Drospirenone-only Pill as Emergency Contraception

Inclusion Criteria: Overall good general health. Age 18-35 years at time of enrollment. BMI 1. Initial dose-finding cohort: BMI < 30 kg/m2; thereafter no BMI limit Intact uterus with at least 1 ovary. Regular menstrual cycles that occur every 21-35 days: If patient is postpartum or post-second trimester abortion, she must have 3 menses (2 cycles) prior to enrollment. If patient had a first trimester abortion or pregnancy loss, she must have one spontaneous menses prior to enrollment. Negative urine pregnancy test at screening visit and at time of drospirenone administration. Consistent use of a barrier method or other non-hormonal birth control method throughout the study, or otherwise not at risk for pregnancy. Ovulatory as confirmed by a documented screening progesterone (P4) level ≥3ng/ml at screening visit. Willingness and ability to abstain from medications and supplements known to induce/inhibit CYP3A4 during the study period Willingness and ability to comply with the protocol requirements. Lives within the study site catchment area or within a reasonable distance from the site. Exclusion Criteria: Have a known hypersensitivity or contraindications to drospirenone. Currently taking any known CYP3A4 inducers/inhibitors. Medical conditions that affect liver function (e.g., hepatitis, cirrhosis; assessed via participant self-report). Medical conditions that affect kidney function (e.g., chronic kidney disease, primary renal disease; assessed via participant self-report) or use of medications that can affect kidney function and/or electrolyte balance (e.g., ACE inhibitors, diuretic medications; assessed via participant self-report). A known history of or presence of hyperkalemia (potassium ≥4.5mEq/L) or renal impairment (creatinine of ≥1.1mg/dL) at screening visit. Known or suspected current alcohol dependence syndrome or any illicit drug use that may affect the metabolism of the drospirenone. Undiagnosed abnormal uterine/genital bleeding. Uncontrolled thyroid disorder. Use of long-acting injectable hormonal contraceptive within the past 6 months prior to enrollment unless the patient has had at least one spontaneous menstrual cycle since the last injection. Recent use of hormonal oral, patch, intravaginal, or intrauterine contraception unless that patient has had at least one spontaneous menstrual cycle since discontinuation. Currently breastfeeding or are within 30 days of discontinuing breastfeeding unless the patient has already had a menses following discontinuation. Planning on undergoing major surgery during study participation. Planning significant weight loss during the study related to bariatric surgery, dieting, or other causes. Planning pregnancy during their anticipated months of study participation