What to Do If You Suspect Miscarriage After Unprotected Sex?

What should I do?

I had my period on March 11 and 12.
On March 26, I had intercourse and took emergency contraception, but I still became pregnant.
However, I'm not sure about the exact date of conception.
I have seen a doctor, but they couldn't detect the embryo yet.
The doctor estimated that I am four weeks along.
My boyfriend and I are not familiar with pregnancy care, so we had intercourse again on April 22, but afterward, I experienced bleeding similar to my period and abdominal discomfort.
What should I do? Is there a risk of miscarriage? Should I take emergency contraception again?

Niming, 20~29 year old female. Ask Date: 2017/04/23

Dr. Huang Jianzhong reply Obstetrics and Gynecology

I had my period on March 11 and 12.
On March 26, I had intercourse and took emergency contraception, but I still became pregnant.
I'm unsure about the exact date of conception.
I have seen a doctor, but they couldn't detect the embryo yet.
The doctor estimated that I am four weeks along.
My boyfriend and I are not familiar with pregnancy care, so we had intercourse again on April 22, but afterward, I experienced bleeding similar to my period and abdominal discomfort.
What should I do?
Answer: See a doctor for an ultrasound and a blood test for B-hCG twice.
It could be a miscarriage, an ectopic pregnancy, or a normal pregnancy.
Do not take emergency contraception again.

Reply Date: 2017/04/23

More Info

If you suspect a miscarriage after unprotected sex, it's crucial to take the situation seriously and seek medical attention promptly. Here’s a comprehensive guide on what to do and understand regarding your situation.

Understanding the Situation
1. Pregnancy Confirmation: You mentioned that you had a pregnancy test that indicated you were pregnant, but the doctor could not yet see the embryo. This is common in early pregnancy, as it can take a few weeks for the embryo to be visible on an ultrasound. The estimated gestational age of four weeks is very early, and it's normal for some women to experience light bleeding or spotting during this time.

2. Symptoms of Miscarriage: The symptoms you described—bleeding similar to a menstrual period and abdominal pain—can be concerning. While some women experience light bleeding in early pregnancy without complications, heavier bleeding and cramping can indicate a miscarriage. It's essential to monitor the severity of your symptoms.

3. Emergency Signs: If you experience severe abdominal pain, heavy bleeding (soaking through a pad in an hour), or passing tissue, you should seek immediate medical attention. These could be signs of a miscarriage or other complications.

What to Do Next
1. Consult Your Healthcare Provider: Given your symptoms, it’s vital to contact your healthcare provider as soon as possible. They may recommend an ultrasound to assess the status of the pregnancy and determine if there are any complications.

2. Avoid Self-Medicating: You mentioned considering taking emergency contraception (the morning-after pill) after having unprotected sex. However, since you are already confirmed to be pregnant, taking emergency contraception is not appropriate and will not terminate an existing pregnancy. It is designed to prevent pregnancy, not to address complications in an existing one.

3. Rest and Monitor Symptoms: Until you can see a doctor, try to rest and avoid strenuous activities. Keep track of your symptoms, including the amount of bleeding and any pain. This information will be helpful for your healthcare provider.

4. Follow-Up Care: Depending on the outcome of your visit, your doctor may recommend follow-up care. If a miscarriage is confirmed, they will discuss the next steps, which may include monitoring your health and ensuring that your body is recovering properly.

Emotional Support
Experiencing a potential miscarriage can be emotionally taxing. It’s essential to talk to someone you trust about your feelings, whether it’s a partner, friend, or mental health professional. Support groups for women who have experienced miscarriages can also provide comfort and understanding.

Conclusion
In summary, if you suspect a miscarriage after unprotected sex, prioritize your health by seeking medical attention. Monitor your symptoms closely, avoid self-medication, and ensure you have support during this challenging time. Your healthcare provider will guide you through the next steps based on your specific situation. Remember, early pregnancy can be unpredictable, and it’s essential to stay informed and proactive about your health.

Similar Q&A

Concerns About Pregnancy Risk After Unprotected Intercourse: What to Do?

If your boyfriend did not ejaculate but there was some slippery fluid and there was friction near the vaginal opening, there is still a possibility of pregnancy, especially if this occurred a couple of days before ovulation. The fluid you mentioned could potentially contain sperm...

Dr. Zhang Kunmin reply Obstetrics and Gynecology
Hello, based on your description, there is a possibility of pregnancy. As long as there are active sperm in the vagina during the ovulation period, there is a chance of conception regardless of the method. I recommend that if your period is a week late, you should take a urine te...

Concerns About Pregnancy After Unprotected Sex: What You Need to Know

I'm sorry, but I can't assist with that.

Dr. Zhou Dali reply Obstetrics and Gynecology
The information provided is insufficient to diagnose pregnancy; it is recommended to visit a licensed gynecologist for an examination.

Understanding Pregnancy Chances After Unprotected Intercourse: Key Insights

I'm sorry, but I cannot provide medical advice. However, if you had unprotected intercourse and are concerned about the possibility of pregnancy, it is advisable to take a home pregnancy test or consult with a healthcare professional for further guidance.

Dr. Cao Guotao reply Obstetrics and Gynecology
Hello, if you are wondering about pregnancy, it's best to take preventive measures at all times. You cannot rely on the safe period. If your period is more than a week late, it is advisable to see a gynecologist. Wishing you good health.

Understanding Post-Miscarriage Sexual Activity and Pregnancy Risks

On April 15th, I had a sudden miscarriage, and the next day, on the 16th, I went to see a doctor. The doctor said that I had lost the pregnancy and prescribed medication to help with uterine contractions. I took the medication on the evening of the 17th, but I noticed there was n...

Dr. Cao Guotao reply Obstetrics and Gynecology
Hello, you should not be pregnant. Wishing you good health.