This week, the FDA ruled to allow girls fifteen and up to buy Plan B emergency contraception without a prescription. Plan B One-Step is a 1.5 mg levonorgestrel, a progestin-only pregnancy prevention pill advised to be taken orally as quickly as possible within 72 hours of unprotected sex. It is not an abortion pill; it will not terminate an existing pregnancy. According to prescribing information, "The most common adverse reactions (=10%) in clinical trials included heavier menstrual bleeding (31%), nausea (14%), lower abdominal pain (13%), fatigue (13%), headache (10%), and dizziness (10%)."
"Up to 10% of pregnancies reported in clinical studies of routine use of progestin-only contraceptives are ectopic. A history of ectopic pregnancy is not a contraindication to use of this emergency contraceptive method. Healthcare providers, however, should consider the possibility of anectopic pregnancy in women who become pregnant or complain of lower abdominal pain after taking Plan B One-Step. A follow-up physical or pelvic examination is recommended if there is any doubt concerning the general health or pregnancy status of any woman after taking Plan B One-Step."
A search for levonorgestrel on Drugs.com reveals the following:
Do NOT use levonorgestrel if:
• you are allergic to any ingredient in levonorgestrel
• you are or suspect that you are pregnant
• you have abnormal vaginal bleeding
• you are taking nevirapine, rifampin, or St. John's wort
• you have had a stroke or history of bleeding of the brain, known or suspected breast cancer, or a blood clotting disorder
Contact your doctor or health care provider right away if any of these apply to you.
Before using levonorgestrel:
Some medical conditions may interact with levonorgestrel. Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:
• if you are pregnant , planning to become pregnant, or are breast-feeding
• if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
• if you have allergies to medicines, foods, or other substances
• if you have a history of ectopic pregnancy or you are premenstrual
• if you have diabetes
Jedediah Bila is an author, columnist, TV and radio personality, public speaker, and Fox News Contributor. Her book, OUTNUMBERED: Chronicles of a Manhattan Conservative, was published in May of 2011. Her columns have been published in/at Human Events, The Daily Caller, Newsmax, FoxNews.com, Breitbart.com, The Blaze, and AMAC's newsletter. Jedediah is a former high-school academic dean and adviser, and has taught at the middle school, high school, and college levels.