Is Your Birth Control Effective? Pregnancy Risks - Obstetrics and Gynecology

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Successful contraception? High likelihood of pregnancy?


The average menstrual cycle is about 27 days, lasting approximately 5-6 days.
The last menstrual period started on March 15, and intercourse occurred on March 19.
On March 22, emergency contraception (Ella) was taken.
About a week later, there was slight brown spotting.
The expected menstrual period was on April 11, but it did not arrive.
On the morning of April 15, a urine pregnancy test showed one line.
On April 18, a visit to the clinic for a urine test also resulted in one line, and an ultrasound did not show any findings.

Based on this information, it appears that the emergency contraception was effective, and the likelihood of pregnancy is low.
Thank you.

Ray, 20~29 year old female. Ask Date: 2016/04/19

Dr. Cao Guotao reply Obstetrics and Gynecology


Hello, a pregnancy test is usually accurate only after 12 days post-conception.
The chances of pregnancy are low, so it's best to take preventive measures beforehand.
If your period is more than a week late, it is advisable to consult a gynecologist.
Wishing you good health.

Reply Date: 2016/04/19

More Info


When it comes to understanding the effectiveness of birth control and the risks associated with pregnancy, it is essential to consider several factors, including the timing of intercourse, the type of birth control used, and individual variations in menstrual cycles.

In your case, you mentioned that your menstrual cycle averages 27 days, with menstruation lasting about 5-6 days. You had intercourse on March 19, which is just a few days after your last menstrual period began on March 15. This timing places you just before your ovulation window, which typically occurs around the midpoint of your cycle (approximately day 14 for a 27-day cycle). Engaging in unprotected intercourse during this time can increase the risk of pregnancy, especially if no effective contraceptive method is used.

You indicated that you took Anliting (a type of emergency contraceptive pill) on March 22, which is within the recommended time frame for taking emergency contraception after unprotected intercourse. Emergency contraceptive pills are most effective when taken as soon as possible after unprotected sex, ideally within 72 hours, but they can be taken up to 5 days after. However, their effectiveness diminishes the longer you wait. Since you took the pill within this window, it is likely that it helped reduce your chances of becoming pregnant.

The subsequent light brown spotting you experienced about a week later could be a side effect of the emergency contraceptive pill, as these medications can cause changes in your menstrual cycle, including breakthrough bleeding. It is important to note that this does not necessarily indicate pregnancy but rather a response to the hormonal changes induced by the pill.

You mentioned that your expected period was due on April 11, but it did not arrive. You conducted a urine pregnancy test on April 15, which returned a negative result, and a follow-up test at a clinic also showed a negative result. Given that you took the emergency contraceptive pill and received negative pregnancy test results, it is reasonable to conclude that the birth control method was effective in preventing pregnancy in this instance.

However, it is essential to recognize that no contraceptive method is 100% effective, and factors such as timing, adherence to the method, and individual physiological responses can influence outcomes. If you continue to experience irregularities in your menstrual cycle or have concerns about potential pregnancy, it is advisable to consult with a healthcare provider for further evaluation and guidance.

In summary, based on the information provided, it appears that your use of emergency contraception was timely and likely effective, as indicated by the negative pregnancy tests. However, if you have ongoing concerns or experience any unusual symptoms, seeking medical advice is always a prudent course of action.

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