Emergency Contraception: Risks, Stopping Pill, and Side Effects

Emergency contraceptive pill

Hello doctor, if I start taking the first birth control pill on April 5th (the fifth day of my menstrual cycle) and have sexual intercourse with ejaculation on April 6th, then finish the 21-day course of pills on April 9th but experience significant side effects that affect my daily life, and after discussing with my family, I want to stop taking the pills.
I would like to ask a few questions:
1.
Is there a possibility of pregnancy?
2.
When do you recommend stopping the pills?
3.
What symptoms might occur after stopping the pills?

Niming, 20~29 year old female. Ask Date: 2020/04/10

Dr. Cao Guotao reply Obstetrics and Gynecology

Hello, it should still have contraceptive effects.
It is generally recommended to finish the medication before stopping, otherwise it may cause irregular menstruation.
Wishing you good health.

Reply Date: 2020/04/10

More Info

When it comes to understanding emergency contraception, particularly in the context of starting a new birth control pill, there are several important factors to consider regarding risks, potential side effects, and the implications of stopping the pill.

1. Risk of Pregnancy: If you started taking your birth control pill on the fifth day of your menstrual cycle and had unprotected intercourse the following day, the risk of pregnancy is relatively low, especially if you took the pill consistently and correctly. Most combination birth control pills are effective at preventing ovulation within 7 days of starting them, but since you started on day five of your cycle, it is crucial to consider whether you had already ovulated. If you were already ovulating, there is a possibility of pregnancy. However, if you took the pill as directed, the chances are significantly reduced.

2. When to Stop the Pill: If you are experiencing side effects that are impacting your daily life, it is advisable to consult with your healthcare provider before making any decisions about stopping the pill. Generally, if you decide to stop taking the pill, you can do so at any time. However, it is important to understand that stopping the pill may lead to a return of your menstrual cycle and any associated symptoms (like cramping or irregular periods) that you may have experienced before starting the pill. If you stop taking the pill mid-pack, you may also experience breakthrough bleeding or spotting.

3. Symptoms After Stopping the Pill: After discontinuing the birth control pill, you may experience a range of symptoms as your body readjusts to its natural hormonal cycle. Common symptoms include:
- Irregular menstrual cycles: Your periods may become irregular for a few months as your body readjusts.

- Hormonal fluctuations: You might experience mood swings, headaches, or changes in libido as your hormone levels stabilize.

- Return of pre-pill symptoms: If you had symptoms like heavy periods, severe cramps, or PMS before starting the pill, these may return after stopping.

- Breakthrough bleeding: Some women experience spotting or bleeding after stopping the pill, especially if they stop mid-pack.

In conclusion, while the risk of pregnancy is low if you have taken your birth control pill correctly, it is essential to monitor your body’s response to the medication. If side effects are significant, stopping the pill may be the right choice, but it is best done under the guidance of a healthcare professional. They can provide personalized advice based on your health history and help you explore alternative contraceptive methods if needed. Always remember that communication with your healthcare provider is key to managing your reproductive health effectively.

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