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Ages & Stages

Emergency Contraception for Teens: When & How to Use It Safely

When should teens use emergency contraception? When should teens use emergency contraception?

Emergency contraception―such as the "morning after pill" or IUDs―helps reduce the risk of pregnancy after unprotected sex or birth control failure. Here's what to know about emergency contraception options for teens, including how they work and when to use them.

Teen pregnancy is 100% preventable.

Sexually active teens should always use two forms of birth control. One form is a condom, which helps protect against infections. The other form is a method to prevent pregnancy. Learn about possible types here.

The American Academy of Pediatrics (AAP) recommends an emergency contraception prescription or supply be given to teenagers in advance. That way, they can use it as soon as possible if needed.

The AAP also strongly supports:

Some situations when taking emergency contraception would be useful

  • The teen did not use birth control.

  • The teen missed a dose (or doses) of birth control pill (or was late applying a new patch, inserting a new ring, or getting the next injection).

  • The condom broke or slipped.

  • The teen threw up after taking their birth control pill.

  • The teen was sexually assaulted.

Types of emergency contraception methods: pills & IUDs

Emergency contraception pills

Another option is oral emergency contraceptive drugs. The generic names are levonorgestrel and ulipristal acetate.

NOTE:
Emergency contraception pills should be taken within 120 hours (5 days) after unprotected or under-protected sex to help prevent pregnancy.

  • Levonorgestrel is approved to be sold without a prescription to individuals of all ages. It is important to note that secret shopper studies indicate some pharmacies continue to enforce age restrictions, and the cost of the over-the-counter product can be prohibitive―especially for teens.

  • Ulipristal acetate (sold under the brand name Ella) is available by prescription only. A pregnancy test is required. Studies have shown, however, that many pharmacies do not stock it.

IUDs as emergency contraception

The most effective method is to have a doctor insert a intrauterine device (IUD) within 5 days of sexual intercourse. It can help prevent pregnancy. In addition, it stays in place and can serve as a long-term birth control method.

NOTE: Contrary to many beliefs, an IUD does not stop a pregnancy that has already started in the uterus. Also keep in mind that It doesn't prevent sexually transmitted infections.

Knowing how to use emergency contraception

All teens should be counseled about how and when each method can be used. This includes those with physical or cognitive disabilities. Youth with disabilities are at higher risk to be sexually assaulted than their peers.

FAQs about emergency contraception

What if teens can't get emergency contraceptive drugs?

  • If access is a problem, teens should ask their pediatrician about how to use oral contraceptive pills within 120 hours (5 days) of sex to help prevent pregnancy.

What should teens do after taking emergency contraception?

  • After taking emergency contraception, it is important to visit the pediatrician and talk about more effective options to prevent pregnancy in the future. While there, teens can also be tested for sexually transmitted infections. It is also a chance to ask about immunizations. For example, the AAP recommends two doses of the HPV vaccine to protect against sexually transmitted infections that cause cancer.

More information


Last Updated
6/13/2025
Source
American Academy of Pediatrics Council on Adolescents and Young Adults (Copyright © 2025)
The information contained on this Web site should not be used as a substitute for the medical care and advice of your pediatrician. There may be variations in treatment that your pediatrician may recommend based on individual facts and circumstances.
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