Can I Still Get Pregnant After Two Normal Periods?

If you had your period in the last two months, is there still a chance of pregnancy?

Hello doctor, I had sexual intercourse on August 8th (around ovulation), without a condom and without ejaculation inside.
I took emergency contraception within 3 hours afterward.
My menstrual periods in August and September followed the regular cycle (August 22, September 28), lasting 5 to 7 days with normal flow.
After being diagnosed at the end of October, my period in November was 14 days late, and the flow was light, lasting almost only one day.
May I ask, doctor: 1.
Is it possible that I am pregnant? 2.
If I am not pregnant, could the diagnosis affect my menstrual cycle? Should I seek gynecological assistance?

Miao Miao, 10~19 year old female. Ask Date: 2022/11/17

Dr. Lin Lixuan reply Obstetrics and Gynecology

Even with the use of condoms throughout sexual intercourse, there is still about a 1% chance of pregnancy.
It is recommended to purchase a home pregnancy test to check for pregnancy.
Since there has been no face-to-face detailed consultation, physical examination, or ultrasound, if there are any concerns, you should promptly visit a nearby obstetrics and gynecology clinic for further evaluation and treatment.

Reply Date: 2022/11/17

More Info

It sounds like you have been through a lot recently, and I understand your concerns regarding your menstrual cycle and the possibility of pregnancy after taking emergency contraception. Let's break down your situation and address your questions.

1. Is it possible to be pregnant?
Given that you had unprotected intercourse around your ovulation period and took emergency contraception (the "morning-after pill") within three hours, the likelihood of pregnancy is significantly reduced. Emergency contraceptive pills are designed to prevent ovulation or fertilization if taken shortly after unprotected intercourse. Since you experienced two normal menstrual periods in August and September, it is a good indication that you were not pregnant during those cycles. However, the late and lighter period in October could be a sign of various factors, including hormonal fluctuations, stress, or the effects of the emergency contraception itself.

2. Could the late period be due to the emergency contraception?
Yes, emergency contraception can cause changes in your menstrual cycle. It is not uncommon for women to experience irregularities in their periods after taking the pill, including delayed onset, lighter flow, or even missed periods. The hormonal content in these pills can temporarily disrupt your normal hormonal balance, leading to variations in your cycle.

3. Should you seek gynecological assistance?
If your period is significantly delayed (like the 14 days you mentioned) and you are experiencing unusual symptoms, it may be wise to consult with a gynecologist. They can perform a pregnancy test to confirm whether or not you are pregnant and evaluate any other potential causes for your irregular cycle. Additionally, if you have concerns about your menstrual health or if this pattern continues, a healthcare provider can help you understand what might be happening and suggest appropriate interventions.

In summary, while it is unlikely that you are pregnant given your normal periods following the incident and the timely use of emergency contraception, the changes in your menstrual cycle warrant further investigation. It is always best to consult with a healthcare professional who can provide personalized advice based on your medical history and current situation. Remember, your health and peace of mind are important, so don't hesitate to reach out for support.

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