Ella Plan B: A Comprehensive Guide to Emergency Contraception

Alan Lucks | MD

Medically reviewed by Alan Lucks | MD, Alan Lucks MDPC Private Practice - New York on February 6th, 2026.

Key Takeaways

  • Ella is a prescription emergency contraceptive with up to 85% effectiveness

  • Most effective within 5 days of unprotected sexual intercourse

  • Works differently from other morning-after pills

  • Safe with minimal side effects for most individuals

Emergency contraception can be a critical healthcare option for many individuals. Understanding how ella works, its effectiveness, and proper usage can help you make informed decisions about reproductive health. Modern medical technology has provided safe and reliable methods to prevent unintended pregnancy.

How Ella Works in Your Body

Ella operates differently from traditional morning-after pills. Unlike other emergency contraceptives, it uses ulipristal acetate to delay ovulation, preventing potential fertilization. The medication works by temporarily blocking progesterone receptors, which disrupts the typical hormonal cycle that leads to pregnancy.

When you take ella online without a visit, you're choosing a scientifically advanced method of emergency contraception. The medication is most effective when taken as soon as possible after unprotected sexual activity.

Effectiveness and Timing

Ella remains effective up to 5 days (120 hours) after unprotected intercourse. However, the effectiveness decreases with time. Within the first 24 hours, ella can reduce pregnancy risk by approximately 85%. After 120 hours, the effectiveness significantly drops.

Interestingly, ella performs better for individuals with higher body weights compared to other emergency contraceptive options. For those weighing more than 165 pounds, ella provides a more reliable solution than traditional morning-after pills.

Important Considerations Before Taking Ella

Before using ella, consider these critical factors:

  • If you have taken birth control pills recently, consult a healthcare professional

  • Wait 6 days before starting a new hormonal birth control method

  • Use backup contraception methods during transition periods

  • Monitor your menstrual cycle after taking the medication

Side Effects and Safety

Most individuals experience minimal side effects with ella. Potential temporary reactions might include:

  • Slight changes in menstrual cycle timing

  • Mild headaches

  • Temporary nausea

  • Vomiting

  • Dizziness

  • Breast tenderness

If you vomit within three hours of taking ella, the medication may not be effective, and you might need a replacement dose.

Accessing Ella: Prescription and Cost

Access Method

Estimated Cost

Insurance Coverage

Pharmacy

$45-$55

Often fully covered

Online Prescription

$39-$50

Varies by provider

Planned Parenthood

Free-$50

Typically covered

You can get a prescription online quickly through various telehealth platforms. Many insurance plans cover emergency contraception, potentially reducing out-of-pocket expenses.

Frequently Asked Questions

How quickly does ella work?

Ella begins working immediately after ingestion, primarily by delaying ovulation.

Can I use ella multiple times?

While safe, it's not recommended to use ella repeatedly as a primary contraception method.

Does ella interact with other medications?

Some medications might reduce ella's effectiveness. Consult birth control interactions before use.

Is ella available without a prescription?

No, ella requires a prescription from a healthcare provider.

How long are ella's effects?

Ella's primary contraceptive effects last approximately 5 days after taking the medication.

The Bottom Line

Emergency contraception is a responsible healthcare choice. Always consult medical professionals for personalized advice tailored to your specific health needs.

Ready to meet your AI doctor? Get started with Doctronic today.

Related Articles