Is Bleeding 7 Days After Emergency Contraceptive a Real Period?

Is bleeding seven days after taking the emergency contraceptive pill considered a menstrual period?

Hello doctor, my last menstrual period was on August 24.
I took emergency contraception on September 4 after having protected intercourse, and I used protection again during the safe period on September 11.
However, I experienced bleeding for three days starting seven days after taking the emergency contraception, which resembled my menstrual period.
I have read many articles stating that bleeding is normal and a side effect of the emergency contraception.
I would like to ask if that bleeding counts as my menstrual period.
Should I wait for my original expected period on September 24, or should I start counting from the bleeding on September 12? What is the likelihood of pregnancy? I am very anxious.
Thank you, doctor.

Xiao Yuan, 10~19 year old female. Ask Date: 2016/09/22

Dr. Cao Guotao reply Obstetrics and Gynecology

Hello, emergency contraceptive pills can sometimes cause irregular menstruation, but the likelihood of pregnancy is low.
It is best to use preventive measures beforehand.
If your period is more than a week late, it is advisable to see a gynecologist.
Wishing you good health.

Reply Date: 2016/09/22

More Info

When it comes to understanding the implications of bleeding after taking emergency contraception, it's essential to clarify a few points regarding menstrual cycles, the effects of emergency contraceptive pills (ECPs), and the potential for pregnancy.

Firstly, the bleeding you experienced seven days after taking the emergency contraceptive pill (ECP) can be a common side effect of the medication. ECPs, such as Plan B or Ella, can cause changes in your menstrual cycle, including irregular bleeding or spotting. This bleeding is often referred to as "withdrawal bleeding," which can resemble a period but is not necessarily a sign that your menstrual cycle has returned to normal.

In your case, since you took the ECP on September 4 and experienced bleeding starting on September 12, it is possible that this bleeding is a result of the hormonal changes induced by the ECP. This bleeding can occur within a few days to a couple of weeks after taking the pill and may last for a few days, similar to a regular menstrual period. However, it is important to note that this does not count as your regular menstrual period.

Your next expected period would still be based on your original cycle, which you mentioned is around September 24. If your cycle is typically regular, you should wait for your next period around that date. If you do not get your period by then, it would be advisable to take a pregnancy test to rule out pregnancy, especially since you had unprotected intercourse during your fertile window.

Regarding the likelihood of pregnancy, since you used condoms during intercourse and took the ECP, the chances of becoming pregnant are significantly reduced. However, no contraceptive method is 100% effective, and the timing of your cycle can also play a role in the risk of pregnancy. If you had unprotected intercourse during your fertile window, there is still a small chance of pregnancy, but the use of ECP further decreases that risk.

In summary, the bleeding you experienced after taking the emergency contraceptive pill is likely a side effect of the medication and should not be considered your regular menstrual period. You should continue to monitor your cycle and wait for your next expected period around September 24. If your period does not arrive, consider taking a pregnancy test to confirm whether or not you are pregnant. If you have any concerns or if your bleeding is unusually heavy or prolonged, it is always best to consult with a healthcare provider for personalized advice and evaluation.

Similar Q&A

Understanding Emergency Contraceptive Pills and Irregular Bleeding After Use

On April 14, there was unprotected intercourse, and emergency contraception was taken within 24 hours. There has been bleeding since April 20, but the last menstrual period was on April 4. Previous menstrual cycles have been regular, typically ranging from 30 to 32 days. Is this ...

Dr. Lin Manying reply Obstetrics and Gynecology
For such issues, it is recommended to refer to the National Health Administration's "Sexual Health e-Learning" or the Obstetrics and Gynecology Society's "Consultation Guide for Adolescent Contraception" at http://goo.gl/dc6PfW. After taking emergenc...

Heavy Bleeding After Emergency Contraceptive: Is It Normal?

Is it normal to experience heavy bleeding (more than usual menstrual flow) seven days after taking the emergency contraceptive pill? How long will it last? Does this count as a menstrual period?

Dr. Huang Jianzhong reply Obstetrics and Gynecology
Is it normal to experience heavy bleeding (more than usual menstruation) seven days after taking the emergency contraceptive pill? How long will it last? Does this count as a menstrual period? Answer: Bleeding that is heavier than usual can be considered a menstrual period.

Understanding Emergency Contraception: Is Post-Pill Bleeding Your Period?

I had unprotected sexual intercourse and took the emergency contraceptive pill (Postinor) afterward. I took it on time, and seven days later, I experienced bleeding that lasted for four days, with a significant amount of bright red blood. Is this considered a menstrual period? Ca...

Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: It is possible to experience withdrawal bleeding within a week after taking emergency contraception; this is a side effect of the medication and does not guarantee that contraception was successful. If your next period is delayed, you should take a pregnancy test. Hsinchu ...

Is Bleeding 12 Days After Taking Emergency Contraceptive a Period?

Hello doctor, my last menstrual period was from June 19 to June 24, and my estimated ovulation date was July 4. On June 29, I took emergency contraception within 2 hours. Then, on the 12th day after taking the medication (July 10), I took a pregnancy test in the morning, which sh...

Dr. Huang Jianzhong reply Obstetrics and Gynecology
The last menstrual period was from June 19 to June 24, with an expected ovulation period on July 4. On June 29, I took emergency contraceptive pills within 2 hours after intercourse. On the 12th day after that (July 10), I took a pregnancy test in the morning, which showed one li...