Julie Medical Advisor
Emergency contraception & the LGBTQ+ community
Using emergency contraception as a queer person
Too often, the LGBTQ+ community gets left out of the emergency contraception conversation because many assume that only “straight women'' can get pregnant. But that is not true. Pregnancy can occur in a variety of gender identities (including female, trans men, nonbinary, and gender non-conforming individuals) and sexualities (like heterosexual, queer, bisexual, lesbian, pansexual, and asexual). All it takes is a vagina and sperm.
A study published in Am J Public Health found that compared with their heterosexual peers, people who identify as LGBTQ+ (e.g., queer, bisexual, lesbian, pansexual) have an elevated risk for unintended pregnancy. This is because the heteronormative world doesn’t include queer people in contraceptive discussions, and for this reason, women in the sexual minority don’t often consider contraception as an option for themselves. Some might also feel a sense of fear or judgment since they have infrequent penis-in-vagina intercourse; there can be a perception that long-acting birth control options are “overkill.” This can result in an underestimation of the pregnancy risk in a single occurrence of penis-in-vagina sex, which is one of the most common causes of unintended or mistimed pregnancies.
In order to help prevent unwanted pregnancies in the LGTBQ+ community, we must be open to sharing knowledge and starting conversations, so we can make contraception resources accessible and inclusive to all.
Can individuals identifying as LGBTQ+ use the morning-after pill?
Of course! Emergency contraception (EC) is not limited to any specific sexual orientation or gender identity. If you have a uterus, you can use EC methods like the morning-after pill (Julie, Plan B, etc.) to help prevent pregnancy.
EC is an option available to anyone who wishes to prevent pregnancy after having unprotected sex or if your contraceptive method fails (i.e., condom broke or slipped off).
What types of emergency contraception are available for LGBTQ+ individuals?
There are three different types of emergency contraception available, including over-the-counter options and prescription-only methods:
- Morning-after pill (levonorgestrel): Morning-after pills, like Julie, are available over-the-counter at your local Walmart, Target, CVS, and on Gopuff. The morning-after pill is most effective when taken ASAP or within 72 hours (3 days) of unprotected sex. All morning-after pills, regardless of cost or brand, contain 1.5 mg of levonorgestrel, which delays or prevents the release of the egg from the ovary. When there’s no egg, there can be no pregnancy. The morning-after pill is not the abortion pill, meaning it won’t end or affect an existing pregnancy.
- Ella (ulipristal acetate): Similar to the morning-after pill, Ella is a pill that can be taken up to 120 hours (5 days) after unprotected sex to prevent pregnancy. But unlike Julie and other over-the-counter morning-after pills, Ella is only available by prescription.
- IUD: Two types of intrauterine devices (IUDs) can also be used as emergency contraception — copper and high-dose hormonal IUDs. An IUD is a small, T-shaped device inserted into the uterus by a healthcare professional. While it is a very effective form of regular birth control, the IUD can also be used as emergency contraception when inserted up to five days after unprotected sex or contraceptive failure. It also has the benefit of working as well on day five as it would on day one. When left in place, it will continue to serve as a regular birth control method for 8 to 10 years. However, like Ella, the IUD requires an appointment and insertion procedure.
BMI can impact the efficacy of emergency contraception, so it’s important to consider this when choosing the right option for you. Learn more about BMI and EC here.
When should someone in the LGBTQ+ community use EC?
The sooner you take EC, the better it works. Julie and other morning-after pills are most effective 72 hours (3 days) after unprotected sex, though some efficacy has been reported when taken within 120 hours (5 days).
Take the morning-after pill if:
- No form of birth control was used during intercourse
- You missed 2-3 active birth control pills in a row
- Your partner did not pull out in time
- You had unprotected sex
- A condom broke or came off during intercourse.
If you’re unsure if you used birth control or another contraception method failed, take the morning-after pill to be safe. It won’t impact your ability to get pregnant in the future, and if you are pregnant, it won’t impact the fetus.
Do trans men need the morning-after pill?
Transgender men (trans men) with a uterus that engage in penetrative penis-in-vagina sex may need to consider taking emergency contraceptives after contraceptive failure. A 2018 study concluded that trans men “use contraception and can experience pregnancy and abortion, even after transitioning socially and hormonally.”
If you identify as a trans man and have a uterus, there is a chance you can become pregnant through penetrative sex or if sperm (found in ejaculate or cum) comes in contact with your vagina. Even if you’re not regularly having penetrative sex, it only takes one instance of unprotected sex to potentially become pregnant. If this happens — or if you’re not sure if the sex you had was protected — you can use emergency contraception if you do not want to become pregnant. Julie and other morning-after pill options can be found at your local CVS, Target, and Walmart. You may also want to consider long-term birth control options like the pill, patch, IUD, or shot.
Can someone on testosterone therapy still get pregnant?
Yes. Even though some think of it as contraception, testosterone therapy is not a form of contraception. Testosterone therapy can impact fertility in transgender men but does not guarantee infertility.
It's critical to understand that pregnancy can still occur, especially if you stop testosterone therapy or if you’re not consistently taking it as prescribed.
Can someone with a vagina get pregnant from anal sex?
Technically, no. Anal sex does not lead to pregnancy because the anus is not connected to the reproductive organs.
However, in some instances, sperm can find its way from the anus into the vagina or near the opening, which could lead to pregnancy. Although rare, it is possible for sperm to leak from the anus into the vagina, especially if you lie on your belly after sex. Semen can also spread from the anus into the vagina with fingering or oral sex after ejaculation. That’s why it’s always best to use a barrier method of contraception, like a condom, when having anal sex. Practicing safe anal sex can also reduce your chances of contracting or passing on an STI to your partner.
Emergency contraception was designed to help anyone with a uterus feel empowered to prevent pregnancy after unprotected sex. And everyone, regardless of their sexual orientation or gender identity, deserves the right to have safe sex and make informed decisions about their reproductive health. It’s up to all of us to dismantle the narrative that only “straight women” can get pregnant and recognize how and when we perpetuate this harmful misconception
When people feel empowered to embrace both their queer identity and contraceptive usage, they can actually enable others to use contraception, too. Helen, a 29-year-old queer femme interviewee in the Sexual Minority Women and Contraceptive Use: Complex Pathways Between Sexual Orientation and Health Outcomes Study, said, “I think a big part of queer identity is, like, owning and feeling control over your experience of having sex with another person. . . . And I actually think that contraception is a tool that enables that. Historically, birth control has been a really important tool for women to own their sexuality. Not just queer women, but including queer women.”
By advocating for contraceptive usage in the LGBTQ+ community, everyone can have access to, and the knowledge of, all the options available. And most importantly, they can feel empowered to make the right decisions for their body and lifestyle.
Now that’s something we should all be fighting for.
Please note that this article is for informational purposes only and should not replace professional medical advice. If you have specific questions or concerns, it’s always best to consult with a healthcare professional.
There are a few medications that may interact with the morning-after pill. The most common medications include:
-Some anti-HIV medications
-Some anti-seizure medications
-Rifampin (an antibiotic mainly used to treat tuberculosis)
-St. John’s wort
If you have concerns about a medicine you are taking potentially interacting with the morning-after pill, please consult with a pharmacist or medical provider.
No, studies have confirmed that taking two pills will not change the effectiveness of the morning-after pill, even for those with higher BMIs.
Essentially nothing. Julie is not an abortion pill and it will not harm or end an existing pregnancy. Julie helps prevent pregnancy by stopping or delaying ovulation, but if you’re pregnant, then there’s no ovulation to stop. The medication, levonorgestrel, won’t harm you or your fetus if you do end up taking Julie while pregnant. This makes Julie a great option for people who want to be safe after unprotected sex—if you aren’t pregnant yet, it may stop a pregnancy from occurring, and if you are already pregnant, it won’t impact the fetus.
No. The morning-after pill only stops ovulation short-term. When you take it after unprotected sex, it reduces your chance of getting pregnant now. When you start a new cycle next month, you’ll go through a brand new ovulation phase, which is a new opportunity to get pregnant. So if you’re planning on having babies in the future, rest assured your chances of getting pregnant won’t be affected by Julie.
After taking Julie you can continue on with your regular birth control method if you have one (for example, continue taking birth control pills).
You will know Julie has been effective when you get your next period, which should come at the expected time, or within a week of the expected time. If your period is delayed beyond 1 week, it is possible you may be pregnant. You should get a pregnancy test and follow up with your healthcare professional.
Julie is a backup or emergency method and should not be used as a regular birth control method. Consult with your doctor about a birth control method that makes sense for you.
Please know that taking a dose of Julie will only protect you from one instance of unprotected sex, it will not prevent pregnancy from unprotected sex over the coming days or weeks. If you have unprotected sex in the future and want to prevent pregnancy, be sure to take a new dose of Julie and talk to your doctor about the best birth control options for you.
Your menstrual bleeding patterns may change temporarily after using levonorgestrel. If you find that your period is more than a week late, take a pregnancy test to confirm whether the contraceptive has worked.
Technically, no. Julie can be used by anyone with a uterus regardless of weight. However, studies have shown that the effectiveness of the morning-after pill does decrease in people who have a body mass index (BMI) over 25. For those with a BMI under 25, pregnancy risk after taking the morning-after pill is less than 2%. For those with a BMI over 29.9, the risk of pregnancy increases to 5.8% - meaning that out of every 100 individuals with a BMI over 29.9 who take Julie, six may become pregnant.
Why? Unfortunately, we don’t really know. There is only preliminary research testing the efficacy of the morning-after pill on people with a BMI over 25 and 30. Read more here.
Julie is not an abortion pill and will not harm an existing pregnancy nor will it be effective if a woman is already pregnant.
Julie is a progestin‑only emergency contraception product that helps prevent pregnancy before it starts when taken within 72 hours after unprotected sex.
Julie is a backup method of preventing pregnancy and should not be used as regular birth control. Use as directed.
The medication in the morning-after pill, levonorgestrel, temporarily blocks or delays ovulation, which is when your ovary releases an egg. It essentially puts the emergency brakes on your ovaries so an egg can’t be released. If there’s no egg, then there’s nothing for sperm to fertilize, which means a pregnancy can’t develop.
Read more about how the morning-after pill works here.
The morning-after pill, like Julie, is 89% effective when taken within 72 hours (or 3 days) after unprotected sex. The golden rule is the sooner you take it, the better it will work.
One thing to note: Weight does impact the effectiveness of the morning-after pill. If your BMI is over 25, Julie may not be the best option for you, but there are other options if you have access to a medical provider. Ella® is another type of emergency contraception pill that works more effectively for women with a BMI under 30. Like Julie, it’s a one-time pill but it does require a prescription from your provider. Copper and hormonal IUDs are the most effective form of emergency contraceptive and are not affected by weight at all. However, they do need to be inserted by a healthcare professional up to 5 days after having unprotected sex.
Learn more about how weight impacts Julie here.
You do not need to see a doctor before or after taking Julie because the pill is available without a prescription. However, there are a few reasons you might want to speak with a doctor after unprotected sex. The first reason is that unprotected sex carries the risk of catching sexually-transmitted infections. The second reason is that the morning-after pill is not as effective as regular birth control. A doctor will be able to counsel you on better options if you plan to remain sexually active.
Since emergency contraception can affect the length of your menstrual cycle, your period might come about a week later or earlier than usual after taking Julie. If your period is more than one week late, consider the possibility of pregnancy.
No, the morning-after pill (including Julie) and the abortion pill are two very different medications. The morning-after pill prevents a pregnancy from starting by stopping an egg from being released. If there’s no egg, there’s no chance of pregnancy. Plus, it’s FDA-approved and legal in all 50 states.
On the other hand, the abortion pill ends an existing pregnancy, which is something that the morning-after pill cannot do. If you’re already pregnant, the morning-after pill and the medicine within it, levonorgestrel, cannot end the pregnancy or impact it in any way.
See more common morning-after pill myths here.
No. No one needs a prescription to purchase Julie or EC. However, some insurances require a prescription for reimbursement. Some pharmacies and places where EC is sold may tell you that you need a prescription. You do not.
The morning-after pill—like Julie— is one of the most common and convenient forms of emergency contraception. It’s an over-the-counter pill found at retail chains like Target, CVS, and Walmart nationwide. The morning-after pill is made of the hormone levonorgestrel, the same hormone found in many birth control pills and is FDA-approved and legal in all 50 states. When used correctly, it can significantly reduce your chance of getting pregnant. It doesn’t require a prescription, ID, or credit card, and can be purchased easily by anyone (you, your partner, your friend, or the nice guy from GoPuff). Learn more about the morning-after pill here.
The morning-after pill is a backup method of preventing pregnancy and should not be used as regular birth control.
You should take Julie if you had unprotected penis-to-vagina sex and:
- You didn’t use any form of birth control
- Your birth control method failed—e.g. the condom broke or slipped off
- You missed 2 or more doses of your regular birth control pill
- You’re not sure if he pulled out in time
Remember to take Julie ASAP to have the best chance of it working. It’s 89% effective when taken within 72 hours of unprotected sex, but can be effective up to 120 hours after. Learn more about Julie here.
No. No one needs a prescription to purchase Julie or other brands of the morning-after pill. However, some insurance companies require a prescription for reimbursement. Some pharmacies and other places where emergency contraceptives are sold may tell you that you need a prescription. You do not.
Take the Julie tablet orally (swallowed). It is preferable to take it with water, and you can take it with or without food. Do not insert Julie vaginally.
No. We know this is a common misconception so let’s break it down. Using Julie (no matter how many times you take it) does not affect your fertility — and it will not prevent you from becoming pregnant in the future. You should feel free to use Julie whenever you think it’s necessary. Julie (and all EC) is not recommended as an ongoing form of birth control because it’s not as effective at preventing pregnancy as birth control methods like the IUD, patch, pill, ring, or shot. Also, frequent use of EC may cause periods to become irregular and unpredictable. That’s it!
You can get Julie at your local CVS, Target, Walmart or on our website.
No, that’s not recommended. Emergency contraceptives, like Julie, work when you take them after sex. That’s because emergency contraception prevents pregnancy by delaying when you ovulate, which is when an egg is released from the ovary. Sperm can live inside you for up to 5 days, so if you take Julie and then have unprotected sex, the medication might not be able to delay ovulation for the entire length of the sperm’s life, creating a potential for pregnancy.
Learn more about how Julie works here.
Yes. You are not alone. Often times, people who buy EC are feeling stressed out, concerned, embarrassed, confused or ashamed. The important thing to remember is that you are not alone, you have nothing to be ashamed about, and the Julie community is here to support you. By taking Julie after unprotected sex, you are taking control of your future and taking a safe, effective, approved method of preventing pregnancy.
Julie and other over-the-counter morning-after pills contain a high amount of levonorgestrel, a synthetic hormone that’s also in some birth control pills. The extra amount of this hormone can affect your menstrual cycle and cause some side effects. Most side effects come and go within hours of taking the pill, but some can last up to a couple of days. Learn more about Julie's side effects here.
- Bleeding/spotting between periods
- Temporary changes to a period cycle (the next period comes early or late)
- Heavier or lighter next period
- Abdominal pain
- Breast tenderness
For more information about Julie side effects and how long they last, read this.
Side effects like nausea, abdominal pain, and fatigue can start within a few hours of taking the morning-after pill. If you vomit within two hours of taking the pill, it’s important to talk to a healthcare professional to find out if you should take another dose.
Most side effects are easily manageable, but sometimes they can be annoying. If that headache just won’t go away or your breasts are super tender, it’s safe to take ibuprofen, acetaminophen, or any over-the-counter pain reliever—they won’t interact or interfere with levonorgestrel.
Listen to your body. After all, you’ve just taken a pill that affects your hormones. Feeling a little weird is normal. Rest, keep yourself hydrated, and give yourself some extra compassion.
No. Julie is not what is commonly called “the abortion pill” or “medication abortion”. The active ingredient in the abortion pill is mifepristone. Pregnancy needs a hormone called progesterone to grow normally. Mifepristone blocks your body’s own progesterone, stopping the pregnancy from growing. Julie does not and will not impact an existing pregnancy, and works by delaying ovulation before there is a pregnancy.
The FDA recently made an update in December 2022 to remove any language suggesting that Julie may prevent implantation of a fertilized egg. We are currently working on removing this outdated disclaimer but you may still see it present on some of our packaging in the meantime. Please disregard these statements because they are out of date. Julie will not impact an existing pregnancy.
Your cycle might be temporarily affected after taking Julie. That’s because there’s a higher dose of levonorgestrel compared to what’s found in daily birth control pills. It’s likely to impact your body’s natural hormone levels for a short period of time. This might result in an earlier or later period.
If your period is delayed beyond one week, it is possible you may be pregnant. You should get a pregnancy test and follow up with your healthcare professional if positive. Your period might also be lighter or heavier than usual, or you might experience spotting in between cycles. If your schedule is impacted beyond a month or two, it’s worth checking in with your medical provider. Read more about how Julie might affect your period here.
No! The most common side effects are changes in your period, nausea, lower stomach pain, fatigue, headaches, dizziness, and breast tenderness. These symptoms typically go away within a few hours and shouldn’t last more than a couple of days. If you have any side effects that bother you, call your healthcare professional. Read more about Julie's side effects here.
Yes. You are not alone. Oftentimes, people who buy EC are feeling stressed out, concerned, embarrassed, confused or ashamed. The important thing to remember is that you are not alone, you have nothing to be ashamed about, and the Julie community is here to support you. By taking Julie after unprotected sex, you are taking control of your future and taking a safe, effective, approved method of preventing pregnancy. If you want to share your experience and talk with others in our community, head to our Tik Tok, Instagram, and Quora space, After Sex, where all sex questions and commentary are welcome.
It depends. Some people get their period a few days earlier or later than they were expecting, while some have reported a delay in menstruation beyond a week. Stress can also delay your period, which can be heightened when taking emergency contraception. If your period is more than one week late, it doesn’t necessarily mean that you’re pregnant, but it is recommended to take a pregnancy test.
Waiting for your period to arrive can be stressful, especially after taking emergency contraception, but just know that it might be totally normal. A delayed or early period is actually one of the most common side effects of taking the morning-after pill. Levonorgestrel, the hormone in Julie, delays ovulation, which can move the timing of your cycle back a few days. Your period might also be lighter or heavier than usual, or you might experience spotting in between cycles. If your period is delayed beyond one week, it doesn’t necessarily mean that you’re pregnant, but it is recommended to take a pregnancy test. You can read more about how Julie might affect your period here.
The best thing to do after taking Julie is to rest and hydrate. If you’re feeling any side effects, you can take over-the-counter painkillers to make yourself feel more comfortable. A heating pad or hot water bottle can also help if you’re having stomach pain or cramping. If you can, a day on the couch with Netflix or a good book often does the trick. Read more about managing Julie side effects here.
Typically just for one menstrual cycle. Most people notice that their period starts either a few days early or a few days late, though some people have reported a two-week delay in menstruation. If you are not pregnant, your cycle should return to normal the next time you get your period. If changes last beyond a month or two, it’s best to check in with a doctor.
Read more about changes to your period after taking Julie here.