The emergency contraceptive pill is contraindicated in women over 40 years of age and is not recommended for patients using either type of emergency contraceptive pill. The risk of liver and kidney damage or blood clots is greater when patients use emergency contraceptives. These risks are much greater than the risk of abortion after pregnancy, and may be life-threatening in severe cases, so emergency contraceptives are not recommended for women over the age of 40. If the patient has unprotected sex and is older than 40 years old. However, if there is no pregnancy planned and there is a fear of having an abortion, the patient may choose to have an intrauterine device placed. The intrauterine device is effective for 120 hours after unprotected sex. The IUD will provide permanent contraception and will be effective as long as the patient does not remove the IUD. The IUD can be removed after menopause, so it is the first choice for emergency contraception for women after the age of 40.