Post-Pill Side Effects and Recovery Tips for Women - Obstetrics and Gynecology

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Post-coital contraception follow-up?


Hello doctor, my girlfriend had her period from March 6 to March 13.
We had sexual intercourse on March 15, and the condom slipped off (without ejaculation).
She took the emergency contraceptive pill (Ella) within three hours after the incident.
That night, she experienced dizziness and discomfort in her lower abdomen.
How long do the side effects typically last? On March 17, she had slight bleeding in the morning, along with lower back pain, and when she got up, she noticed she had a sore throat.
Is it safe for her to take Tylenol? How long might the bleeding last? I read online that there is a chance it could disrupt her next menstrual cycle.
Would taking borage oil help improve this? How can I help her recover her health?

Jiao, 10~19 year old female. Ask Date: 2019/03/17

Dr. Zhang Kunmin reply Obstetrics and Gynecology


Hello, the effects of emergency contraceptive pills on menstruation can vary; they may cause your period to come early or late.
Additionally, their contraceptive effectiveness is not 100%, with a failure rate of about 3%.
Since emergency contraceptive pills primarily contain high doses of female hormones/progesterone, they can lead to side effects such as nausea, vomiting, and abdominal bloating.
It is advisable to consult a gynecologist for evaluation if the side effects persist or worsen, or if your period is more than a week late.
Thank you! Wishing you safety and health.
Dr.
Zhang

Reply Date: 2019/03/17

More Info


When it comes to the use of emergency contraceptive pills like Postinor (also known as Plan B or similar brands), it is important to understand the potential side effects and how to manage them effectively. Your girlfriend's experience of dizziness, abdominal discomfort, and subsequent light bleeding after taking the pill is not uncommon. These symptoms can be attributed to the hormonal changes induced by the medication, which is designed to prevent pregnancy by altering the hormonal signals in the body.


Understanding Side Effects
1. Dizziness and Abdominal Discomfort: These symptoms can occur shortly after taking the pill and may last for a few days. They are typically a result of the hormonal fluctuations caused by the emergency contraceptive. Most women find that these symptoms resolve within a few days, but if they persist or worsen, it is advisable to consult a healthcare professional.

2. Light Bleeding: The spotting or light bleeding your girlfriend is experiencing may be a side effect of the hormonal changes. This can happen as the body adjusts to the sudden influx of hormones. The duration of this bleeding can vary, but it usually lasts a few days. If the bleeding becomes heavy or is accompanied by severe pain, it is important to seek medical attention.

3. Back Pain and Other Symptoms: Lower back pain can also be a common side effect following the use of emergency contraception. This discomfort may be linked to the same hormonal changes affecting the uterus and surrounding areas.
4. Cold Symptoms: The onset of a sore throat or cold-like symptoms is less likely to be directly related to the emergency contraceptive. It could be coincidental, and if symptoms persist, it may be worth consulting a healthcare provider.


Managing Symptoms
- Pain Relief: Using over-the-counter pain relief medications like Panadol (acetaminophen) is generally safe for managing mild pain and discomfort unless there are contraindications. However, it is always best to check with a healthcare provider before combining medications, especially if your girlfriend has any underlying health conditions or is taking other medications.

- Nutritional Support: To help her body recover, consider encouraging a balanced diet rich in vitamins and minerals. Supplements such as vitamin E, evening primrose oil, or borage oil may help support hormonal balance, but it’s important to consult with a healthcare provider before starting any new supplements.

- Hydration and Rest: Ensuring she stays well-hydrated and gets plenty of rest can also aid in recovery. Stress management techniques such as gentle yoga or meditation may help alleviate discomfort.


Future Considerations
- Menstrual Cycle Changes: It is common for emergency contraceptive pills to cause temporary changes in the menstrual cycle. This can include delays or changes in the timing and flow of the next period. If her next period is more than a week late, a pregnancy test should be taken to rule out pregnancy.

- Consulting a Healthcare Provider: If symptoms persist beyond a few days, or if there are any concerning symptoms such as heavy bleeding, severe pain, or signs of infection (fever, chills, etc.), it is crucial to seek medical advice. A healthcare provider can offer personalized guidance and support.

In summary, while the side effects your girlfriend is experiencing are generally manageable and temporary, it is essential to monitor her symptoms and consult a healthcare provider if there are any concerns. Taking care of her physical and emotional well-being during this time is important, and ensuring she has access to appropriate medical advice will help her navigate any challenges that arise.

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