Because ejaculation did not occur inside your partner and a new condom was used before ejaculation, the risk of pregnancy is extremely low. Emergency contraception is generally not necessary in this situation.
However, there are two very important points:
Emergency pills work best within 72 hours. At 4 days (96 hours), common emergency pills (like levonorgestrel brands) are much less effective or not recommended. Your partner is 14 years old (a minor). Any medication especially hormonal pills should not be given without medical supervision. Giving emergency contraception to a minor without proper guidance is not advised.
Considering the situation where the condom broke at first might have exposed your partner to pre-ejaculate fluid, which can sometimes contain sperm, using emergency contraception like Leoli (a brand of the morning-after pill) may be a reasonable precaution. Ideally, emergency contraception is most effective when taken as soon as possible after unprotected intercourse, typically within 72 hours. Since it’s been 4 days (96 hours), the typical window for taking a morning-after pill like Leoli has passed, which may reduce its effectiveness. However, other types of emergency contraception such as the prescription medication ulipristal acetate, or in some cases, a copper IUD, can be effective a little longer; consult a healthcare provider to discuss these options further given her age and circumstances.
Emergency contraceptive pills like Leoli are generally considered to be safe, but they can cause side effects such as nausea, fatigue, headache, dizziness, breast tenderness, or changes in the menstrual cycle. Given that your partner is 14 years old and at a young age, it is crucial to also consider her overall health and any specific medical history she might have. Furthermore, involving a healthcare professional is vital in providing the appropriate guidance and ensuring her well-being, given her age and the context.
And given her age, it might be essential to seek advice from a healthcare professional to ensure appropriate steps are taken, both for her immediate well-being and for access to comprehensive sexual and reproductive health education. In situations potentially involving minors, professional and legal guidance is also often important.
