Ulipristal: Emergency Contraception Medication
Ulipristal acetate is a selective progesterone receptor modulator used as emergency contraception. Learn how it works, effectiveness, and access options.
What is Ulipristal?
Ulipristal acetate is an emergency contraceptive medication, sold under the brand name Ella. It works by delaying or preventing ovulation and is more effective than levonorgestrel (Plan B) when taken within 120 hours of unprotected intercourse.
How It Works
Ulipristal is a selective progesterone receptor modulator that prevents or delays the release of an egg from the ovary. Effectiveness depends on timing: it is most effective when taken as soon as possible after unprotected sex, and remains effective up to 5 days (120 hours) after intercourse.
Effectiveness
Studies show ulipristal prevents pregnancy in approximately 98% to 99% of cases when taken within 72 hours of unprotected intercourse. It remains effective beyond 72 hours, with data supporting use up to 120 hours, where it outperforms levonorgestrel.
Access and Prescription
Unlike levonorgestrel, ulipristal requires a prescription in most countries. Many telehealth providers and telemedicine platforms can issue prescriptions following a brief consultation. It is also available at pharmacies with a valid prescription.
Side Effects
Common side effects include nausea, abdominal pain, fatigue, and headache. Most side effects are mild and resolve within a few days. Serious adverse effects are rare.
Cost
Ulipristal typically costs between 30 and 70 dollars, depending on location and pharmacy. Some insurance plans cover it; others require out-of-pocket payment. Telehealth providers may offer competitive pricing.
Key Takeaway
Ulipristal is a highly effective emergency contraceptive suitable for use up to 5 days after unprotected intercourse. A prescription is required, but can be obtained through telehealth or in-person consultation.