Emergency Contraceptive Pills: Side Effects and When to Seek Help

Emergency contraceptive pill

On October 8th in the afternoon, I had unprotected intercourse with my boyfriend, and he ejaculated outside.
Later that evening, around 9 PM, I took the emergency contraceptive pill.
My period started on October 14th, and on October 19th, I had unprotected intercourse again, with ejaculation inside.
As of today, October 25th, I have not stopped bleeding.
Could this be a side effect of the emergency contraceptive pill? Should I consult a gynecologist?

Lele, 10~19 year old female. Ask Date: 2016/10/25

Dr. Cao Guotao reply Obstetrics and Gynecology

Hello, I apologize for not being able to diagnose based on the described symptoms.
The bleeding duration has been somewhat prolonged.
If you continue to experience discomfort, I recommend seeing a gynecologist for an examination.
Wishing you good health.

Reply Date: 2016/10/25

More Info

Emergency contraceptive pills (ECPs), commonly known as "morning-after pills," are designed to prevent pregnancy after unprotected intercourse or contraceptive failure. They are most effective when taken as soon as possible after the event, ideally within 72 hours, but some types can be taken up to 5 days later. The most common ECPs contain either levonorgestrel or ulipristal acetate. While these medications are generally safe and effective, they can cause side effects, including changes in menstrual bleeding patterns.

In your case, you took an emergency contraceptive pill on October 8 after unprotected intercourse. You then experienced your menstrual period on October 14, which is a normal response, as ECPs can alter the timing and flow of your menstrual cycle. However, you mentioned that you have been experiencing bleeding that has not stopped since October 19, following another instance of unprotected intercourse. This prolonged bleeding could potentially be a side effect of the emergency contraceptive pill, as these medications can cause irregular bleeding or spotting in some individuals.

It is important to note that while ECPs are effective in preventing pregnancy, they do not guarantee that ovulation will be suppressed in every case, especially if taken after ovulation has already occurred. If you had unprotected intercourse again on October 19, there is a possibility of pregnancy, and the bleeding you are experiencing could be related to that.

Given your situation, it is advisable to seek medical attention from a gynecologist or healthcare provider. They can perform a thorough evaluation, including a pregnancy test if necessary, to determine the cause of your prolonged bleeding. Additionally, they can provide guidance on whether this bleeding is a side effect of the emergency contraceptive pill or if it may be related to another issue, such as a potential pregnancy or other gynecological conditions.

In summary, while prolonged bleeding can be a side effect of emergency contraceptive pills, it is essential to consult a healthcare professional to rule out any other underlying issues and to receive appropriate care. If you experience any severe symptoms, such as heavy bleeding, severe abdominal pain, or signs of infection, you should seek immediate medical attention.

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Hello, I apologize for being unable to diagnose based on the described symptoms. It may be due to uterine atony. If discomfort persists, I recommend consulting a gynecologist for an examination. Wishing you good health.

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