologist
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Hi there. Board-certified obgyn here. Preparing a response and will be with you shortly.

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OB GYN Doctor: Dr. J, Board Certified OB/GYN replied 7 months ago

The Plan B works by inhibiting ovulation. The first dose of Plan B would have protected her for even the act of intercourse that occurred after taking the first dose of Plan B.

You are correct that if an egg has already been released, the Plan B is less effective (and this is why it is not 100% effective at preventing pregnancy every time it's taken).

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Customer reply replied 7 months ago
if she was already ovulating would she still be fine? I thought it prevents implantation
OB GYN Doctor: Dr. J, Board Certified OB/GYN replied 7 months ago

Plan B works by preventing ovulation. It might also prevent implanation, but the primary mechanism of action is by preventing ovulation in the first place. This is why it's only effective about 90% of the time (because if you take it after ovulation has already occurred, it is not effective.

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Customer reply replied 7 months ago
if we had sex on the day before her ovulation and she took the plan B is she okay?
OB GYN Doctor: Dr. J, Board Certified OB/GYN replied 7 months ago

If she had not yet ovulated at the time you had sex, the Plan B should work.

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Customer reply replied 7 months ago
should she take ella?
OB GYN Doctor: Dr. J, Board Certified OB/GYN replied 7 months ago

Ella works the same way Plan B does (by delaying ovulation). It works up to 5 days out from intercourse. I'm not sure that taking Ella will add any more protection because if she's ovulated just before taking the Ella, the Ella will not delay ovulation.

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OB GYN Doctor: Dr. J, Board Certified OB/GYN replied 7 months ago

There is an IUD that prevents implantation if you place it up to 5 days out from intercourse, in case that is something she would be interested in.

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Customer reply replied 7 months ago
Is there anything else I can do and based on my situation will she be okay
OB GYN Doctor: Dr. J, Board Certified OB/GYN replied 7 months ago

In general what I tell people is the "morning after" pills are about 90% effective at preventing pregnancy.

Something else you guys can consider to be safe is a certain IUD that can be placed up to 5 days after intercourse to prevent implantation, if you were looking for even more reassurance.

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Customer reply replied 7 months ago
Even when ovulating the pill is 90% effective?
OB GYN Doctor: Dr. J, Board Certified OB/GYN replied 7 months ago

Correct because we do not know the exact hour/minute the egg was released.

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OB GYN Doctor: Dr. J, Board Certified OB/GYN replied 7 months ago

Just checking to see if you had any further Qs.

If you are satisfied with the responses provided please leave a rating by clicking the stars above. Thank you!

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