the Effects of Emergency and Menstrual Induction Pills - Obstetrics and Gynecology

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Pre-menstrual medication and menstrual induction medication?


Doctor, I have a question.
I have been taking the pre-emptive medication, one pill daily for 16 days.
Then I went to the pharmacy and bought menstrual induction medication and took it the next day! Today, January 19th, I did not take the pre-emptive medication.
On January 19th, I took one pill of the menstrual induction medication, which is equivalent to my pre-emptive medication from January 18th.
In the evening, I took another pill of the menstrual induction medication.
So, I have taken the pre-emptive medication for 16 days.
Should I stop the pre-emptive medication now? I bought the menstrual induction medication for five days, taking one pill each day, and today is the second pill on January 19th! Will not taking the pre-emptive medication affect me? Will it impact my menstrual cycle? Should I just finish taking the menstrual induction medication?

Qi, 20~29 year old female. Ask Date: 2023/01/19

Dr. Cao Guotao reply Obstetrics and Gynecology


Hello, emergency contraceptive pills generally do not require the use of menstrual induction medication.
If you do take it, your period should arrive within a week after finishing the menstrual induction medication.
Wishing you good health.

Reply Date: 2023/01/19

More Info


When it comes to understanding the effects of emergency contraception and menstrual induction pills, it's essential to clarify how these medications work and their potential interactions.
Emergency contraception pills (ECPs), often referred to as "morning-after pills," are designed to prevent pregnancy after unprotected intercourse. They work primarily by delaying ovulation, which means they prevent the ovaries from releasing an egg. If taken within a specific time frame after unprotected sex, they can significantly reduce the risk of pregnancy. Common ECPs include levonorgestrel (Plan B) and ulipristal acetate (Ella).
On the other hand, menstrual induction pills, which may contain medications like mifepristone or misoprostol, are used to induce menstruation or manage certain gynecological conditions. These medications can help regulate menstrual cycles or terminate early pregnancies by causing the uterus to contract and shed its lining.

In your case, it seems you have been taking a regular contraceptive pill (referred to as "事前藥" or preemptive medication) for 16 days and then switched to menstrual induction pills. It's crucial to understand that stopping your regular contraceptive pill can lead to hormonal fluctuations, which may affect your menstrual cycle.
1. Stopping the Contraceptive Pill: If you stopped taking your regular contraceptive pill (事前藥) on January 19 and switched to menstrual induction pills, this could lead to a change in your menstrual cycle. The regular contraceptive pill works by maintaining stable hormone levels, and discontinuing it can cause your body to react, potentially leading to irregularities in your menstrual cycle.

2. Effects of Menstrual Induction Pills: The menstrual induction pills you are taking may cause your body to shed its uterine lining, which could lead to bleeding similar to a menstrual period. This is expected and is part of how these medications work. However, the timing and amount of bleeding can vary from person to person.

3. Potential Interactions: Taking both types of medications in close succession may not necessarily lead to adverse effects, but it can complicate your hormonal balance. If you are taking the menstrual induction pills as directed (one pill daily for five days), you should complete the course. However, it's essential to monitor your body's response during this time.

4. Consulting a Healthcare Provider: Given the complexity of hormonal medications and their effects on your body, it is highly advisable to consult with a healthcare provider. They can provide personalized advice based on your medical history and current situation. If you experience any unusual symptoms, such as excessive bleeding, severe pain, or any other concerning signs, seek medical attention promptly.

In summary, while switching from a regular contraceptive pill to menstrual induction pills can lead to changes in your menstrual cycle, it's essential to complete the course of the induction medication and consult with a healthcare provider for further guidance. Your health and well-being should always be the priority when managing hormonal medications.

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