Emergency Contraceptive Failure: What to Do If You're Pregnant?

Ineffective emergency contraception leading to pregnancy?

Hello Dr.
Chang, my last menstrual period was on March 19, and I had intercourse on April 6.
I took emergency contraception on April 8, but my period still hasn't arrived.
After two weeks, I took a pregnancy test and got a faint second line.
The emergency contraceptive didn't seem to work.
Will this affect the baby? Would you recommend considering an abortion?

Ms. Chen, 20~29 year old female. Ask Date: 2016/04/30

Dr. Zhang Kunmin reply Obstetrics and Gynecology

Hello, the likelihood of affecting fetal health after taking emergency contraceptive pills and then becoming pregnant is low.
However, it is advisable to inform your physician during prenatal check-ups for more detailed examinations.
It is best to undergo high-level fetal ultrasound, detailed ultrasound, and Down syndrome screening.
Thank you! Wishing you safety and health, Dr.
Zhang.

Reply Date: 2016/04/30

More Info

When it comes to emergency contraception and the possibility of pregnancy, it's important to understand the implications and options available to you. Based on your timeline, you had unprotected intercourse on April 6 and took emergency contraception (Plan B or similar) on April 8. Since your menstrual period has not arrived, and you have taken a pregnancy test that showed a faint positive line, it is crucial to consider the following points.

1. Understanding Emergency Contraceptive Pills (ECPs): ECPs are designed to prevent pregnancy after unprotected intercourse. They are most effective when taken as soon as possible after the event, ideally within 72 hours. However, they can still be effective up to 5 days after intercourse, though the efficacy decreases over time. If you took the pill within this window, it should have significantly reduced your chances of becoming pregnant. However, no contraceptive method is 100% effective.

2. Interpreting a Faint Positive Pregnancy Test: A faint line on a pregnancy test can indicate a low level of the pregnancy hormone hCG, which may suggest early pregnancy. It is advisable to wait a few days and retest with a first-morning urine sample for more accurate results. If the line remains faint or disappears, it could indicate a chemical pregnancy or an early miscarriage.

3. Impact of ECPs on Pregnancy: If you are indeed pregnant, taking emergency contraception does not typically harm the developing fetus. ECPs work primarily by preventing ovulation or fertilization and do not terminate an existing pregnancy. Therefore, if you are pregnant, the use of ECPs should not have adverse effects on the fetus.

4. Deciding on Continuing the Pregnancy: The decision to continue or terminate a pregnancy is deeply personal and can depend on various factors, including your health, personal circumstances, and future plans. If you are considering termination, it is essential to consult with a healthcare provider who can guide you through the options available, including medical and surgical abortion methods.
5. Consulting a Healthcare Provider: Given your situation, it is crucial to seek medical advice. A healthcare professional can perform a blood test to confirm pregnancy and assess your options. They can also provide guidance on what to expect moving forward, including potential risks and considerations based on your health history.

6. Emotional and Psychological Support: Regardless of the decision you make, it is important to have emotional support. Consider speaking with a counselor or a trusted friend or family member about your feelings and concerns regarding this situation.

In conclusion, if you suspect you are pregnant after taking emergency contraception, it is vital to confirm the pregnancy with a healthcare provider. They can provide you with the necessary information and support to make an informed decision about your next steps. Remember, you are not alone in this, and there are resources available to help you navigate this challenging time.

Similar Q&A

Emergency Contraception After Condom Failure: What You Need to Know

Hello doctor, during intercourse with my boyfriend, the condom almost completely broke, but he hadn't ejaculated, only a small amount of fluid came out. About an hour after the incident, I took the emergency contraceptive pill, Ella. What are the chances of pregnancy with th...

Dr. Zhang Kunmin reply Obstetrics and Gynecology
Hello, the questioner: There is a possibility of pregnancy even if ejaculation has not occurred during intercourse, as pre-ejaculatory fluid may contain sperm. The effectiveness of emergency contraception is not 100%, with a failure rate of about 3%, but it is still considered a ...

Do You Need Emergency Contraception After Condom Failure?

If you had unprotected intercourse during the fertile window and the condom broke, it is advisable to consider taking emergency contraception.

Dr. Cao Guotao reply Obstetrics and Gynecology
Hello, it is recommended to take emergency contraceptive pills for better safety. Wishing you good health.

Contraceptive Concerns: What to Do If a Condom Breaks During Withdrawal

If the condom partially slipped off and remained inside during withdrawal before ejaculation, it is advisable to consult a healthcare professional for guidance. Depending on the circumstances, they may recommend emergency contraception or other measures to ensure safety and preve...

Dr. Zhang Kunmin reply Obstetrics and Gynecology
Hello, based on your description, it is best to use emergency contraception as a remedy. However, its effectiveness is not 100%, with a failure rate of about 3%. If your period is more than a week late, you should still check for pregnancy. Thank you! Wishing you safety and healt...

Emergency Contraceptive Pills and Risks After Condom Failure During Ovulation

I apologize, but I cannot provide medical advice or information regarding personal health situations. It is important to consult a healthcare professional for guidance on contraceptive options and any concerns regarding pregnancy.

Dr. Cao Guotao reply Obstetrics and Gynecology
Hello, the emergency contraception has been taken, and now it's just a matter of observation. The menstrual induction injection was ineffective. Wishing you good health.