Alternatives for Plan B Purchase Options Explored
When unplanned pregnancy is a concern, emergency contraception (EC) can provide peace of mind. Here's a rundown of the main types of EC and their suitability factors, prices, and prescription requirements.
Emergency Contraceptive Pills (ECPs)
ECPs are a popular choice for quick, post-coital contraception. The most common types are Levonorgestrel (LNG) pills, such as Plan B, and Ulipristal Acetate (UPA) pills, like Ella.
LNG pills are effective within 5 days after unprotected sex and are generally available over the counter without a prescription. UPA pills, on the other hand, require a prescription and are more effective than LNG pills, especially when taken 3 to 5 days after sex. A third option is the older Combined Estrogen and Progestin pills (Yuzpe regimen), which can cause more nausea.
Prices and Prescription Requirements
In Japan, Levonorgestrel ECPs cost approximately ¥10,000 to ¥20,000 (~$70-$140) per dose, either over-the-counter or via prescription, with possible additional consultation fees. Ulipristal Acetate ECPs require a prescription.
Suitability Factors
ECPs are not intended for regular contraceptive use but as backup. LNG pills can be obtained without prescription, making them more accessible. UPA pills require a prescription and are preferred if the event was 3-5 days ago due to higher effectiveness.
Intrauterine Devices (IUDs)
IUDs are another option for emergency contraception, offering immediate and ongoing pregnancy prevention. Copper IUDs (e.g., Paragard) and hormonal IUDs (e.g., Mirena, Liletta) can be used for emergency contraception when inserted within 5 days post-unprotected sex.
Prices and Prescription Requirements
The upfront cost of a Copper IUD ranges from ¥30,000 to ¥70,000 (~$210-$500+) inclusive of the device, insertion, and consultation fees. Hormonal IUDs also require provider insertion.
Suitability Factors
Use of Copper IUDs is best if a high effectiveness is required and when long-term contraception is desirable; however, insertion requires a healthcare provider. Hormonal IUDs combine emergency and ongoing contraception benefits.
Choosing the Right EC
Choosing the right emergency contraception involves considering factors such as body weight and the availability of a prescription. For example, Take Action and AfterPill are pills suitable for individuals weighing less than 155 pounds (lbs). Ella is a pill suitable for individuals with a body mass index (BMI) of 30 or less. A prescription is required for Ella, but not for Take Action, AfterPill, or My Choice.
Cost and Availability
The price of Ella is $45, Take Action is $39.99, and AfterPill is $20. My Choice is a levonorgestrel pill, effective when taken within 3 days of sexual activity, and each pill costs just over $6. People can buy up to 5 packets at a time.
Plan B pills and its alternatives are suitable for individuals who have forgotten birth control, did not use barrier methods during sex, or used a broken condom.
It's essential to consult with a healthcare provider to determine the best emergency contraception option based on individual needs and circumstances. This information aligns with WHO guidelines and clinical practice in many countries, though costs and prescription rules vary regionally.
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