What do you need to do after having unprotected sex?

Having unprotected sex, whether intentional or accidental, can lead to unnecessary stress and anxiety. However, taking prompt and appropriate action afterwards can help ease your concerns and reduce potential risks.

Immediately after sex

Consider emergency contraception.

If there’s a risk of pregnancy and you weren’t planning for it, it’s recommended that you consider emergency contraception.

This emergency contraceptive method is 98% effective if used in the 1st 24 hours. It mainly works by preventing or delaying ovulation.

The emergency contraceptive pills (containing the hormone levonorgestrel) are available in 2 forms in Sri Lanka; Postinor 1 and Postinor 2.

How to take it?

The emergency contraceptive pill should ideally be taken within 5 days (120 hours) of unprotected sexual intercourse (UPSI). Postinor 1 has only one tablet to be taken as soon as possible after UPSI. Postinor 2 has two tablets; the 1st tablet should be taken as soon as possible after UPSI, followed by the 2nd tablet 12 hours later. These pills are available for purchase over the counter at most pharmacies, and does not require a prescription.

Are there any side effects?

Common side effects after taking the oral emergency contraception includes nausea and vomiting, breast tenderness, headaches and changes in menstrual bleeding. If vomiting occurs within 2 hours of taking the pills, the pills must be retaken.

Other options?

A regime of combined oral contraceptive pills like Mithuri, can also be used for emergency contraception. Four (4) of the hormone pills should be taken together as soon as possible after UPSI and then four (4) more of the hormone pills should be taken 12 hours later. This regime also prevents or delays ovulation from taking place.

Five days or less after sex

Intra-uterine emergency contraception is an option.

The Intrauterine Copper Device (also known as the IUCD or “the loop”) is a common form of non-hormonal contraception that can also be used for emergency contraception if inserted into the uterus within 5 days (120 hours) of unprotected sex. The IUCD is an extremely effective emergency contraceptive as it prevents the fertilization of the egg and sperm. It does not cause an abortion. Once inserted, the IUCD can be kept for up to 10 years.

Are there any side effects?

Common side effects experienced by IUCD users include mild abdominal cramping and bleeding after insertion. There can also be an increase in the duration of menstrual bleeding.

Can emergency contraception be used all the time?

No!. Emergency contraceptive pills should only be used for emergencies and NOT used as regular contraception.

Does emergency contraception protect against sexually transmitted infections (STI)?

As emergency contraception does not protect against sexually transmitted infections (STI), it is recommended to speak to a medical doctor if there is a concern of having contracted STIs after UPSI.

Should You See Your Doctor After Having Unprotected Sex?

It's a good idea to schedule an appointment with your doctor after having unprotected sex, especially if you're concerned about your sexual health.

Your doctor can guide you on the next steps, such as whether you need an STI screening or a pregnancy test.

They can also help manage any physical or emotional distress you might be feeling. Additionally, it's a great opportunity to discuss long-term contraceptive options and strategies for safer sex moving forward.

If you require medical advice, call FPA Sri Lanka’s Happy Life for free on 0765884881 anytime.