Emergency Contraception: Your Options and Timing

Emergency contraceptive pill

On November 13, I started my menstrual period and took the emergency contraceptive pill on the first day.
Today, November 22, I had unprotected intercourse with my boyfriend and he ejaculated inside me.
Am I at risk of pregnancy? Should I take the emergency contraceptive pill? After taking the emergency contraceptive pill, when can I start taking the regular contraceptive pill again? Is it the first day of bleeding after taking the emergency contraceptive pill? Today, I noticed a little brown discharge; what could this mean? This is my first time taking the regular contraceptive pill, which is the brand "Alesse." I have taken the emergency contraceptive pill about five times between July and October.

You, 10~19 year old female. Ask Date: 2018/11/22

Dr. Huang Jianzhong reply Obstetrics and Gynecology

On November 13, I started my menstrual period and took the oral contraceptive pill on the first day.
Today, November 22, I had unprotected intercourse with my boyfriend, and he ejaculated inside me.
Am I at risk of pregnancy? Should I take emergency contraception? Answer: It is unlikely that you will become pregnant, and there is no need to take emergency contraception.
Today, I noticed a small amount of brown vaginal discharge; what does this mean? Answer: This may indicate unstable endometrial tissue.
Note: This is my first time taking the oral contraceptive pill, specifically the brand "Aisilian Moyi." Prior to taking the oral contraceptive, I had taken emergency contraception about five times between July and October.

Reply Date: 2018/11/22

More Info

When it comes to emergency contraception and understanding your options, it’s important to clarify a few key points regarding timing, effectiveness, and the use of both emergency contraceptive pills (ECPs) and regular birth control pills.

First, let's address your situation. You mentioned that you started taking a regular birth control pill on the first day of your menstrual period on November 13 and had unprotected intercourse with ejaculation on November 22. If you have been taking your birth control pill consistently and correctly since the first day of your period, you should be protected from pregnancy. Birth control pills are most effective when taken as directed, and starting them on the first day of your period provides immediate contraceptive protection.

However, if you are concerned about the possibility of pregnancy due to the unprotected intercourse, you may consider taking an emergency contraceptive pill (ECP). ECPs, such as Plan B or Ella, are designed to prevent pregnancy after unprotected sex. They are most effective when taken as soon as possible after the intercourse, ideally within 72 hours for Plan B and up to 120 hours for Ella. Since your intercourse occurred on November 22, you are still within the window to take an ECP if you feel it is necessary.

Regarding your question about when you can resume taking your regular birth control pill after taking an ECP, the general recommendation is to continue taking your regular birth control pill as scheduled. The ECP will not affect the efficacy of your regular birth control pill, and you should not stop taking it. If you experience any side effects from the ECP, such as bleeding or changes in your menstrual cycle, it is typically temporary.

You also mentioned experiencing some brown discharge. This can be a normal side effect of hormonal contraceptives, including both regular birth control pills and ECPs. Brown discharge often indicates old blood that is being expelled from the body, which can occur during hormonal fluctuations. If the discharge is accompanied by severe pain, unusual odor, or lasts for an extended period, it would be wise to consult a healthcare provider.

In summary, if you have been taking your birth control pill correctly, you are likely protected from pregnancy. If you are still concerned about the risk of pregnancy after unprotected intercourse, taking an ECP is an option. Continue taking your regular birth control pill as scheduled, and monitor any changes in your menstrual cycle or discharge. If you have any further concerns or experience unusual symptoms, it is advisable to reach out to a healthcare professional for personalized guidance.

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