What are my Emergency Contraception options after Sexual Assault?

If you’ve experienced sexual assault, emergency contraception (EC) is a safe and effective way to reduce the risk of pregnancy. There are two main types of EC — both work best when taken as soon as possible, but you can still use them within 3–5 days after unprotected sex.

You do not need a police report or parental consent to access emergency contraception.

You have the right to make this decision on your own.

1. Plan B (Levonorgestrel)

  • Available over the counter with no prescription or ID needed

  • Most effective within 3 days (72 hours) after unprotected sex

  • May be less effective for people over 165 lbs

  • Sold under brand names like Plan B One-Step, Take Action, My Way, and generic Levonorgestrel

Learn more about Plan B here.

2. Ella (Ulipristal Acetate)

  • Available with a prescription

  • Effective up to 5 days (120 hours) after unprotected sex

  • Works better than Plan B for people with higher body weight or who are closer to ovulation

  • Ask a doctor, urgent care, or telehealth provider for a quick prescription

Learn more about Ella here.

Learn more about the differences between Plan B and Ella here.

3. Copper IUD (Paragard)

  • The most effective form of emergency contraception

  • Must be inserted by a healthcare provider within 5 days

  • Also serves as long-term birth control for up to 10 years

  • Not always accessible immediately after an assault, but worth asking about

Where to Get Emergency Contraception

  • Pharmacies: Plan B is often available behind the counter — just ask

    • its sold as a generic Levonorgestrel online for much cheaper

  • Urgent care clinics, hospitals, student health centers, and telehealth providers can help you access Ella or other options

Cost & Access Tips

  • Brand name Plan B usually costs $35–$50, but you may be able to get it for free at a local clinic or through a sexual assault response program. Generic Levonorgesteral is just as good and can be as cheap as $6.

  • Ella may be free or low-cost with insurance (but you need a prescription)

  • You can ask for "emergency contraception" without needing to disclose details of your assault if you don’t want to share.

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What should I do if I’ve been Sexually Assaulted and Need Reproductive Healthcare?

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I’m on birth control — should I still take Plan B after a sexual assault?