Effects of Emergency Contraceptive Pills on Libido and Discharge in PCOS Patients

Symptoms after taking emergency contraceptive pills?

Hello, Doctor.
I have polycystic ovary syndrome (PCOS) and experience irregular menstrual cycles, with my period occurring approximately every 1.5 months after weight loss.
On July 1, during sexual intercourse, the condom broke, and I took emergency contraception on July 2.
The doctor paid special attention to my weight of 69 kg, which gives me a BMI of over 26, but did not specifically advise against taking the medication.
As of July 23, I still have not gotten my period.
I used two different pregnancy tests on July 20 and July 28, both of which were negative.
However, since taking the medication, I have noticed a decrease in libido, a reduction in vaginal discharge, and in the last three days, the discharge has become thick and clumpy, white in color, without odor, itching, or redness.

Could the emergency contraception affect my libido and cause changes in my vaginal discharge? Should individuals with polycystic ovary syndrome avoid using emergency contraception? Does BMI have an impact on this? Thank you in advance for your response!

Xiao Qi, 20~29 year old female. Ask Date: 2021/08/01

Dr. Wu Xianghui reply Obstetrics and Gynecology

1.
The hormonal status in polycystic ovary syndrome (PCOS) is quite unique and can be easily influenced by high doses of hormones.

2.
For pregnancy concerns, please perform a home pregnancy test or visit a gynecologist for examination and evaluation four weeks after the last sexual intercourse.

3.
The menstrual cycle is affected by various psychological and physiological factors; if menstruation has not occurred for more than two months, it is advisable to consult a gynecologist for examination and evaluation.

4.
"Vaginal infections" can cause abnormal discharge (yellow or milky white), perineal itching, unusual odor, burning sensation during urination, increased frequency of urination, and bleeding.
In more severe cases, it may lead to abdominal pain or fever.
The "treatment approach" varies depending on the symptoms and requires proper health education; it is recommended to visit a gynecologist for examination and evaluation.

Reply Date: 2021/08/01

More Info

Emergency contraceptive pills (ECPs) are commonly used to prevent pregnancy after unprotected intercourse or contraceptive failure, such as a broken condom. For patients with polycystic ovary syndrome (PCOS), the effects of ECPs on libido and vaginal discharge can be of particular concern, especially given the hormonal imbalances associated with PCOS.

Firstly, it's important to understand how ECPs work. They primarily function by delaying ovulation, preventing fertilization, or inhibiting implantation of a fertilized egg. The most commonly used ECPs contain levonorgestrel or ulipristal acetate. While these medications are generally safe for most women, including those with PCOS, they can cause side effects due to their hormonal nature.

Regarding libido, some women report changes in sexual desire after taking ECPs. This can be attributed to hormonal fluctuations that occur as a result of the medication. In women with PCOS, who already experience irregular hormone levels, the introduction of additional hormones through ECPs may exacerbate feelings of hormonal imbalance, potentially leading to a decrease in libido. However, this effect is not universally experienced and can vary significantly from person to person.

As for vaginal discharge, it is not uncommon for women to notice changes after taking ECPs. The hormonal changes can lead to variations in the consistency and volume of vaginal discharge. In your case, the observation of thicker, white discharge without odor, itching, or irritation is generally not a cause for concern. This type of discharge can be a normal response to hormonal changes, particularly after taking ECPs. However, if the discharge becomes accompanied by other symptoms such as a strong odor, itching, or irritation, it would be advisable to consult a healthcare provider to rule out any infections.

Regarding the use of ECPs in women with PCOS, it is generally considered safe. However, the underlying hormonal imbalances associated with PCOS can lead to unique responses to hormonal medications. Women with PCOS often have higher levels of androgens, which can affect their menstrual cycles and overall hormonal balance. Therefore, while ECPs can be used, it is essential to monitor any side effects and discuss them with a healthcare provider, especially if they are concerning or persistent.

Your concern about body weight and BMI is also valid. While ECPs are effective regardless of body weight, some studies suggest that higher BMI may influence the effectiveness of certain contraceptive methods. However, the evidence regarding ECPs is not conclusive, and they are still recommended for use in women with higher BMI. It is crucial to maintain a healthy lifestyle, especially for those with PCOS, as weight management can significantly impact the condition's symptoms and overall health.

In summary, while ECPs can affect libido and vaginal discharge, these effects can vary widely among individuals, particularly in those with PCOS. It is essential to monitor your symptoms and consult with a healthcare provider if you have concerns about the changes you are experiencing. They can provide personalized advice and support based on your specific health needs and circumstances.

Similar Q&A

Understanding Pregnancy Chances After Emergency Contraceptive Use with PCOS

Hello Doctor, about a year ago I was diagnosed with polycystic ovary syndrome (PCOS). Initially, I consulted a Western medicine doctor for treatment, but due to side effects, I have switched to traditional Chinese medicine for management. In the past six months, my menstrual cycl...

Dr. Cao Guotao reply Obstetrics and Gynecology
Hello, the effectiveness of emergency contraceptive pills is approximately 80-90%, so the chance of pregnancy should be low. It is advisable to monitor the situation, as emergency contraceptive pills can sometimes cause irregular menstruation, which also requires observation. Wis...

Understanding PCOS and Emergency Contraceptive Effectiveness

Good evening, doctor. My girlfriend has polycystic ovary syndrome (PCOS). Two days ago, during intercourse (with a condom), we noticed that a small amount of semen may have accidentally entered her. She took the morning-after pill the next day at noon, but after two days, she has...

Dr. Lin Wenbin reply Obstetrics and Gynecology
It's hard to say whether it was successful; the effectiveness of emergency contraception is generally lower.

Managing PCOS: The Role of Emergency Contraceptives and Menstrual Regulation

Hello, Doctor. I am a patient with polycystic ovary syndrome (PCOS) and have been using menstrual regulation medication prescribed by my gynecologist for nearly a year. I have had adjustments to the dosage due to insufficient dosage and other factors like cysts. The prescription ...

Dr. Chen Zhiyu reply Obstetrics and Gynecology
Hello, please inform during your follow-up visit that common side effects of emergency contraceptive pills include nausea, vomiting, abnormal bleeding, breast tenderness, bloating, abdominal pain, dizziness, headache, and fatigue. If you experience abnormal bleeding or abdominal ...

Understanding Emergency Contraception for PCOS Patients on Birth Control

I have polycystic ovary syndrome and have been taking Diane contraceptive pills for two years. This month, I reached the seventh day of taking the pills and accidentally had unprotected intercourse. I would like to know if I am still protected against pregnancy and if I need to c...

Dr. Huang Jianzhong reply Obstetrics and Gynecology
You have polycystic ovary syndrome and have been taking Diane contraceptive pills for two years. This month, you reached the seventh day of your pill cycle and accidentally had unprotected intercourse. You are inquiring whether there is contraceptive effectiveness in this situati...