ella® (ulipristal) is an FDA approved emergency contraceptive for use within 5 days of unprotected sex or contraceptive failure. Pregnancy from a previous sexual encounter should be ruled out before taking ella®. It is estimated that taking ella® will reduce the number expected pregnancies from 5.5% to 2%. ella® may reduce the chance of pregnancy by preventing or postponing ovulation. It also may work by preventing a fertilized egg from implanting in the uterus, which is a form of early abortion. ella® is a chemical cousin to the abortion pill Mifeprex. Both share the progesterone-blocking effect of disrupting the embryo’s attachment to the womb, causing its death.
The most common adverse reactions of ella® include headache, nausea, stomach (abdominal) pain, menstrual cramps, fatigue and dizziness. Women who experience abdominal pain three to five weeks after using ella® should be evaluated right away for an ectopic pregnancy. Much is unknown about the drug, including its effect on women who are under 18 or over 35 years of age, taking other hormonal connection, pregnant from a previous encounter, taking ella® repeatedly during the same cycle or are breast –feeding.
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