Abortion counselling issues explored: Understanding the Morning After Pill
In Australia, the morning after pill is commonly referred to by its brand names, such as Postinor and EllaOne. It is an emergency contraceptive designed to prevent pregnancy after unprotected sex or contraceptive failure, such as a condom breaking.
How Does the Morning After Pill Work?
The morning after pill works primarily by delaying ovulation. Here’s a closer look at how the two main types of morning after pills available in Australia function:
1. Levonorgestrel (Postinor)
Mechanism: Levonorgestrel is a synthetic hormone that prevents or delays the release of an egg from the ovary (ovulation). It is most effective when taken as soon as possible after unprotected intercourse.
Timing: It is recommended to be taken within 72 hours (three days) of unprotected sex, but can be taken up to 120 hours (five days) with decreasing effectiveness.
Efficacy: When taken within the first 24 hours, it is about 95% effective. This effectiveness decreases the longer the delay in taking the pill after unprotected sex.
2. Ulipristal Acetate (EllaOne)
Mechanism: Ulipristal acetate works by inhibiting or delaying ovulation and can also alter the uterine lining, making it less suitable for implantation.
Timing: This pill can be taken up to 120 hours (five days) after unprotected sex and maintains higher effectiveness throughout this period compared to levonorgestrel.
Efficacy: It is approximately 98% effective if taken within 120 hours.
Accessibility and Use in Australia
The morning after pill is available over-the-counter without a prescription in pharmacies across Australia. Here are some key points regarding its accessibility and use:
No Age Restrictions: There are no age restrictions for purchasing the morning after pill in Australia. Pharmacists may ask some questions to ensure the suitability of the medication, but individuals of any age can access it.
Cost: The cost can vary depending on the pharmacy and brand, typically ranging from $15 to $50. Some pharmacies may offer it for free or at a reduced cost under certain health initiatives.
Side Effects: Common side effects can include nausea, fatigue, headache, dizziness, breast tenderness, and changes in menstrual bleeding. These side effects are usually short-lived and not severe.
Follow-Up: It is advisable to follow up with a healthcare provider after taking the morning after pill, especially if there are any concerns about side effects or if the next menstrual period is significantly delayed.
Misconceptions and Important Considerations
Not an Abortion Pill: The morning after pill does not terminate an existing pregnancy. It is a form of emergency contraception that prevents pregnancy from occurring. For individuals seeking information about abortion, different medications and procedures are available, which should be discussed with a healthcare provider.
Effectiveness: While effective, the morning after pill should not be relied upon as a regular contraceptive method. It is intended for emergency use and does not provide ongoing protection against pregnancy.
Weight Considerations: Some studies suggest that the effectiveness of the morning after pill, particularly levonorgestrel, may be reduced in individuals with higher body weight or BMI. Ulipristal acetate may be a better option in such cases, but consultation with a healthcare provider is recommended.
When to Seek Abortion Counselling
If an individual suspects they are pregnant and are considering their options, including abortion, it is crucial to seek professional counselling and medical advice. Abortion counselling provides support, information, and guidance to help individuals make informed decisions about their reproductive health.
Confidential Support: Abortion counselling is confidential and can help address emotional, psychological, and physical concerns.
Accurate Information: Counsellors provide accurate information about abortion procedures, legal considerations, and available support services.
Non-Judgmental Guidance: Professional counselling offers non-judgmental support to help individuals explore their options and make the best decision for their circumstances.
The morning after pill is a crucial option for emergency contraception, offering a safe and effective way to prevent pregnancy after unprotected sex or contraceptive failure. Understanding how it works, its availability, and its use is essential for making informed reproductive health decisions. For those needing further support, including abortion counselling, accessing professional, non-judgmental, and confidential services is vital.
References
Family Planning NSW. (2021). Emergency Contraception. Retrieved from Family Planning NSW
Therapeutic Goods Administration (TGA). (2020). Ulipristal acetate. Retrieved from TGA
Women's Health Victoria. (2021). Emergency Contraception. Retrieved from Women's Health Victoria