7 Months Without Period: Do I Need Emergency Contraception?

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

Hello, the questioner： There is a possibility of pregnancy even if ejaculation has not occurred, as pre-ejaculatory fluid may contain sperm. <br>It is advisable to use contraception, and if there is uncertainty about pregnancy, a thorough examination should be conducted. <br>Many

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, should you take emergency contraception? An ultrasound has indicated possible polycystic ovary syndrome (PCOS) and underdeveloped uterus; can this only be managed by taking preemptive contraceptive pills?

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 if ejaculation has not occurred, as pre-ejaculatory fluid may contain sperm.
It is advisable to use contraception, and if there is uncertainty about pregnancy, a thorough examination should be conducted.
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.
However, since the cause of the condition 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, treatments may include regular administration of progesterone (every 45-60 days) to induce menstruation and reduce the risk of endometrial cancer, or oral contraceptives, which 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 polycystic ovary syndrome.
Thank you! Wishing you peace and health.
Dr.
Zhang

Reply Date: 2018/04/10

More Info

If you have not had your period for over seven months and have had unprotected intercourse, it is essential to consider a few factors before deciding whether you need emergency contraception. First and foremost, if you are not currently pregnant and are concerned about the possibility of pregnancy, emergency contraception (EC) can be an option, but it is most effective when taken as soon as possible after unprotected intercourse.
Given that you have not had a menstrual period for an extended period, this could indicate an underlying issue, such as hormonal imbalances or conditions like Polycystic Ovary Syndrome (PCOS), which you mentioned in your ultrasound findings. PCOS can lead to irregular menstrual cycles and may affect ovulation, making it challenging to predict your fertile window. If you have had unprotected sex and are concerned about pregnancy, taking emergency contraception may be advisable, but it is important to consult with a healthcare provider to discuss your specific situation.

Regarding your concerns about the potential for pregnancy, if you are experiencing amenorrhea (the absence of menstruation) and have had unprotected intercourse, it is crucial to take a pregnancy test. If the test is negative and you are still concerned about the risk of pregnancy, emergency contraception can be considered, but it is most effective within 72 hours after unprotected intercourse.
In your case, since you have been diagnosed with suspected PCOS and immature uterine development, it is essential to address these underlying issues with your healthcare provider. Hormonal contraceptives, such as birth control pills, can help regulate your menstrual cycle and manage symptoms associated with PCOS. They can also provide a reliable method of contraception, which may alleviate your concerns about unprotected intercourse.

It is also important to note that if you have not had a period for several months, your body may not be ovulating regularly, which can reduce the likelihood of pregnancy. However, this does not eliminate the risk entirely, especially if you are engaging in unprotected sexual activity.

In summary, if you have had unprotected intercourse and are concerned about pregnancy, taking a pregnancy test is a good first step. If you are not pregnant and are experiencing menstrual irregularities, it is advisable to consult with a healthcare provider to discuss your options for managing your menstrual cycle and any underlying conditions. Emergency contraception can be an option if you are within the appropriate time frame after unprotected intercourse, but addressing the root causes of your menstrual irregularities is crucial for your overall reproductive health.

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