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  • Contraception, with a variety of methods available many people are able to avoid

  • unintended pregnancies. But what happens when things don't go quite as planned?

  • Thanks to modern science a second chance is possible. So how does emergency

  • contraception or "plan-b" work? And what exactly is happening inside the female

  • body? During the female menstrual cycle many hormones are released

  • beginning a chain reaction. The pituitary gland in the brain releases FSH

  • which stimulates the growth of follicles and a premature egg in the ovaries.

  • These follicles then release estrogen

  • which helps prepare the uterus lining and triggers the brain to release leutinizing

  • hormone or LH. LH then triggers ovulation in which the egg is

  • released into the fallopian tubes where it will spend around twelve to twenty-four

  • hours waiting to be fertilized. If the egg isn't fertilized in this time it

  • begins to dissolve and is shed away with the uterine lining during menstruation.

  • Though this window of opportunity is brief it's increased by the fact that sperm

  • can live for up to five days.

  • So the keen sperm from days ago show up early to the show anxiously awaiting

  • ovulation.

  • Birth control pills taken on a regular basis modify these hormone levels. By

  • increasing progestin levels the body thinks it's already released an egg or

  • already pregnant.

  • It effectively decreases FSH and LH and the cycle halts. But in the case

  • of emergency contraception which is only taken if regular contraception methods

  • fail,

  • a few different mechanisms take place. The most important thing to understand

  • is that fertilization doesn't happen immediately or even within hours after

  • intercourse. Instead the sperm must undergo a few biological changes in the

  • fallopian tube first which takes time. This is why emergency contraception is

  • still possible the morning after.

  • It can actually work up to five days after intercourse. If taken during the

  • first half of the menstrual cycle, emergency contraception works

  • specifically to prevent ovulation.

  • This way the egg is not released even though it may be ready and the available

  • sperm cannot fertilize it.

  • In cases where it's too late to inhibit ovulation

  • emergency contraception is thought to also thicken cervical mucus trapping sperm.

  • As well, it may directly inhibit fertilization between sperm and egg.

  • Clinical studies show that emergency contraception prevents pregnancy

  • before fertilization. No studies have shown an effect from emergency

  • contraception if fertilization has already occurred. It does not stop

  • implantation from happening nor does it have any effect after implantation has

  • occurred.

  • In this way, its unable to cause an abortion.

  • And while there are some minor side effects to these drugs, such as nausea and headaches,

  • scientific studies have demonstrated its safety in women of all ages and found

  • that the benefits far outweigh any risks. Got of burning question you want answered?

  • Ask it in the comments or on facebook and twitter, and subscribe for more weekly science videos.

Contraception, with a variety of methods available many people are able to avoid

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