Do you need to take emergency contraceptive pills for external ejaculation?

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Question
Hello doctor,
I had sex with my lover 3 days ago and today. My lover has ejaculated outside but I am still worried about getting pregnant. So the doctor asked me to ask if I need to take emergency contraception when having sex outside? If necessary, which type should I drink so as not to affect the future? I stopped menstruating 3-4 days ago and my period is irregular. Ask your doctor for advice. Thank you doctor.
Anonymous customer
Answer
Answered by Master, Doctor Trinh Thi Thanh Huyen - Obstetrician and Gynecologist - Department of Obstetrics and Gynecology - Vinmec Hai Phong International General Hospital

Hello,
With To the question "Does external ejaculation require emergency contraception?", the doctor would like to answer as follows:
There are many methods of contraception, mechanical or drug, or intrauterine device... Women with regular menstrual cycles of 28-30 days can calculate the time of ovulation and avoid sex during this period. However, for women with irregular menstrual cycles, the ovulation method cannot be used. There are a few cases where women whose follicles persist into the next cycle are still able to conceive. Vaginal ejaculation method seems to be safe, but in reality it is not safe at all. So having sex after 3-4 days of menstrual period as you said and ejaculating outside is not safe and there is still a possibility of pregnancy.
The emergency contraceptive pill is a contraceptive for women that can be used to prevent pregnancy after having unprotected sex. The drug is indicated for use when having sex without using contraception or using a condom but the condom is punctured or torn. Some other cases can also be used when a woman is using oral contraceptives but forgets to take them for 2 days or more, is using oral contraceptives but the injection time is delayed. In addition, emergency contraceptive pills are also used when female subjects are forced to have sex.
The type of pill commonly used for emergency contraception is a high-dose progestin pill that prevents or delays ovulation, can prevent egg implantation, and change the lining of the uterus. and can prevent conception. The effect of the drug also causes the cervical mucus to thicken and thicken to prevent sperm from entering the uterus or obstructing the passage of sperm or eggs in the fallopian tubes of the uterus.
The emergency contraceptive pill is taken as soon as possible, preferably within 72 hours (3 days) of having unprotected sex. Up to the 5th day after having sex, you can still use the emergency contraceptive pill, but as a rule, the sooner you take it, the more effective the pill will be and can reduce the risk of pregnancy. 85%.
On the market today, there are two types of emergency contraceptive pills commonly used, 2 pills and 1 pill. Type 2 tablets contain levonorgestrel 0.75mg, can take 2 tablets at the same time or take the second pill 12 hours after the first pill. One tablet contains levonorgestrel 1.5mg orally once.
The emergency contraceptive pill can also cause irregular bleeding until the next menstrual period and menstruation may be early or late.
In addition to the high-dose progestin-containing specialized emergency contraceptive pill mentioned above, emergency contraception can also be used with a combined conventional oral contraceptive pill, a pill containing a low-dose antiprogestin compound, and an implant. intrauterine device.
So in your case, you can't use emergency contraception at this time. You should monitor this cycle and continue to use safe contraception such as a condom or diaphragm during this period. If you want to use long-term safe contraception, you should see and consult a specialist doctor.
If you still have questions about the issue of external ejaculation, need to take emergency contraceptive pills, you can go to the hospital of Vinmec Health System for further examination and advice. Thank you for trusting and sending questions to Vinmec. Wishing you lots of health.
Best regards!

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