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Emergency contraception

Time-sensitive contraception used after sex when no contraception was used or a method may have failed. UK options include a copper intrauterine device and two types of emergency contraceptive pill.

SourcesNHS: emergency contraceptionNHS: emergency contraceptive pillNHS: copper IUD
VISUAL FIELD NOTEEmergency contraception

Sexual health

In brief

Time-sensitive pregnancy prevention after contraceptive failure or non-use.

Act promptly: the effective window, medical suitability and next steps depend on the method and circumstances. A copper IUD is the most effective option and can usually be fitted within five days; levonorgestrel is used within 72 hours and ulipristal acetate within 120 hours. Professional advice matters because timing, medicines and ongoing contraception can change the choice.

Copper IUD

The most effective emergency option; fitted by a trained clinician and usable as ongoing contraception.

Levonorgestrel pill

An oral option taken within 72 hours, with effectiveness generally better the sooner it is used.

Ulipristal acetate pill

An oral option taken within 120 hours, with specific advice about restarting hormonal contraception.

Abortion

Care that ends an established pregnancy; emergency contraception works before pregnancy is established.

Timing and access

Contact a participating pharmacy, sexual-health clinic, GP or other NHS service as soon as possible. Availability and pharmacy arrangements vary across UK nations and local areas.

Do not assume it is too late without asking: a clinician can assess timing across the menstrual cycle and whether an IUD remains suitable.

Choosing safely

Tell the professional about medicines and supplements, recent hormonal contraception, weight or BMI considerations, breastfeeding and relevant health conditions. These can affect recommendations.

If vomiting occurs soon after a pill, seek advice because another dose may be needed. Follow the specific instructions supplied.

After using it

Oral emergency contraception does not provide continuing protection for later sex. Advice on starting or resuming regular hormonal contraception differs between pill types.

Take a pregnancy test or seek review according to the instructions, particularly if the next period is late, unusually light or accompanied by concerning pain.

Separate health questions

Emergency contraception does not prevent or treat STIs. A clinic can discuss testing, hepatitis prevention or urgent HIV PEP where relevant.

Needing emergency contraception is healthcare, not evidence of irresponsibility. Consent and safeguarding support remain available if sex or contraceptive non-use was not freely agreed.

Non-graphic examples

What the umbrella may include

  • Seeking advice after a condom breaks.
  • Discussing a copper IUD within five days.
  • Telling a pharmacist about an interacting medicine.
  • Following instructions before restarting a regular pill.
  • Taking a pregnancy test when advised after treatment.

Related field notes

Useful overlaps, not assumptions.

Sexual healthBlood and bodily-fluid exposure

Contact whose infection significance depends on the fluid, route, body site, skin integrity, amount and source context. A splash onto intact skin is not equivalent to a sharps injury or contact with eyes, mouth or broken skin.

Open field note
Sexual healthCondoms and barriers

Products used to reduce contact with bodily fluids or skin and lower the likelihood of some infections and/or pregnancy. Protection depends on material, fit, correct use and the exposure involved.

Open field note
Sexual healthContraception

Methods used to reduce the chance of pregnancy. Methods differ in effectiveness, duration, reversibility, side effects, user control and protection against sexually transmitted infections.

Open field note

Reviewed 30 August 2026

Keep exploring.

This detailed field note uses the best available evidence without treating one community sample as universal. Evidence limits and UK context are stated where relevant.

Prepared by The UK Kink Guide editorial team. Read the evidence and review methodology.

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