7 Months Without Menstruation: Do I Need Emergency Contraception?

Q: 7 Months Without Menstruation: Do I Need Emergency Contraception?

Hello, the questioner： There is a possibility of pregnancy even without ejaculation during intercourse, as pre-ejaculatory fluid may contain sperm. <br>It is advisable to use contraception if there is uncertainty about pregnancy; a thorough check is necessary if there is doubt. <

Menstruation has not occurred for 7 months?

If you haven't had your period for over seven months and have had unprotected intercourse without ejaculation, you may want to consider taking emergency contraception.
However, it's important to consult with a healthcare provider for personalized advice.

The ultrasound indicating suspected polycystic ovary syndrome (PCOS) and underdeveloped uterus suggests that hormonal imbalances may be present.
In such cases, using regular hormonal contraceptives can help regulate your menstrual cycle and manage symptoms.
It's best to discuss your situation with a healthcare professional for appropriate evaluation and treatment options.

Yangyang, 20~29 year old female. Ask Date: 2018/04/10

Dr. Zhang Kunmin reply Obstetrics and Gynecology

Hello, the questioner: There is a possibility of pregnancy even without ejaculation during intercourse, as pre-ejaculatory fluid may contain sperm.
It is advisable to use contraception if there is uncertainty about pregnancy; a thorough check is necessary if there is doubt.
Many factors can affect the menstrual cycle or cause intermenstrual bleeding, such as age, environment, lifestyle, stress, emotional instability, weight changes, medications, emergency contraception, diet, polycystic ovary syndrome (PCOS), uterine or cervical lesions, infections, ovulation, pregnancy, and breastfeeding, among others.

Treatment for polycystic ovary syndrome varies based on the patient's age and needs.
Since the cause of PCOS is genetic, it cannot be cured, but symptoms can be improved or alleviated through medications and lifestyle changes.
For patients who do not wish to become pregnant, treatment may include regular administration of progesterone (every 45-60 days) to induce menstruation and reduce the risk of endometrial cancer.
Alternatively, oral contraceptives can suppress gonadotropin secretion, inhibit ovarian production of androgens, and maintain regular menstrual cycles.
If there is significant masculinization, stronger anti-androgen contraceptives may be prescribed.

The occurrence of polycystic ovary syndrome is primarily due to the body's poor utilization of insulin.
Therefore, medications used to treat type 2 diabetes, such as metformin, can be effective in managing PCOS.
Thank you! Wishing you peace and health, Dr.
Zhang.

Reply Date: 2018/04/10

More Info

When it comes to the situation of having not menstruated for over seven months and engaging in unprotected sexual intercourse, it's essential to understand a few key points regarding emergency contraception and the implications of your menstrual irregularities.

First and foremost, if you have not had a menstrual period for seven months, it is crucial to determine the underlying cause of this amenorrhea (absence of menstruation). Conditions such as polycystic ovary syndrome (PCOS), which you mentioned, can lead to irregular menstrual cycles and may affect your overall reproductive health. PCOS is characterized by hormonal imbalances that can cause irregular periods, excess androgen levels, and the presence of multiple cysts on the ovaries. It is often managed with hormonal treatments, including birth control pills, which can help regulate your menstrual cycle and manage symptoms.

Regarding the unprotected sexual intercourse, if you are concerned about the risk of pregnancy, emergency contraception (EC) can be an option. However, it is important to note that emergency contraception is most effective when taken as soon as possible after unprotected intercourse, ideally within 72 hours, but some forms can be effective up to five days afterward. Since you have not had a period for several months, it is advisable to take a pregnancy test to confirm whether you are pregnant before considering emergency contraception. If the test is negative and you are still concerned about the risk of pregnancy, you may consider taking EC.

In your case, since you have a history of irregular menstruation and potential hormonal issues, it is also advisable to consult with a healthcare provider. They can perform a thorough evaluation, including blood tests to check hormone levels, and possibly an ultrasound to assess your reproductive organs further. This evaluation will help determine the best course of action for managing your menstrual irregularities and sexual health.

If you are diagnosed with PCOS, your healthcare provider may recommend lifestyle changes, such as weight management, exercise, and dietary modifications, alongside hormonal treatments. Birth control pills are commonly prescribed to help regulate menstrual cycles and reduce the risk of endometrial hyperplasia, which can occur with prolonged amenorrhea.

In summary, here are the steps you should consider:
1. Take a Pregnancy Test: Confirm whether you are pregnant due to the unprotected intercourse.

2. Consult a Healthcare Provider: Discuss your menstrual irregularities and the potential diagnosis of PCOS. They can provide personalized advice and treatment options.

3. Consider Emergency Contraception: If the pregnancy test is negative and you are still within the appropriate time frame, you may consider taking emergency contraception.

4. Follow-Up Care: Regular follow-ups with your healthcare provider to monitor your condition and adjust treatment as necessary.

Addressing these issues promptly is crucial for your reproductive health and overall well-being.

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