Is There a Chance of Pregnancy After Taking Emergency Contraceptive?

Possible pregnancy

I took emergency contraception within 24 hours on both occasions.
After taking the morning pill, I noticed increased bleeding, but there was no bleeding in the evening.
I usually have insufficient sleep, and my period, which was expected on March 22, only showed slight bleeding from March 27 to March 29 without a full flow.
I would like to ask the doctor if there is a possibility of pregnancy, thank you.
My menstrual cycle is generally irregular, with my last period starting on February 22.

Sunny, 10~19 year old female. Ask Date: 2022/03/29

Dr. Cao Guotao reply Obstetrics and Gynecology

Hello, please observe for a few more days and consider taking a pregnancy test to see if you are pregnant.
The chances are likely low.
Wishing you good health.

Reply Date: 2022/03/29

More Info

When considering the possibility of pregnancy after taking emergency contraceptive pills (ECPs), it's important to understand how these medications work and their effectiveness. Emergency contraceptive pills, such as Plan B (levonorgestrel) and Ella (ulipristal acetate), are designed to prevent pregnancy after unprotected intercourse or contraceptive failure. They are most effective when taken as soon as possible after the event, ideally within 72 hours for Plan B and up to 120 hours for Ella.

In your case, since you mentioned that you took the emergency contraceptive pills within 24 hours after unprotected intercourse, you significantly increased your chances of preventing pregnancy. However, no contraceptive method is 100% effective, and there is still a small chance of pregnancy even after taking ECPs.

The bleeding you experienced after taking the emergency contraceptive could be a side effect of the medication. ECPs can cause changes in your menstrual cycle, including spotting or breakthrough bleeding. This is not uncommon and can happen as your body adjusts to the hormones in the pills. The timing of your next period may also be affected; it could be earlier, later, or even lighter than usual.

Given that your menstrual cycle is irregular, it can be challenging to determine whether you are pregnant based solely on your cycle. The slight bleeding you experienced from March 27 to March 29 could be a side effect of the emergency contraceptive rather than a regular menstrual period.
To assess the possibility of pregnancy, consider the following steps:
1. Wait for Your Period: If your period does not arrive within a week of when you expect it, you should take a home pregnancy test. These tests are designed to detect the hormone hCG, which is produced during pregnancy.

2. Consult a Healthcare Provider: If you have concerns about your menstrual cycle or the effectiveness of the emergency contraceptive, it may be beneficial to consult with a healthcare provider. They can provide personalized advice and may suggest further testing if necessary.

3. Understand Your Cycle: Since you mentioned having an irregular cycle, keeping track of your menstrual patterns can help you understand your body better. Apps or calendars can assist in tracking your cycle and any symptoms you experience.

4. Consider Other Factors: Stress, changes in weight, and other health factors can also affect your menstrual cycle. If you have been experiencing significant stress or changes in your lifestyle, this may contribute to irregularities in your cycle.

In summary, while there is a small chance of pregnancy after taking emergency contraceptive pills, the likelihood is reduced significantly when taken promptly. The bleeding you experienced could be a side effect of the medication rather than an indication of pregnancy. If you are concerned about your menstrual cycle or the possibility of pregnancy, taking a home pregnancy test or consulting with a healthcare provider would be the best course of action.

Similar Q&A

Can You Get Pregnant After Taking Emergency Contraceptive?

If the emergency contraceptive pill (Plan B) was taken within 24 hours after unprotected intercourse (with ejaculation occurring 1500 the previous day and the pill taken at 1430 the following day), the likelihood of pregnancy is significantly reduced. However, no emergency contra...

Dr. Huang Jianzhong reply Obstetrics and Gynecology
The emergency contraceptive pill was taken one dose of "Yuzhu" close to 24 hours after unprotected intercourse (the previous day at 3:00 PM). Will this result in pregnancy? If so, what should I do? Answer: The likelihood of pregnancy is low in this case.

Can You Get Pregnant After Taking Emergency Contraceptive Pills?

The likelihood of becoming pregnant after taking emergency contraception and then engaging in unprotected intercourse three hours later, without ejaculation, is generally low. Emergency contraceptive pills are designed to prevent ovulation or fertilization if taken within a speci...

Dr. Cao Guotao reply Obstetrics and Gynecology
Hello, the chances of pregnancy are low, and you shouldn't rely on the safe period. It's better to take preventive measures before engaging in sexual activity. If your period is more than a week late, it's advisable to see a gynecologist. Wishing you good health.

Can You Get Pregnant After Taking Emergency Contraceptive Pills?

Hello, after engaging in sexual intercourse (without ejaculation inside), I took emergency contraception. However, I had another similar encounter without ejaculation three days later, and my period came with normal bleeding. Is it possible that I could be pregnant?

Dr. Cai Yonglong reply Obstetrics and Gynecology
The emergency contraceptive pill is 85% effective. If menstruation occurs, pregnancy is unlikely. If you have any questions, you can visit a gynecology clinic.

Emergency Contraceptive Pills: Effectiveness After Unprotected Sex

If I had sexual intercourse on June 4th and took a single dose of emergency contraception immediately afterward, is there still a chance of becoming pregnant?

Dr. Huang Jianzhong reply Obstetrics and Gynecology
On June 4th, sexual intercourse occurred, and the emergency contraceptive pill was taken immediately afterward. With just one dose of the emergency contraceptive, what is the likelihood of pregnancy? Answer: The chance of pregnancy is 5-10%.