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This question was answered on Mon 06, Sep 2010 08:05am by Dr Anku Sharma

emergency contraception



    
Asked by mjmm (Female; 19; I had taken Plan B once before in March ) on Mon 06, Sep 2010 03:36am
Priced at $9.00

Hi, I had unprotected sex (withdrawal method) around 2 or 3 days after my period ended. My period had started on the 30th of July ended around the 2nd or 3rd of august and I had sex on the night of the 4th. I know that right after my period I'm not fertile so I know that plus the fact that he didnt ejaculate in me reduces the chances of pregnancy greatly. However, just to be safe I took emergency contraception within 24hrs. About 5 days (around the 9th or 10th) after taking the pill I got a light period that is it lasted about 3 or 4 days (ended around the 13th or 14th) and I only needed about one pad a day. However, I'm usually regular and the day I should have gotten my period for the month of August was around the 28th. However, it has now been a week after and I still haven't gotten my period. I know that emergency contraception alters the cycle. However, I was wondering if considering the facts of my case and the fact that I experienced that bleeding after taking the pill... should I reasonably conclude that I'm not pregnant and my delayed period is because of the pill or should I be worried? Thank you so much for your help!

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Answer by Dr Anku Sharma (doctor) on Mon 06, Sep 2010 08:05am:

Dear mjmm, welcome to the forum. I can understand your concern regarding the irregular menstrual pattern and a possible pregnancy.Most of the time, there is no reason to worry if you bleed after taking emergency contraceptive pills (also called "morning after pills" or "day after pills"). Although not a common side effect, the hormones in the pills (either progestin alone or progestin combined with estrogen) can cause some women to bleed at unexpected times. If that is the cause of your bleeding, it is not dangerous and you should expect it to go away by itself after you get your next period.You should know, however, that your unusual bleeding could be caused by something else that, in rare cases, may be more serious. It’s a good idea to call your health care provider if you have other symptoms (like abdominal pain or dizziness), if the bleeding lasts more than a few days, if it starts to get heavier, or if you're just worried that it might be something serious. After taking emergency contraceptive pills, your next period should come within the next month, either on time or a week before or after you would normally expect it. If it doesn’t come within a week after you expect it, you might consider getting a pregnancy test. Take up a simple home urine pregnancy test which checks hcg hormone in urine. Consult your gynaecologist immediately who will also like to confirm with a serum pregnancy test and a vaginal ultrasound which can detect fetal cardiac activity as early as 4 weeks. I hope this information helps. You can get back to me for any possible query. Best of luck.
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Comments:

Response by Dr.Kokil Mathur on Mon 06, Sep 2010 08:17am:
Hi! Dr Anku Sharma has clearly answered everything very well and it would be good to follow up her advice. She is right in saying that you should wait for a week from the due date of your period and then take a pregnancy test. If this is negative, then repeat after 4-5 days if you still do not get periods. If this too is negative and you have not got your periods by then, then other causes of delayed or missed periods will have to be looked at such as stress whether emotional or physical, hypothyroidism, polycystic disease of the ovary, pituitary tumors secreting prolactin, anemia and poor diet, unexplained or sudden weight gain or weight loss. Please discuss your case with a gynecologist if you miss the periods for 7-10 days and pregnancy test continues to be negative. It is difficult to comment beyond this at this stage. Please let me know if there is any thing else and do keep me posted. Take care!

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