To Wait or Take Emergency Contraception: A Guide for Women

Wait or eat?

On August 15, there was unprotected sexual intercourse (without ejaculation or external ejaculation), but he confirmed that there was pre-ejaculatory fluid.
On August 11, she took emergency contraception, but there was also unprotected intercourse the next day.
Her expected menstruation is on August 19.
Should she take the emergency contraception again, or should she continue to wait? On August 8, she visited a gynecologist who said the chance of pregnancy is very low since there was no ejaculation.

Niming, 10~19 year old female. Ask Date: 2022/08/15

Dr. Cao Guotao reply Obstetrics and Gynecology

Hello, it should be the safe period; just observe.
Wishing you good health.

Reply Date: 2022/08/15

More Info

When it comes to the decision of whether to wait for your period or take emergency contraception after unprotected intercourse, it's essential to understand the context and the risks involved. In your case, you had unprotected sex on August 15, and while there was no ejaculation, pre-ejaculate fluid (which can contain sperm) was present. You also mentioned that you took emergency contraception on August 11, prior to the unprotected encounter.

Emergency contraception (EC) is designed to prevent pregnancy after unprotected intercourse or contraceptive failure. The effectiveness of EC is highest when taken as soon as possible after the incident, ideally within 72 hours, but some forms can be effective up to 5 days later. Since you took EC before the unprotected encounter, it may have already provided some level of protection, but it is not guaranteed.

Given that your expected period is on August 19, it is advisable to wait and see if your menstrual cycle follows its regular pattern. If your period arrives, it indicates that you are not pregnant. However, if your period is late, you should consider taking a pregnancy test to confirm whether or not you are pregnant.
It’s important to note that the menstrual cycle can be affected by various factors, including stress, hormonal fluctuations, and the use of emergency contraception itself, which can sometimes cause changes in your cycle. Some women may experience a delay in their period after taking EC, while others may have it arrive earlier or experience changes in flow.

If you are still uncertain about your situation or if you have any concerns about potential pregnancy, it would be wise to consult with a healthcare provider. They can offer personalized advice based on your medical history and current circumstances. Additionally, if you find yourself frequently in situations where you need to consider emergency contraception, it might be beneficial to discuss long-term contraceptive options with your healthcare provider to find a method that suits your lifestyle and needs.

In summary, if your period is due on August 19, it is best to wait for it. If it does not arrive, take a pregnancy test and consult with a healthcare professional for further guidance. Remember, understanding your body and menstrual cycle is crucial in making informed decisions regarding sexual health and contraception.

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