Can You Take Emergency Contraceptive Pills After Starting Menstrual Induction?

Can I continue taking menstrual induction medication after taking emergency contraceptive pills?

Due to a cyst on my left ovary causing bleeding, my gynecologist prescribed me hemostatic medication.
After the bleeding stopped, I returned for a follow-up to monitor whether the cyst had resolved.
During the follow-up examination, the cyst was still present, and the doctor conducted a pregnancy test, which came back negative.
I was then prescribed a five-day course of medication to induce menstruation, and I am currently on the second day of that treatment.
Today, I had unprotected intercourse with my boyfriend, and he ejaculated inside me, so I purchased emergency contraception to take.
I would like to ask: 1.
Will taking the emergency contraception still be effective? 2.
Can I continue taking the medication to induce menstruation? Thank you.

eunnna, 20~29 year old female. Ask Date: 2017/03/05

Dr. Huang Jianzhong reply Obstetrics and Gynecology

Due to a cyst on my left ovary causing bleeding, my gynecologist prescribed me hemostatic medication.
After the bleeding stopped, I returned for a follow-up to observe whether the cyst had resolved.
During the follow-up examination, the cyst was still present, and the doctor tested me for pregnancy, which came back negative.
I was then prescribed a five-day course of medication to induce menstruation, and I am currently on the second day of that treatment.
Today, I had unprotected intercourse with my boyfriend, and he ejaculated inside me, so I purchased emergency contraception to take.
I would like to ask: 1.
Will taking the emergency contraception still be effective? 2.
Can I continue taking the medication to induce menstruation?
Answer: 1.
Yes, it will still be effective.
2.
Yes, you can continue taking the medication.

Reply Date: 2017/03/05

More Info

When it comes to the use of emergency contraceptive pills (ECPs) after starting menstrual induction medication, there are several important factors to consider. Let's break down your questions and provide a comprehensive understanding of the situation.

1. Effectiveness of Emergency Contraceptive Pills (ECPs): Emergency contraceptive pills are designed to prevent pregnancy after unprotected intercourse. They are most effective when taken as soon as possible after the incident, ideally within 72 hours, although some types can be effective up to 5 days after. Since you mentioned that you had unprotected intercourse while taking menstrual induction medication, the ECPs should still work to prevent pregnancy. However, the effectiveness may be influenced by the timing of when you took the ECPs relative to your menstrual induction medication and your menstrual cycle.

2. Continuing Menstrual Induction Medication: It is generally safe to continue taking menstrual induction medication after taking ECPs. The hormonal components of the ECPs are unlikely to interfere with the effects of the menstrual induction medication. However, it is crucial to follow the instructions provided by your healthcare provider regarding the use of both medications. If you have any concerns about interactions or side effects, it is advisable to consult your doctor for personalized guidance.

Additional Considerations
- Menstrual Induction Medication: The medication you are taking for menstrual induction is likely hormonal and is used to regulate your menstrual cycle or to induce a period. This can be particularly important in your case, where there is a concern about a cyst on your ovary. The induction medication may help in managing your symptoms and monitoring the cyst's behavior.

- Monitoring for Side Effects: While taking both medications, be aware of any unusual symptoms or side effects. Common side effects of ECPs can include nausea, fatigue, headache, and changes in your menstrual cycle. If you experience severe side effects or if your symptoms worsen, it is important to seek medical attention.

- Follow-Up Care: Since you are under the care of a gynecologist, it is essential to keep your follow-up appointments. Your doctor will monitor the cyst and your overall reproductive health. If the cyst persists or if you have any concerns about your menstrual cycle or potential pregnancy, your doctor may recommend further evaluation or treatment options.

- Pregnancy Testing: If your next period is significantly delayed or if you experience unusual symptoms, consider taking a pregnancy test. Even though you have taken ECPs, no contraceptive method is 100% effective, and it is important to confirm your status.

In summary, taking emergency contraceptive pills after starting menstrual induction medication should not pose any significant issues, and you can continue with your menstrual induction as prescribed. Always consult with your healthcare provider for tailored advice and to address any specific concerns you may have about your health and medications.

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