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Ulipristal, known commercially as Ella, is an emergency contraceptive pill designed to prevent pregnancy following unprotected intercourse or contraceptive failure, such as a broken condom. It is most effective when taken within five days of the incident. This medication is not intended for routine birth control use and does not terminate an existing pregnancy nor protect against sexually transmitted infections (STIs) like HIV, gonorrhea, or chlamydia. Ella works by inhibiting the hormone progesterone. Normally, progesterone helps the body release an egg during ovulation and assists in the implantation of a fertilized egg in the uterus. By blocking progesterone, Ella temporarily prevents the release of an egg and may alter the uterine lining to prevent implantation. It's important to note that Ella may be less effective in women with a body mass index (BMI) over 30 or those taking certain medications, which could lead to a reduced efficacy and potential pregnancy. Consult with a healthcare provider to determine if Ella is suitable for you. Unlike some other emergency contraceptives, Ella is not available over the counter. Possible side effects include nausea, cramps, and headache, similar to those experienced with other emergency contraceptives like levonorgestrel (Plan B). Always seek advice from a doctor, nurse, or pharmacist before using any medication.