Ella vs progestin-only pills?

[Loopsyme]

I made some research on it and ella is claimed to be more effective than other EC pills. How is it so? Does it contain a higher dose? If so, does that mean that it is much worse for your health? I always take Ella whenever there is a failure with the birth control method that we're using, so I really need some information about what is the actual difference between Ella and the progestin-only pills, in order to take the one that works much better for me the next time.
Thank you

[Alice O]

Hey Loopsyme,

Our most up-to-date emergency contraception piece can be found here: Emergency Contraception (Plan B or the Morning-After-Pill).

That piece states that Ella is "slightly more" effective than Plan B and other levenogestrel-based ECs. It also explains that Ella can be a better fit for people with a higher body mass index (BMI). Plan B is less effective for people with a BMI of 30 or higher, whereas for Ella that is true for a BMI of 35 or higher. In addition, it explains that Plan B's effectiveness rate can drop by up to 15% once the 24-hour window after the pregnancy risk ends. Ella is just as effective later on (up to 5 days). So those are some ways in which Ella can be a better fit for someone. The piece says nothing about Ella being "worse for your health" than Plan B, so no need to worry about that.

But I also want to check in about the birth control failures you mentioned. You said earlier on that you are using condoms with you partner. When used properly, breaks are quite rare with condoms, so this can likely be easily fixed. Are you using plenty of extra lubricant? When you put the condom on are you leaving room in the top of the condom for your partner's ejaculate? Are you storing the condoms properly? A bit more on proper use of condoms: Condom Basics: A User's Manual.