Who ellaOne Tablets Work for and Who May Need Alternative Emergency Contraception

If you are worried about unprotected sex or contraceptive failure, acting quickly can make all the difference. ellaone tablets are a widely used form of emergency contraception, but they are not always the right choice for everyone. At The Care Pharmacy, we provide discreet access to emergency contraception through our secure consultation form, alongside clear professional guidance. If you need advice about your options, contact us or book an appointment, and our team will be happy to help.

Understanding how ellaOne tablets work, who they are suitable for and how they compare with Levonorgestrel can help you make a confident and informed decision.

What Are ellaOne Tablets?

ellaOne tablets contain ulipristal acetate, a medication designed to prevent pregnancy after unprotected sex or contraceptive failure. They are often referred to as the morning after pill, although they can be taken up to five days after intercourse.

ellaOne tablets work by delaying or inhibiting ovulation. If ovulation has not yet occurred, the medication can prevent the release of an egg, reducing the risk of pregnancy.

They are most effective when taken as soon as possible after unprotected sex, but they remain effective for up to 120 hours.

Who Do EllaOne Tablets Work Best For?

ellaOne tablets are suitable for many women, particularly in the following situations:

  • Unprotected sex within the last five days
  • A condom splitting or slipping off
  • Missed contraceptive pills
  • Vomiting after taking a regular contraceptive pill
  • Failure of another contraceptive method

They are often recommended when:

  • More than 72 hours have passed since unprotected sex
  • You are closer to ovulation
  • You want a longer window of effectiveness compared to Levonorgestrel

Because ellaOne tablets can work closer to the time of ovulation, they may be more effective than Levonorgestrel in certain cases. We can help you with timing.

Woman taking emergency contraception

Who May Need Alternative Emergency Contraception?

Although ellaOne tablets are effective for many women, they are not suitable for everyone.

You may need an alternative option if:

  • You are already taking certain hormonal contraceptives and cannot delay restarting them
  • You have severe asthma controlled by oral steroids
  • You are taking medications that interact with ulipristal acetate
  • You are breastfeeding and do not wish to pause breastfeeding
  • You are already pregnant

In some cases, a copper intrauterine device may be the most effective form of emergency contraception. Levonorgestrel may also be recommended depending on timing and medical history.

When you complete our consultation form, we carefully assess your answers to ensure the most appropriate and safe option is provided.

Comparing ellaOne And Levonorgestrel

Both ellaOne tablets and Levonorgestrel are emergency contraceptive pills, but they differ in key ways.

Time Window:

  • ellaOne tablets can be taken up to 120 hours after unprotected sex.
  • Levonorgestrel must be taken within 72 hours.

Active Ingredient:

  • ellaOne tablets contain ulipristal acetate.
  • Levonorgestrel contains levonorgestrel.

Effectiveness Near Ovulation:

  • ellaOne tablets may be more effective closer to ovulation.
  • Levonorgestrel is generally less effective if ovulation is imminent.

Interaction With Hormonal Contraception:

  • After taking ellaOne tablets, you usually need to wait five days before restarting hormonal contraception.
  • Levonorgestrel allows you to continue or restart hormonal contraception immediately.

Cost:

  • ellaOne costs £25.99 with us
  • Levonorgestrel costs £7.99

This difference can be important if you rely on regular hormonal contraception and do not wish to interrupt it.

Which Option Is More Effective?

Both treatments are effective when taken correctly and promptly. However, ellaOne tablets are often considered slightly more effective overall, particularly later in the five-day window.

Effectiveness can vary depending on:

  • How soon the tablet is taken
  • Body weight and BMI
  • Where you are in your menstrual cycle
  • Other medications you are taking

No emergency contraceptive pill is 100 percent effective, so if your next period is late or unusual, you should take a pregnancy test.

Different types of contraception for women

What About Side Effects?

Most women tolerate ellaOne tablets well. Possible side effects can include:

  • Headache
  • Nausea
  • Abdominal pain
  • Dizziness
  • Changes to your next period

Your next period may come earlier or later than expected and may be lighter or heavier than usual.

If you vomit within three hours of taking the tablet, you may need another dose.

Questions Customers Ask About Emergency Contraception

As soon as possible after unprotected sex. Although effective for up to five days, earlier use increases effectiveness.

Yes, they can be used more than once in a cycle if necessary, but they are not a replacement for regular contraception.

No, they do not have a long-term impact on fertility. They work only to delay ovulation in the current cycle.

You should avoid breastfeeding for one week after taking the tablet and express and discard milk during this time.

No, emergency contraception does not protect against sexually transmitted infections. Barrier methods such as condoms are needed for protection.

Levonorgestrel should be taken as soon as possible after unprotected sex and within 72 hours. It is most effective when taken within the first 12 to 24 hours.

Levonorgestrel can still work up to 72 hours after unprotected sex, but its effectiveness gradually decreases over time. This is why taking it as early as possible is strongly advised.

Levonorgestrel may be less effective in women with a higher body weight or BMI. In some cases, ellaone tablets or a copper coil may be more suitable. This is why completing a consultation form is important so your individual circumstances can be reviewed.

How We Can Help

Choosing between ellaOne tablets and Levonorgestrel can feel overwhelming when time is limited. That is why we offer a simple and confidential online process, reviewed by qualified healthcare professionals. We take the time to assess your circumstances carefully and provide clear guidance tailored to you.

Emergency contraception is most effective when taken promptly, so if you are unsure which option is right for you, contact us without delay. You can complete our secure consultation form at any time, and we will review your information quickly and discreetly to help you access the most suitable treatment.

Start Your Consultation

This blog was written in collaboration with Pharmacy Mentor.

Medically reviewed by

Mohammed Lakhi

Superintendent Pharmacist

Muhammad Lahki
The Care Pharmacy

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