Abnormal Bleeding After Emergency Contraceptive Use

Abnormal bleeding

Your girlfriend's menstrual period started on the 9th of this month.
After having unprotected intercourse in the morning, she took emergency contraception (Plan B) in the afternoon.
They had protected intercourse again afterward.
She confirmed that her period had completely ended before the 16th, but she experienced abnormal bleeding around 6:40 PM on the 18th.

You should be aware of a few things:
1.
Timing of Emergency Contraception: Emergency contraception can cause changes in the menstrual cycle, including irregular bleeding or spotting, which may be a side effect of the medication.
2.
Menstrual Cycle Variability: It's not uncommon for menstrual cycles to be irregular after taking emergency contraception, especially if it was taken close to ovulation.
3.
Other Causes of Bleeding: Abnormal bleeding can also be due to other factors such as hormonal fluctuations, stress, or potential infections.
4.
When to Seek Medical Attention: If the bleeding is heavy, lasts more than a few days, or is accompanied by severe pain or other concerning symptoms, it would be advisable to visit a healthcare provider for an evaluation.
In summary, while irregular bleeding can be a side effect of emergency contraception, it is important to monitor the situation and seek medical advice if there are any concerns.

Lin Xiansheng, 10~19 year old female. Ask Date: 2017/12/18

Dr. Huang Jianzhong reply Obstetrics and Gynecology

Your girlfriend had her menstrual period on the 9th of this month.
After having unprotected intercourse in the morning, she took emergency contraception (Plan B) in the afternoon.
After taking the pill, they had protected intercourse again.
She confirmed that her period had completely ended before the 16th, but she experienced abnormal bleeding around 6:40 PM on the 18th.
What should be noted? Is it irregular bleeding, a side effect, or another reason? Should she go to the hospital for an examination?
Answer: She should go to the hospital for an examination.

Reply Date: 2017/12/18

More Info

Abnormal bleeding after the use of emergency contraceptive pills (ECPs), such as the one your girlfriend took, can be concerning and may arise from various factors. In your case, your girlfriend experienced abnormal bleeding two days after taking the emergency contraceptive pill, which can be attributed to several potential causes.

First, it is important to understand that emergency contraceptive pills, like the one she took, contain hormones that can disrupt the normal menstrual cycle. The most common side effects of ECPs include changes in menstrual bleeding patterns, which can manifest as spotting, heavier bleeding, or even a delay in the next menstrual period. This is due to the high dose of hormones that can temporarily alter the hormonal balance in the body.

In your girlfriend's situation, the bleeding that occurred on the 18th could be a side effect of the emergency contraceptive pill. It is not uncommon for women to experience irregular bleeding or spotting after taking ECPs. This bleeding can sometimes be mistaken for an early period, especially if it occurs close to the expected date of menstruation. However, it is essential to monitor the bleeding. If the bleeding is light and resolves within a few days, it may simply be a side effect of the medication.

Another possibility is that the bleeding could be related to the hormonal fluctuations caused by the emergency contraceptive pill, which may lead to a temporary disruption in the menstrual cycle. If your girlfriend's menstrual cycle was already irregular or if she was under stress, this could further contribute to the abnormal bleeding.

However, if the bleeding is heavy, lasts longer than a few days, or is accompanied by severe pain, it is crucial to seek medical attention. Heavy bleeding could indicate a more serious issue, such as an ectopic pregnancy or other complications. Additionally, if your girlfriend experiences any symptoms such as dizziness, fainting, or severe abdominal pain, it is essential to go to the hospital immediately.

In summary, while abnormal bleeding after taking emergency contraceptive pills can be a common side effect, it is important to monitor the situation closely. If the bleeding persists, becomes heavier, or is accompanied by concerning symptoms, it is advisable to visit a healthcare provider for further evaluation. A healthcare professional can perform a thorough examination, possibly including an ultrasound or blood tests, to rule out any serious conditions and provide appropriate guidance.

In conclusion, while the abnormal bleeding your girlfriend is experiencing could be a result of the emergency contraceptive pill, it is essential to remain vigilant. If there are any doubts or if the bleeding does not resolve, seeking medical advice is the best course of action to ensure her health and well-being.

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