“It Can Disrupt, Stop Ovulation”

Dr Eko Eko Filbert, Gynaecologist, Reproductive Health Specialist and Public Health Expert.

It has been observed that an increasing number of young girls are misusing the emergency contraceptive pill. Could you explain how this medication affects the body? 
Contraceptives work by affecting the ovaries, uterus, cervix, and even the vagina. The morning-after pill, or emergency contraception, functions similarly, but with a much higher dosage that takes effect immediately. This is why it must be taken within 72 hours. However, the high dosage of emergency contraception pills poses a risk, as they contain around 10 times the amount of active ingredients found in regular contraceptive pills. Consequently, they are designed for one-time use only and should not be taken daily like regular contraceptives. It's crucial to exercise caution when using emergency contraception, as repeated use can disrupt menstrual cycles. The pill works in three main ways: blocking ovulation, thickening the uterine lining to prevent implantation, and altering cervical mucus to hinder sperm mobility. Frequent use can lead to ovulation inhibition, causing cycle irregularities and potentially even infertility. Women may not immediately realize the consequences of repeated emergency pill use, but it can have long-term effects on their reproductive health.


What health risks do individuals who misuse it face?
All contraceptive methods, whether hormonal, intrauterine devices, or others, are safe and highly effective when used correctly. However, the choice of method must be tailored to an individual's medical and surgical history. Certain health conditions, such as liver or breast disease, may preclude the use of specific methods. A thorough medical evaluation is essential to determine the most suitable contraceptive option. For instance, a history of breast cancer in the family may prompt a more cautious approach to hormonal contraceptives, as they may potentially accelerate the growth of existing cancer cells. While contraceptives do not cause cancer, they may affect the progression of undiagnosed cells. Therefore, it is crucial for individuals to consult a healthcare provider for a thorough examination and personalized advice. Once a suitable method is identified, regular check-ups with a physician are necessary to monitor its ...

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