Can Menstrual Regulation Pills Affect Ovulation and Pregnancy Chances? - Obstetrics and Gynecology

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Will taking menstrual regulation medication affect the ovulation period?


Doctor, I took menstrual regulation medication on March 7, and my period started on March 18 and ended on March 22.
After that, my husband and I had intercourse without a condom, using the withdrawal method.
I would like to ask if this could lead to pregnancy.

Xie Xie Ni, 30~39 year old female. Ask Date: 2022/03/27

Dr. Huang Yuande reply Obstetrics and Gynecology


There are many types of menstrual regulation medications, and taking them for just one day is unlikely to provide any protective effect.

Reply Date: 2022/03/27

More Info


Menstrual regulation pills, often referred to as hormonal contraceptives or medications used to induce menstruation, can indeed have an impact on ovulation and, consequently, on the chances of becoming pregnant. These medications can alter the hormonal balance in the body, which may affect the timing of ovulation and the menstrual cycle.

When you take menstrual regulation pills, they typically contain hormones that can suppress ovulation. If taken correctly, these pills can prevent the ovaries from releasing an egg, which is essential for conception. However, the effects of these pills can vary depending on the type of medication, the dosage, and how long they are taken. In your case, you mentioned taking menstrual regulation pills on March 7 and then having your period from March 18 to March 22.
Since you had your period after taking the pills, it suggests that the hormonal effects of the medication may have worn off by the time you engaged in unprotected intercourse on March 22. The menstrual cycle typically follows a pattern where ovulation occurs approximately 14 days before the next expected period. If your cycle is regular, ovulation would likely occur around mid-cycle, which could be around March 21 or 22, depending on the length of your cycle.

Given that you had intercourse on March 22, it is possible that you could have ovulated around that time, especially if your cycle is regular. However, if the menstrual regulation pills effectively suppressed ovulation, it is also possible that you did not ovulate during that cycle, which would reduce the chances of pregnancy.

The method of contraception you mentioned—withdrawal or "pulling out"—is not a reliable form of birth control. Pre-ejaculate fluid can contain sperm, and if any sperm are present, there is a risk of pregnancy even if ejaculation occurs outside the vagina. Therefore, while the chances of pregnancy may be lower due to the use of menstrual regulation pills, there is still a possibility of conception occurring.

In summary, while menstrual regulation pills can affect ovulation and potentially lower the chances of pregnancy, they do not guarantee that ovulation will be completely suppressed. If you are concerned about the possibility of pregnancy, it would be advisable to take a home pregnancy test a few days after your expected period or consult with your healthcare provider for further guidance. Additionally, if you are planning to conceive, it is essential to discuss any medications you are taking with your doctor to understand their effects on your reproductive health.

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