Help ASAP Do I take cerrazette after Ella one?

[Bertieb959]

Took Ella one last night after missed pill and unprotected sex. Do I continue with cerrazette now or wait 5 days

Help ASAP!

[Gilda18]

I'd carry on taking them to be on the safe side. If you stop then you may stop getting protected.

[Gilda18 in reply to Gilda18]

Hope this helps.

[Galen70]

Cerazette hormones are blocked by the drug in Ella one. You need 7 days after Ella one for the POP to be effective again. If you have had sex during this time, then you might need more emergency contraception, or do a pregnancy test in 3 weeks time.

[Bertieb959 in reply to Galen70]

Thank you for the advice. For future reference would it be better to take Levonelle if taking Cerazette if I need the MAP? And would I continue to take the Cerazette alongside it?

[Galen70 in reply to Bertieb959]

It all depends on your risk. The most effective form of emergency contraception of course is not requiring it in the first place - so regular contraception . If there is an issue, then it all depends on the time in your cycle or the risk of ovulation. If you are a regular POP user , just discussed with colleagues, then Ella one may not work as it uses the same receptors as Cerazette. So yes, levonelle or a copper IUD is preferable. If you missed a pill and took Ella one this time, there is a possibility it may not have worked Im afraid. So again, consider pregnancy testing in 3 weeks , and regular contraception until then, including condoms for the seven days after the Ella one has been taken.

[Bertieb959 in reply to Galen70]

Thanks, sorry to keep asking questions!

I take a Cerazette regularly but missed a pill. Having realised after sex I stopped the Cerazette and took the Ella One. I haven't had sex since then. I resumed the Cerazette yesterday after 5 days break as has been advised. So is the below still the case?

"If you missed a pill and took Ella one this time, there is a possibility it may not have worked Im afraid."

[Galen70 in reply to Bertieb959]

Where did you get the Ella one from ?

This is taken from the FSRH website : The effect of progestogen taken prior to UPA-EC on UPA-EC effectiveness has not been studied but it is theoretically possible that residual progestogen might reduce the ability of UPA-EC to delay ovulation. Different progestogens administered by different routes are present in the circulation for widely varying lengths of time. The GDG suggests that as a general rule, if a woman has taken any progestogen in the week prior to EC, the effectiveness of UPA-EC could theoretically be reduced by remaining circulating progestogen. Use of LNG-EC ( levonelle )rather than UPA-EC may be considered. If UPA-EC is used, progestogen-containing drugs should not be restarted for 5 days afterwards.

So in a nutshell there is a small risk . and since it takes 2 days for the POP to be effective, it would be seven days after Ella one that the POP would be effective again .