Pregnancy Concerns: FAQs on Contraception and Symptoms

To determine if one is pregnant, a pregnancy test can be conducted. This test typically measures the presence of human

Hello, doctor.

1.
I had intercourse with my girlfriend two weeks ago using a condom, but I was overly worried and took the emergency contraceptive pill, Ella (Ulipristal Acetate), five minutes later.
I experienced side effects such as abdominal pain and cramps, but my period came on schedule.
Is there still a chance of pregnancy?
2.
On the third day of my period, I noticed brown discharge with some clots.
What could this mean?
3.
Today is September 22, and my girlfriend is experiencing her ovulation phase with clear, watery discharge and lower abdominal pain.
Could this be a sign of inflammation?

Guries, 10~19 year old female. Ask Date: 2022/09/25

Dr. Cao Guotao reply Obstetrics and Gynecology

Hello, I have already responded to your question earlier.
Wishing you good health.

Reply Date: 2022/09/25

More Info

When it comes to understanding pregnancy concerns, especially regarding contraception and symptoms, it's essential to address each question with clarity and medical insight. Let's break down your inquiries one by one.

1. Contraceptive Use and Emergency Contraception: You mentioned that you used a condom during intercourse but took an emergency contraceptive pill (ECP) shortly after due to anxiety about potential failure. The good news is that if the condom was used correctly and did not break, the likelihood of pregnancy is significantly reduced. Emergency contraceptive pills, like Plan B (Levonorgestrel) or Ella (Ulipristal Acetate), are designed to prevent ovulation and are most effective when taken as soon as possible after unprotected intercourse. Since you took the ECP within five minutes, it should be effective.
Regarding the side effects you experienced, such as abdominal pain and breast tenderness, these are common reactions to hormonal changes induced by the ECP. Your menstrual cycle returning to its expected schedule is a positive sign that your body is functioning normally. However, if you have concerns about potential pregnancy, consider taking a home pregnancy test if your period is late by more than a week.

2. Brown Discharge During Menstruation: The brown discharge you observed on the third day of your period is typically old blood that has taken longer to exit the uterus. It is common for menstrual blood to appear brown, especially towards the end of a period. If the discharge is accompanied by a foul odor, significant pain, or lasts longer than usual, it may warrant a visit to a healthcare provider to rule out any infections or other underlying issues.

3. Clear, Watery Discharge and Abdominal Pain: The clear, watery discharge you described during your girlfriend's ovulation phase (often referred to as "egg white cervical mucus") is normal and indicates that she is in her fertile window. However, if she is experiencing abdominal pain alongside this discharge, it could be due to various reasons, including ovulation pain (mittelschmerz), which is common and usually harmless. However, if the pain is severe or persistent, or if there are other symptoms like fever or unusual discharge, it may indicate an infection or other medical condition, and she should consult a healthcare provider.

In summary, while the use of condoms and emergency contraception significantly reduces the risk of unintended pregnancy, it's important to monitor any unusual symptoms. Regular communication with your partner about any concerns and seeking medical advice when necessary can help alleviate anxiety and ensure both of you are informed about reproductive health. If either of you experiences persistent symptoms or has further concerns, consulting a healthcare professional is always the best course of action.

Similar Q&A

Understanding Pregnancy Concerns: Your Questions Answered

Hello, Doctor. My last menstrual period started on December 17, and my cycles are usually around 30-33 days. I had sexual intercourse on December 28, and we used a condom throughout the entire time, putting it on before penetration and withdrawing before ejaculation while still w...

Dr. Zhang Kunmin reply Obstetrics and Gynecology
Hello, the failure rate of using condoms for contraception is over 5%, which makes it less reliable compared to other methods. It is generally not recommended to rely solely on condoms for contraception. Additionally, pregnancy cannot be determined based on subjective symptoms al...

Understanding Pregnancy Concerns: Signs, Symptoms, and Risks

I apologize, I am the person who inquired on January 24th with the reference number 164833. I would like to ask the doctor to clarify for me: 1. Since I am currently using contraception, I am really worried that my period has not come this month. What is the likelihood of pregnan...

Dr. Cao Guotao reply Obstetrics and Gynecology
Hello, theoretically the chances of pregnancy should be low, but whether or not you are pregnant can be determined by using a pregnancy test. Wishing you good health.

Is It Birth Control Side Effects or Pregnancy Symptoms?

On the 8th of the month, during the fertile period, I had unprotected intercourse and the male partner ejaculated outside. Within 5.6 hours, I took the emergency contraceptive pill (Ella). Later, I experienced slight dizziness and breast tenderness, which was somewhat painful but...

Dr. Cao Guotao reply Obstetrics and Gynecology
Hello, emergency contraceptive pills can sometimes cause irregular menstruation. Generally, a pregnancy test should be taken at least 12 days after conception to get accurate results. If you continue to experience discomfort, it is advisable to consult a gynecologist. Wishing you...

Could I Be Pregnant? Understanding Early Symptoms and Concerns

After having sexual intercourse on April 7th, I used a condom, but it seems like there was a slight penetration. The next day, I took emergency contraception. On April 12th, I experienced bleeding, which increased the following day. On April 15th, I started taking regular birth c...

Dr. Chen Liqin reply Obstetrics and Gynecology
Hello, your discomfort may be related to the use of contraceptive pills or cold medications. However, if you are concerned, it is advisable to visit an obstetrics and gynecology clinic for evaluation and a pregnancy test.