Experiencing Discomfort from Taking Emergency Contraceptive Pills? - Obstetrics and Gynecology

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Experiencing noticeable discomfort after taking emergency contraceptive pills?


I have a congenital issue with ectopic uterus, which has caused long-term irregular menstruation and severe menstrual cramps.
A pharmacy staff recommended taking Diane 21 pills to improve my condition.
I started taking them on the second day of my period, May 3rd.
The next day, on the 4th, I began to feel nauseous, had headaches, and starting from the 6th, I experienced neck pain, dizziness, and instability.
On the 7th, I developed lower back pain, my right leg started to feel hot, swollen, and painful, and my toes gradually became numb.
I am really uncomfortable and would like to know if I can stop taking the medication.

Pain, 20~29 year old female. Ask Date: 2020/05/10

Dr. Wu Xianghui reply Obstetrics and Gynecology


It is recommended to discontinue the medication and consult with a specialist in obstetrics and gynecology for evaluation.

Reply Date: 2020/05/10

More Info


Experiencing discomfort after taking emergency contraceptive pills, such as the one you mentioned (likely a combination of estrogen and progestin), can be quite common. These medications are designed to prevent pregnancy after unprotected intercourse, but they can also lead to various side effects, especially if you have pre-existing conditions like endometriosis or irregular menstrual cycles.

The symptoms you described—nausea, headaches, neck pain, dizziness, and discomfort in your legs—can be attributed to the hormonal changes induced by the contraceptive pills. Hormonal contraceptives can affect individuals differently, and some people may experience side effects that can be uncomfortable or distressing.
1. Nausea and Vomiting: These are common side effects of hormonal contraceptives. They can occur due to the sudden influx of hormones in your system. If the nausea is severe, it may be worth discussing with your healthcare provider, as they may suggest anti-nausea medications or alternative contraceptive methods.

2. Headaches and Dizziness: Hormonal fluctuations can lead to headaches, and in some cases, dizziness. If these symptoms persist or worsen, it’s essential to consult your healthcare provider. They can assess whether these symptoms are a reaction to the medication or if they are related to your underlying conditions.

3. Muscle and Joint Pain: The discomfort in your neck and legs could be related to the hormonal changes or could be exacerbated by your pre-existing conditions, such as endometriosis. Hormonal contraceptives can sometimes lead to fluid retention and changes in muscle tone, which might explain the sensations you are experiencing.

4. Numbness and Tingling: The sensations of heat, swelling, and tingling in your right foot and toes could be concerning. While it may be a side effect of the medication, it could also indicate something more serious, such as a vascular issue or nerve compression. It’s crucial to seek medical attention if these symptoms persist or worsen.

Given your discomfort, it is advisable to consult with your healthcare provider before making any decisions about stopping the medication. They can provide a thorough evaluation of your symptoms, consider your medical history, and discuss alternative contraceptive options if necessary. Stopping the medication abruptly without guidance may not be the best course of action, especially if you have underlying health issues that need to be managed.

In summary, while it is possible to stop taking the medication if you are experiencing significant discomfort, it is essential to do so under the guidance of a healthcare professional. They can help you weigh the benefits and risks of continuing the medication versus switching to another form of contraception that may be better suited to your needs and health status. Always prioritize open communication with your healthcare provider regarding any side effects or concerns you may have about your treatment.

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