the Effects of Emergency Contraceptive Pills on Ovulation and Symptoms

Emergency contraceptive pill

Hello, Doctor! I have a few questions to ask:
1.
I have been taking the oral contraceptive pill Diane 35 for almost 3 months now.
I would like to know if there is still a possibility of ovulation? My last menstrual period started on January 14, and I would normally estimate ovulation around January 28.
However, on January 28, there was an external ejaculation.
Given that I have been consistently taking the pill (always at the same time, within 3 to 4 hours), do I still need to take a pregnancy test? Is there a risk of pregnancy?
2.
Before I started taking the contraceptive pill, I often experienced abdominal discomfort from ovulation until my period started.
Now that I am on the pill, I still have this discomfort, and I also feel a wet, sticky sensation as if there is some secretion.
This discomfort started around the ovulation period.
Is this normal? The discomfort began before the external ejaculation occurred.
Should I see a doctor? Thank you for your response, and I appreciate your help!

Yee, 10~19 year old female. Ask Date: 2017/02/04

Dr. Huang Jianzhong reply Obstetrics and Gynecology

1.
I have been taking the oral contraceptive pill Diane 35 for almost 3 months now.
I would like to know if there is still a possibility of ovulation.
My last menstrual period started on January 14, and I would normally expect ovulation around January 28.
However, on January 28, there was an external ejaculation.
Given that I have been taking the pill consistently (at the same time each day, within a 3-4 hour window), do I still need to take a pregnancy test? Is there a risk of pregnancy? Answer: Yes, you should take a pregnancy test.
There is a risk of pregnancy.
2.
Before I started taking the contraceptive pill, I often experienced abdominal discomfort before my period, especially during ovulation.
Now that I am on the pill, I still experience this discomfort, and I feel a wet, sticky sensation as if there is something being secreted.
This discomfort started from the ovulation period.
Is this normal? Answer: You should have an ultrasound examination.
3.
I started feeling abdominal discomfort for a while before the external ejaculation.
Should I see a doctor? Answer: It is better to see a doctor.

Reply Date: 2017/02/04

More Info

Emergency contraceptive pills (ECPs) are designed to prevent pregnancy after unprotected intercourse or contraceptive failure. Understanding their effects on ovulation and related symptoms is crucial for individuals using them. Let's address your questions in detail.

1. Ovulation While on Birth Control Pills: You mentioned that you have been taking the birth control pill, Diane 35, for nearly three months. Birth control pills work primarily by preventing ovulation. When taken consistently and correctly, they significantly reduce the likelihood of ovulation occurring. In your case, since you have been taking the pill daily and at the same time, the chances of ovulation are very low.
Regarding your concern about the timing of your menstrual cycle and potential ovulation on January 28, it is essential to note that the hormonal regulation provided by the pill alters your natural cycle. While some women may experience breakthrough bleeding or spotting, the likelihood of ovulation occurring while on the pill is minimal. Therefore, the risk of pregnancy from the external ejaculation you mentioned is also low. However, if you are still concerned, taking a pregnancy test can provide peace of mind, especially if you experience any unusual symptoms.

2. Symptoms of Abdominal Discomfort and Vaginal Discharge: It is not uncommon for women to experience abdominal discomfort or changes in vaginal discharge while on hormonal contraceptives. The hormones in birth control pills can cause various side effects, including changes in menstrual patterns, breast tenderness, and gastrointestinal symptoms. The "dull ache" or "cramping" you feel in your abdomen could be related to the hormonal changes induced by the pill, rather than ovulation.
As for the increased vaginal discharge, hormonal fluctuations can also lead to changes in cervical mucus. Some women may notice a thicker, more viscous discharge or increased moisture, which can be normal. However, if the discharge has a strong odor, is accompanied by itching, or changes in color, it could indicate an infection, and you should consult a healthcare provider.

3. When to See a Doctor: If your symptoms persist or worsen, or if you experience any new symptoms such as severe pain, heavy bleeding, or unusual discharge, it is advisable to see a healthcare professional. They can assess your symptoms, rule out any potential issues, and provide guidance on managing any side effects you may be experiencing from the birth control pill.

In summary, while Diane 35 is effective in preventing ovulation and reducing the risk of pregnancy, it can cause side effects such as abdominal discomfort and changes in vaginal discharge. If you have concerns about your symptoms or the effectiveness of your birth control, consulting with a healthcare provider is always a good step to ensure your health and peace of mind.

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