Is There Still a Chance of Pregnancy After Taking Emergency Contraception? - Obstetrics and Gynecology

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Is there still a chance of pregnancy in this situation?


Hello, doctor.
My girlfriend and I had sexual intercourse in mid-June and early July, both during her safe period and without ejaculation.
After the early July encounter, she took emergency contraception the next day.
In late July and late August, she visited a gynecologist for a check-up, including an abdominal ultrasound and a pregnancy test, both of which indicated that she was not pregnant.
In late September, she also took two home pregnancy tests, both of which showed negative results (one of the tests had a faint control line due to a bit of water touching the window).
However, my girlfriend's appetite has significantly decreased over the past two months, and for about a month, her gums bleed easily when she sucks on them.
Recently, she has also been experiencing palpitations upon waking.
Could these symptoms be a result of hormonal imbalance caused by the emergency contraception? I would appreciate your insights, thank you.

Shui Jun, 10~19 year old female. Ask Date: 2016/10/04

Dr. Huang Yiwen reply Obstetrics and Gynecology


Hello, Shui Jun: Your girlfriend's condition is likely not caused by the emergency contraceptive pill, as she took it two months ago and its effects would have already worn off.

Reply Date: 2016/10/04

More Info


When considering the possibility of pregnancy after taking emergency contraception, it's important to understand how these medications work and the factors that can influence their effectiveness. Emergency contraception, such as Plan B (levonorgestrel) or Ella (ulipristal acetate), is designed to prevent ovulation or fertilization if taken shortly after unprotected intercourse. However, they are not 100% effective, and several factors can affect their efficacy.

In your case, since you and your girlfriend engaged in sexual activity during what you believed to be a safe period and used emergency contraception shortly after, the likelihood of pregnancy is relatively low. The fact that you have had multiple negative pregnancy tests, including a visit to a gynecologist where ultrasounds confirmed no pregnancy, further supports this. It's also worth noting that emergency contraception is most effective when taken as soon as possible after unprotected intercourse, ideally within 72 hours for Plan B and up to 120 hours for Ella.

Regarding your girlfriend's recent symptoms, such as decreased appetite, bleeding gums, and heart palpitations, these could be attributed to various factors, including stress, hormonal changes, or even side effects from the emergency contraception itself. Hormonal fluctuations can occur after taking emergency contraception, leading to changes in menstrual cycles, mood swings, and other physical symptoms. However, these symptoms are not definitive indicators of pregnancy.

It's also essential to consider that the stress and anxiety surrounding the situation can contribute to physical symptoms. Anxiety can manifest in various ways, including changes in appetite and sleep disturbances, which might explain her reduced food intake and feelings of heart palpitations upon waking.

If your girlfriend's symptoms persist or worsen, it would be advisable for her to consult with a healthcare provider. They can perform a thorough evaluation to rule out any underlying conditions and provide guidance on managing her symptoms. Additionally, if there is any lingering concern about pregnancy, a blood test for hCG (human chorionic gonadotropin) can provide a more definitive answer than home pregnancy tests, especially if taken a week or two after the expected period.

In summary, while the chance of pregnancy after taking emergency contraception is low, especially given the negative tests and medical evaluations, it's crucial to monitor any concerning symptoms and seek medical advice if they continue. Open communication with your girlfriend about her health and any worries she may have is also essential in navigating this situation together.

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