Post-Sexual Activity Symptoms and Emergency Contraception Options - Obstetrics and Gynecology

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After engaging in unprotected sexual activity, it's common to experience a range of physical and emotional responses. Your symptoms, including redness and swelling of the labia, as well as the presence of small bumps, could indicate a few different possibilities. These symptoms may suggest a mild irritation or inflammation, possibly due to friction or an allergic reaction to a product used during sexual activity. However, they could also be signs of a sexually transmitted infection (STI), especially if accompanied by itching or unusual discharge. It's crucial to consult a healthcare professional for a proper diagnosis and treatment.

Regarding your concerns about emergency contraception, it’s important to understand how these medications work. The type of emergency contraception you mentioned, which is taken in multiple doses over a few days, is designed to prevent ovulation and may also alter the uterine lining to prevent implantation of a fertilized egg. However, it is not intended to terminate an existing pregnancy. If you took the emergency contraception soon after the unprotected intercourse, the likelihood of preventing pregnancy is generally high, especially if taken within 72 hours. However, the effectiveness decreases the longer you wait.

As for your menstrual cycle, it’s not unusual for it to be delayed after taking emergency contraception. Hormonal fluctuations caused by the medication can lead to changes in your cycle, including delayed menstruation. If your period does not arrive within a week of when you expect it, it would be advisable to take a pregnancy test to confirm whether or not you are pregnant.

If you find out that you are pregnant and are considering medical abortion, the medication RU-486 (mifepristone) is typically prescribed in a clinical setting. The cost and availability can vary depending on your location and healthcare provider. It’s essential to consult with a healthcare professional for guidance on the options available to you, as they can provide the necessary support and information regarding the process.

In summary, your symptoms warrant a visit to a healthcare provider for evaluation, especially to rule out any STIs or other infections. Additionally, while emergency contraception is effective, it can cause temporary changes in your menstrual cycle. If you have any further concerns about your reproductive health or potential pregnancy, seeking professional medical advice is the best course of action.