Pre-Contraceptive Pill Bleeding: Causes and Concerns

Bleeding after taking emergency contraceptive pills?

Hello, doctor.
My period started on September 5th, and I went to the gynecology clinic to get emergency contraception.
They advised me to start taking it on September 7th.
I had sexual intercourse before September 5th, and we used condoms throughout.
I took the pill every day, usually around 11 or 12 PM, but one day I took it later, around 2 AM.
By September 10th, my period seemed to have stopped.
On September 13th, when I wiped in the afternoon, I noticed a pinkish discharge about the size of a five-dollar coin, but I’m not sure if it was spotting since it seemed to stick together.
Then, on the evening of September 18th, my boyfriend inserted his fingers, and I experienced bleeding again, which was also pink.
The next day, when I went to the bathroom, I noticed a little pink discharge, and this morning, September 19th, after using the restroom, there was a more noticeable amount of pink discharge, about the size of a panty liner.
(The emergency contraception I took is called Ella.) I would like to ask: 1.
What does this bleeding mean? 2.
Is this related to sexual activity? 3.
What should I be aware of? 4.
Does this indicate a possibility of pregnancy?

X, 10~19 year old female. Ask Date: 2022/09/21

Dr. Cao Guotao reply Obstetrics and Gynecology

Hello, you should not be pregnant.
If there is still bleeding, it is recommended to return to the obstetrics and gynecology department for an examination.
Wishing you good health.

Reply Date: 2022/09/21

More Info

Understanding pre-contraceptive pill bleeding can be quite concerning for many women, especially when it occurs unexpectedly. Based on your description, it seems you are experiencing some unusual bleeding after starting the contraceptive pill, and you have several questions regarding its implications. Let's break down your concerns one by one.

1. What does this bleeding mean?
The bleeding you are experiencing could be attributed to a few factors. When starting a new contraceptive pill, especially one containing hormones like estrogen and progestin, it is not uncommon for women to experience breakthrough bleeding or spotting. This is particularly true in the first few months of taking the pill as your body adjusts to the new hormone levels. The pinkish color of the blood you described suggests that it is likely old blood mixed with cervical mucus, which is typical during this adjustment phase.
2. Is this related to sexual activity?
While it is possible that the bleeding could be related to sexual activity, especially if there was any vigorous activity or if your partner used fingers, it is more likely that the bleeding is a result of hormonal changes from the contraceptive pill. If the bleeding occurs after sexual activity, it could also indicate some minor irritation or trauma to the vaginal walls, particularly if there was any vigorous movement. However, this should not be a cause for alarm unless the bleeding is heavy or accompanied by pain.

3. What should I pay attention to?
It is essential to monitor the bleeding. If it continues for an extended period, becomes heavier, or is accompanied by severe pain, you should consult your healthcare provider. Additionally, keep track of your menstrual cycle and any other symptoms you may experience, such as mood changes, breast tenderness, or nausea, as these can also be side effects of hormonal contraceptives. If the bleeding persists beyond the first few months of taking the pill, it may be worth discussing with your doctor to rule out any other underlying issues.

4. Does this indicate pregnancy?
The likelihood of pregnancy is low, especially since you have been using condoms consistently and have started taking the contraceptive pill. However, no contraceptive method is 100% effective, and if you have concerns about potential pregnancy, it is advisable to take a home pregnancy test or consult your healthcare provider for further evaluation. If you experience any symptoms of pregnancy, such as missed periods, nausea, or breast tenderness, it is crucial to seek medical advice.

In summary, the pinkish bleeding you are experiencing is likely a common side effect of starting a new contraceptive pill and may not be directly related to sexual activity. However, it is essential to monitor the situation and consult with your healthcare provider if you have any concerns or if the bleeding persists. Remember, every woman's body reacts differently to hormonal changes, and it may take some time for your body to adjust to the new contraceptive method.

Similar Q&A

Understanding Preemptive Birth Control Pills: Side Effects and Effectiveness

Hello, Doctor. I have been taking oral contraceptives for over 8 months. During the course, I experienced bleeding, which led me to switch brands three times. However, this month when I returned to a brand I had previously used, I started bleeding the day after I resumed taking i...

Dr. Cao Guotao reply Obstetrics and Gynecology
Hello, it still has contraceptive effects. It is recommended to switch back to a birth control pill that does not cause bleeding next time. Wishing you good health.

Understanding Abnormal Bleeding While on Birth Control Pills: Causes and Concerns

I have polycystic ovary syndrome and have been taking birth control pills for a long time. Previously, I would start to notice brown discharge a few days after finishing the pills, but for the last three months, I have started bleeding about five days before finishing the pills, ...

Dr. Wu Xianghui reply Obstetrics and Gynecology
Abnormal bleeding and irregular menstrual cycles can have many underlying causes. It is recommended to consult a specialist in obstetrics and gynecology for evaluation.

Understanding Pre-Pill Contraceptives: Common Concerns and Effects

Hello Doctor, I have some questions regarding my first-time use of the contraceptive pill - Aivee (24+4 regimen): 1. I started experiencing bleeding on the 15th day of taking the pill, and it has continued for 3 days now, with the amount similar to a light menstrual flow. Is th...

Dr. Zhang Kunmin reply Obstetrics and Gynecology
Hello, the first dose of medication is usually taken on the first day of menstruation or within a few days after the onset of menstruation. Different products may have slight variations in their usage instructions. Additionally, oral contraceptives must be taken continuously for ...

Concerns About Side Effects of Birth Control Pills for Irregular Periods

Hello, doctor. At the beginning of September, I went to see a gynecologist because I had light bleeding for 8 days during my menstrual period. During the examination, it was found that my uterine lining was too thin, which was causing the bleeding to continue, and there was a sma...

Dr. Chen Zhiyu reply Obstetrics and Gynecology
Please consult the original attending physician. Thank you.