Debunking Myths about Emergency Contraception (EC)

By Staci Tanouye, MD, Ob/Gyn


Note: This content is for informational purposes only and should not be considered medical advice; speak to your healthcare provider if you have questions. Dr. Staci is a brand partner to My Choice®.

Emergency contraception (EC) is a method to prevent pregnancy after unprotected sex or contraceptive failure. The most common is the “morning-after” pill which contains levonorgestrel, such as My Choice® Emergency Contraception, which are available over-the-counter and are 98% effective when taken up to three days after unprotected sex.

Emergency contraception (EC) has been a topic of much discussion, however (and unfortunately), there is also some misunderstanding. As a physician expert in reproductive health, it's critical that I dispel myths with factual information, providing clarity and guidance for those seeking EC.

Fact vs. Myth

Myth: EC is equivalent to an abortion pill.
Fact: EC prevents pregnancy; it does not terminate it. EC pills work by delaying ovulation or by making the environment inhospitable for fertilization. If a pregnancy is already established, EC will not be effective.

Myth: Frequent use of EC can cause infertility. 
Fact: There's no evidence to support that emergency contraception affects long-term fertility. The hormones in EC pills are similar to those in regular birth control pills, which are also not linked to infertility.

Myth: EC is only for the irresponsible.
Fact: Unprotected sex can happen for many reasons, including contraceptive failure, mistakes, and, unfortunately, sexual assault. EC provides a safe backup option. Responsible sexual behavior includes knowing and using options like EC when necessary.

Myth: EC is harmful to your health. 
Fact: EC is FDA-approved and is considered safe for most women. While there can be side effects, such as changes in the menstrual cycle or nausea, they are typically short-lived.

Myth: You need a prescription to get EC. 
Fact: EC pills with levonorgestrel like My Choice® are available over the counter at stores and online nationwide without a prescription and do not require ID to purchase them.

Myth: EC is only effective the morning after. 
Fact: While EC is most effective when taken as soon as possible, it can be taken up to 72 hours after unprotected sex.  However, effectiveness decreases each day after the intercourse.

Myth: Using EC is a sign of promiscuity. 
Fact: Using EC is a personal health decision, not an indicator of one's values or character. Stigmatizing its use is unhelpful, unfounded, and even harmful.

Myth: EC is unnecessary if you're breastfeeding.
Fact: Pregnancy can occur even while breastfeeding. The first ovulation that occurs during breastfeeding will occur 2 weeks prior to the first period returning and can be very hard to predict. If you're not using a regular method of contraception, EC may be necessary.

Emergency contraception is a safe, effective, and responsible choice for preventing unwanted pregnancy after unprotected sex or contraceptive failure. Dispelling myths and spreading facts empower individuals to make informed decisions about their reproductive health. If you have questions about EC or your specific health needs, it’s always best to consult your healthcare provider.

About the Author

Ob/Gyn Dr. Staci Tanouye, MD, is a board-certified gynecologist and expert in women’s sexual and reproductive health. She not only helps to educate her own patients, but as one of the most popular gynecologists on social media, with over 1.5 million followers on Instagram and TikTok, she uses her platform to educate and empower women. Dr. Staci is a brand partner to My Choice®, an affordable and effective EC option available nationwide, in stores and online.

Where to Buy

My Choice® Emergency Contraceptive is available at retailers nationwide. Click the logo for the store locator or BUY NOW to purchase online.