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Ella Emergency Contraceptive

5.0 - 2174 Reviews

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$42 generic equivalent, $0 with most insurance

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Product Details

How to Use Ella

Simply take 1 pill as soon as possible within 5 days (120 hours). Although Ella works up to 5 days after having unprotected sex, it is recommended that you take the pill ASAP because most emergency contraceptive pills do not work as well to prevent pregnancy after ovulation occurs (this is when the egg comes out). The sooner you take Ella, the better it will work.
Note: stop using any hormonal birth control methods 5 days after taking Ella, and instead use a reliable barrier method (condoms, diaphragms) if you do engage in sex during that window. Progesterone, found in hormonal contraception, blocks the efficacy of Ella.

Ella Dosage

Ella has 30 mg of ulipristal acetate. Ella is a Progestin Receptor Modulator. Ella is non-hormonal.

Side Effects

Some side effects reported by women who used Ella are: nausea, lower abdominal cramps, tiredness, headache, dizziness, breast tenderness, vomiting, and a period that is early, late, lighter or heavier.
Some women may experience changes in their menstrual cycle after taking Ella. If your period is more than 1 week late, we recommend you to take a pregnancy test and follow up with your primary care provider because it’s possible you might be pregnant.

Ella Warnings

Do NOT take this if :

  • You are allergic to Ulipristal Acetate
  • You are pregnant. “The risks to a fetus if a pregnant person with a uterus takes it is unknown.” per FDA
  • You are breastfeeding.

Note: please STOP any progestin containing medications (birth control pill, patch, ring) for 5 days AFTER taking this. If you do add progestin via the birth control pill, patch, ring, it decreases the effectiveness of Ella. Abstain from heterosexual sexual intercourse or use condoms if you do decide to have heterosexual sexual intercourse.

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What Is Ella Emergency Contraceptive?

Ella is an emergency contraception pill, sometimes referred to as a “morning-after pill,” that works by stopping or preventing the release of an egg to be fertilized by a sperm in order to prevent pregnancy.

Pandia Health’s expert birth control doctors recommend Ella (ulipristal acetate, “prescription emergency contraception”) over Plan B and its generics because Ella is more effective at every time point, works for those with BMIs up to 35, and is “free” = no copay, no deductible if you have insurance in the USA (under the Affordable Care Act). Learn more about the difference between these medications here. If your BMI is 35 or more, Ella will not work. In those cases, our doctors recommend the IUD (copper or 52 mg LNG) as the best emergency contraceptive option.

Do not use emergency contraception if you are already pregnant or think you might be pregnant. If you think you might be pregnant, take a pregnancy test before taking Ella.

Ella is not the same as an abortion pill and cannot terminate an existing pregnancy.

Frequently Asked Questions

To get Ella you need a prescription. You can call your Doctor’s office and request to have a prescription for it sent with your birth control to a pharmacy. If you are in the states of AL, AZ, CA, CO, FL, GA, IL, MI, MN, NV, NY, OH, OR, PA, TX, or WY Pandia Health’s expert doctors are happy to write a prescription and send it to a local pharmacy of your choice so you can pick up the medication asap or Pandia Health can deliver it by mail for future use in case of emergencies.

Ella is about 85% effective at preventing pregnancies when taken within 5 days. That means around 7 out of 8 people who take it as directed will not become pregnant. 

Ella price is about $39 if you are paying out of pocket. In most cases, Ella should be $0, no copay, no deductible for most US insurances.

Ella is a single pill that needs to be taken within 120 hours (5 days) of having unprotected sex. The sooner it is taken, the better the medication will work to prevent pregnancy. Pandia Health recommends keeping an extra pack of Ella in your house to ensure timely access in case of emergency.

You should take Ella every time you had unprotected sex, the regular birth control method you were using failed, or you forgot to take birth control. Examples are: 

  • The condom broke during sex.
  • You forgot 3 days of birth control pills/patch/ring in a row and had sex today.
  • You went to the bathroom after sex and my birth control ring fell out into the toilet, and couldn’t get another for 3 days.
  • You forgot to get your Depo-Provera shot and had sex last night.
  • You were forced to have unprotected sex.

You can take Ella every time you have an oopsie. We don’t recommend using it on a regular basis since other birth control methods are more effective (Implant, IUD, Pill, Ring, Patch, Shot, Condom). Using Ella can also change your menstrual cycle (generally for just 1 cycle) and if you use Ella often, that will make it harder to keep track of when you’ve missed your period. Ella should be used only for emergencies and not as a method of birth control. 

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We're here to make women's lives easier by providing a one-stop shop for recurring medications. Pandia Health brings convenient expert telemedicine care and medication delivery to you from the comfort of your home or wherever you may be. We specialize in women's health to provide affordable, convenient, and confidential access to telehealth and pharmacy services."

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