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Need emergency contraception?
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Every visit is a flat $20 and reviewed by our dedicated caring clinicians.

Prescriptions sent to your local pharmacy for same-day pickup.

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Emergency contraception — what you need to know

Had unprotected sex or birth control didn’t go as planned?
Emergency contraception can help prevent pregnancy—but timing and proper use really matter.

A real licensed and certified clinician reviews your request to help you determine the best option for you. 

Timing matters

  • Ella works up to 5 days (120 hours) after unprotected sex
  • The sooner you take it, the better it works
  • It’s best to use once per menstrual cycle

How Ella works

Before ovulation

Before the ovary releases an egg (ovulation), Ella can delay or prevent that release. No egg released means there is nothing for sperm to fertilize, which prevents pregnancy.

After ovulation

Once ovulation has already occurred, Ella is less effective. Some forms of emergency contraception, such as the copper IUD placed by a clinician, can make the uterus less welcoming to a fertilized egg and help prevent implantation. If implantation does not occur, pregnancy does not occur.

⚠️ Important: don’t mix hormones

Do not mix Ella with other hormonal pills for 5 days

For the 5 days after taking Ella, you should not use:

  • Plan B or other levonorgestrel emergency contraception
  • Regular birth control pills (combined or progestin-only)
  • Any other hormonal emergency contraception

These can interfere with Ella and lower its effectiveness, increasing the risk of pregnancy. After 5 full days, you and your clinician can decide when and how to start or restart regular birth control safely.

Efficacy

Emergency contraception works best when taken as soon as possible after unprotected sex. The closer you are to ovulation, or the higher your weight, the lower the overall effectiveness.
  • This medication is less effective in people weighing over approximately 195 pounds.
  • It is also less effective during or after ovulation.

How often can I use Ella?

Ella is not intended to be used more than once in the same menstrual cycle. Repeated use in a single cycle can:

  • Disrupt hormone levels and cycle timing
  • Cause irregular or heavy bleeding
  • Make it harder to know when you ovulate
  • Lower overall pregnancy prevention reliability

Emergency contraception is designed for occasional, unexpected situations—not as a primary birth control method. Regular birth control methods are much more reliable when taken correctly (pills, patch, ring, shot, implant, or IUD).

Keeping Ella “on hand”

Some people prefer to keep Ella at home so they can take it right away if needed. This can:

  • Reduce delays
  • Make timing easier
  • Provide peace of mind

Even when you have it on hand, the same usage rules still apply.

Ella vs. Plan B (OTC)

There are two main types of emergency contraception pills available in the U.S.: Ella (prescription) and levonorgestrel-based pills such as Plan B and its generics (over-the-counter). They are not the same and work best in different situations.

FeatureEllaPlan B (OTC)
Active ingredientUlipristal acetateLevonorgestrel
How long it worksUp to 5 days (120 hours)Up to 3 days (72 hours); best within 24 hours
Effective near ovulation?Yes – still effective close to ovulationMuch less effective near or after ovulation
Impact of weightLess impacted by weight compared with Plan BLess effective over about 165–175 lb
Prescription needed?Yes (prescription required)No (over-the-counter)
Can start birth control right away?No – must wait 5 days after EllaYes – may start immediately
Important: You should not take Plan B within 5 days before or after taking Ella. They work in opposite ways and can interfere with each other, raising the risk of pregnancy.
In general, Plan B is best for very early use (within 24–48 hours) and lower body weight. Ella is often the better choice closer to ovulation, later in the window (up to 5 days), or for higher body weight.

Most effective backup option: copper IUD

A copper IUD (Paragard) placed within 5 days is the most effective form of emergency contraception.

  • Works even after ovulation
  • Provides ongoing birth control
  • Requires an in-person visit

Pregnancy testing and follow-up

Because emergency contraception isn’t 100% effective:

  • Take a pregnancy test if your period is more than 1 week late
  • Or test 2–3 weeks after taking Ella
  • If positive, seek care promptly
🚫 What emergency contraception does not do
  • It does not work if you are already pregnant
  • It does not protect against STIs
  • It is not as reliable as regular birth control

Emergency contraception – FAQs

Q: Can I get emergency contraception online (Ella)?
A: Yes. You can get Ella prescribed online and sent to your pharmacy after a quick $20 visit.

Q: How quickly can I get Ella?
A: Your prescription is sent immediately after your visit so you can pick it up as soon as possible.

Q: Do I need a prescription for Ella?
A: Yes, Ella requires a prescription, which can be provided through your online visit.
Q: How effective is Ella?
A: Ella is one of the most effective emergency contraception options, especially when taken within the first 5 days after unprotected sex.
Q: Does Ella work better than Plan B for higher weight?
A: Yes. Ella tends to be more effective than Plan B for people with higher body weight or BMI, which is why it’s often recommended as the better option in those cases.
Q: What happens if I don’t qualify for Ella?
A: If you don’t qualify for Ella, it won’t be prescribed. Our medical forms will flag that to you so you can also choose to walk away—zero risk and no obligation to pay.
Q: Can I use my own pharmacy for Ella?
A: Yes. Your prescription can be sent to any pharmacy you choose, so you can pick it up locally instead of waiting for shipping.

This page is for education only and is not personal medical advice. Emergency contraception does not treat sexually transmitted infections and does not work if you are already pregnant. If you have severe pain, heavy bleeding, dizziness, chest pain, trouble breathing, or feel very unwell after taking EC, seek urgent or emergency care.

Need emergency contraception today?
💵 Risk-free — check eligibility before you pay.

Flat $20 visit. 

No subscriptions. 

No hidden fees.  
Choose your pharmacy and get care quickly.

If you are unsure whether Ella is the right choice based on your timing, weight, or medical history, you can always chat with your clinician about options for you.

MyBodyMyRx provides online emergency contraception to women in Alaska, Arizona, Arkansas, Colorado, Delaware, DC, Florida, Hawaii, Idaho, Illinois, Iowa, Kansas, Kentucky, Maine, Maryland, Massachusetts, Montana, Nebraska, New Hampshire, New Mexico, North Carolina, North Dakota, Ohio, Oregon, Rhode Island, South Dakota, Utah, Vermont, Virginia, Washington, West Virginia and Wyoming when safe and medically appropriate.

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