Emergency Contraceptive Pills: What to Do If Your Period Starts? - Obstetrics and Gynecology

More Info

---

When it comes to emergency contraceptive pills (ECPs), it's important to understand how they work and what to do if your period starts while taking them. ECPs are designed to prevent pregnancy after unprotected intercourse or contraceptive failure, and they are most effective when taken as soon as possible after the event.

In your case, since you discovered that your period started while you were taking the first pill, it's essential to clarify a few points. First, if you are experiencing bleeding, it could be your menstrual period or it could be breakthrough bleeding, which can occur when starting hormonal contraceptives.
1. Continue Taking the Pills: Yes, you should continue taking the emergency contraceptive pills as directed, even if you have started bleeding. The bleeding does not indicate that the pills are ineffective. ECPs work primarily by delaying ovulation, and taking them as prescribed is crucial for maximizing their effectiveness.

2. Duration of Use: ECPs are typically taken in a specific regimen. If you are using a regimen that involves taking the pills for seven days, you should complete the course. However, if you are taking a single dose of ECPs (like Plan B or Next Choice), you only need to take one or two pills as directed, and there is no need to continue for seven days.

3. Effectiveness: The effectiveness of ECPs can be influenced by when you take them in relation to your menstrual cycle. If you took the ECPs within 72 hours after unprotected intercourse, they are likely to be effective regardless of whether you started bleeding afterward. However, if you are unsure about the timing or the nature of your bleeding, it’s a good idea to consult with a healthcare provider.

4. Follow-Up: After completing the course of ECPs, monitor your menstrual cycle. It’s common for your next period to be irregular or different in flow and duration after taking ECPs. If your period is more than a week late, or if you have concerns about your bleeding or any side effects, you should reach out to a healthcare professional for further evaluation.

5. Understanding Side Effects: Some women experience side effects from ECPs, including nausea, fatigue, headache, and changes in their menstrual cycle. If you experience severe side effects or have any concerns, it’s important to seek medical advice.

In summary, continue taking the emergency contraceptive pills as directed, even if you are experiencing bleeding. This will help ensure that you receive the full benefit of the medication. If you have any further questions or concerns, especially regarding your menstrual cycle or the effectiveness of the pills, do not hesitate to consult with a healthcare provider. They can provide personalized advice and support based on your specific situation.