Emergency Contraception: FAQs and Menstrual Cycle Impact - Obstetrics and Gynecology

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Emergency contraceptive pill


Hello, doctor.
I am the person who asked a few days ago whether prostate fluid can lead to pregnancy.
You mentioned that just finger insertion is unlikely to cause pregnancy, right? "But what if the finger has male prostate fluid?" I took emergency contraception within 24 hours after having intimate contact on July 10, and I took it on July 11.
Since then, I have not experienced any bleeding or discomfort.
My last menstrual period was from June 20 to June 25.
Will taking emergency contraception delay my period this month? If I am still concerned, when would be a good time to take a pregnancy test? Thank you!

Hin, 10~19 year old female. Ask Date: 2017/07/15

Dr. Huang Jianzhong reply Obstetrics and Gynecology


1.
Can prostate fluid cause pregnancy? You mean that just inserting a finger cannot lead to pregnancy, right? "But what if the finger has prostate fluid on it?" Answer: Inserting a finger that has prostate fluid on it is unlikely to result in pregnancy due to the small amount present.
2.
I took emergency contraception within 24 hours after intimate contact on July 10, and I took the medication on July 11.
I haven't experienced any bleeding or discomfort since then.
My last menstrual period was from June 20 to June 25.
Will taking emergency contraception delay my period this month? Answer: Given that you had intimate contact on July 10 and took emergency contraception on July 11, it is unlikely to delay your period this month.
3.
If I am still concerned, when can I take a pregnancy test? Answer: You can take a pregnancy test on July 25.

Reply Date: 2017/07/15

More Info


Emergency contraception (EC) is a crucial option for preventing unintended pregnancies after unprotected intercourse or contraceptive failure. Understanding how it works and its potential effects on your menstrual cycle is essential for anyone considering its use.

To address your initial concern about the possibility of pregnancy from pre-ejaculate fluid (pre-cum) on fingers, it is important to note that while the risk is low, it is not zero. Pre-ejaculate can contain sperm, and if it comes into contact with the vaginal area, there is a potential risk of pregnancy, albeit minimal. If you took emergency contraception within 24 hours of the incident, you significantly reduced the likelihood of becoming pregnant.

Regarding your question about the menstrual cycle, emergency contraception can indeed affect your cycle. After taking EC, some women may experience changes in their menstrual cycle, including delays or earlier onset of their next period. The hormones in emergency contraception can disrupt the normal hormonal balance, which may lead to a temporary alteration in your cycle. Since your last period was from June 20 to June 25, and you took EC on July 11, it is possible that your next period could be delayed. However, the timing and extent of this delay can vary widely among individuals.

If you are concerned about whether you might be pregnant, it is generally recommended to wait at least two weeks after the potential conception date to take a home pregnancy test for the most accurate result. This is because it takes time for the hormone hCG (human chorionic gonadotropin), which is produced during pregnancy, to build up to detectable levels in your urine. Therefore, if you had intimate contact on July 10 and took EC on July 11, you could consider taking a pregnancy test around July 24 or later for reliable results.

In summary, while the risk of pregnancy from pre-ejaculate is low, it is not impossible. Taking emergency contraception promptly is an effective way to reduce that risk. Changes in your menstrual cycle after taking EC are common, and if you do not experience your period within a week of when you expect it, it would be prudent to take a pregnancy test to rule out pregnancy. If you have any further concerns or experience unusual symptoms, it is advisable to consult with a healthcare provider for personalized guidance.

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