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The Science Behind the Risks of Excessive Levonorgestrel Emergency Pill (P-2) Use among Young Women


In today's world, where information and choices about reproductive health are easily accessible, making informed decisions regarding emergency contraception is crucial. Young women face various challenges and decisions related to their reproductive health. One such challenge is the overuse of emergency contraception, specifically levonorgestrel (often known as Plan B or P-2). Levonorgestrel is a type of emergency contraceptive widely available for preventing unintended pregnancies. However, this medication's frequent and improper use among young women has raised significant concerns among healthcare professionals.

Levonorgestrel is a synthetic hormone that belongs to a group called progestin. When used within 72 hours of unprotected intercourse, it works primarily by preventing or delaying ovulation – the release of an egg from the ovaries (Jatlaoui et al., 2016). In addition, it may make the cervical mucus thicker, making it harder for sperm to reach the egg if ovulation does occur. Furthermore, it might affect the uterus lining, making it less receptive to a fertilized egg. These mechanisms combined aim to decrease the likelihood of pregnancy after unprotected intercourse.

The Hazards of Overuse

Hormonal Imbalance: One of the dangers associated with P-2 is hormonal imbalance, which occurs when its high hormone doses disrupt the body's natural hormonal equilibrium (Elnasr et al., 2021). This imbalance may cause heavy bleeding or irregular periods by upsetting the menstrual cycle's typical regularity. Hormonal fluctuations can also affect mood, causing mood swings or emotional changes. It's crucial to maintain a balanced hormonal environment for overall well-being.

Reduced Effectiveness: Additionally, its frequent use often reduces efficacy since the body develops resistance to its contraceptive effects, reducing its reliability as an emergency contraception option (Elnasr et al., 2021). As a result, there are numerous unintended pregnancies among women who take the pill with the hope of avoiding pregnancy. Reliance on emergency contraception as a regular method can create a false sense of security, resulting in unintended pregnancies.

Promoting Informed Decision-Making

Our society must prioritize comprehensive sex education that equips young women with accurate information about reproductive health, contraception methods, and the responsible use of emergency contraception. Comprehensive sexual education is paramount. By understanding the principles of contraception and the proper use of emergency contraception, young women can make informed choices that align with their reproductive health goals. Empowerment comes through knowledge.

Responsible use of P-2 should be encouraged among young ladies. Emergency contraception should be reserved for emergencies such as condom breakage or missed contraceptive pills. Adopting consistent birth control methods like hormonal pills, patches, IUDs, or barrier methods is essential for ongoing protection. Easy access to contraceptive methods can help young women make informed decisions and choose the best method for their needs.

Young women should be encouraged to establish a relationship with healthcare personnel. Building a relationship with a healthcare provider ensures access to accurate information and personalized advice. Regular check-ups allow monitoring of reproductive health and guidance on contraception choices.

Open conversations with healthcare providers, friends, and partners must be encouraged to help dispel myths, get much-needed support, and address concerns. Creating an environment where young women feel comfortable discussing reproductive health is important.


While Levonorgestrel (P-2) is critical in preventing unintended pregnancies, its overuse among young women poses potential risks to their reproductive health. By understanding the science behind hormonal disruption and reduced effectiveness, young women can make informed decisions about their reproductive health. Empowering young ladies with accurate information, responsible usage, and open communication can improve their overall well-being and reproductive health.


Jatlaoui, T. C., Riley, H., & Curtis, K. M. (2016). Safety data for levonorgestrel, ulipristal acetate, and Yuzpe regimens for emergency contraception. Contraception93(2), 93-112.

Elnasr, I. S., Fahmy, M., Hamza, H., El-Fiqy, H. M., & Ammar, H. (2021). Intrauterine Device versus Levonorgestrel As Emergency Contraception. Observational Study. The Egyptian Journal of Hospital Medicine82(1), 1-5.