Emergency Contraception: Can You Still Get Pregnant After Taking It?

Emergency contraception pills & can you still get pregnant?

Hello Doctor, my menstrual cycle has been irregular.
In the past three months, my periods were as follows: October 27 to November 2, December 11 to December 17, and January 16 to January 22.
I had sexual intercourse on January 24 (the second day after my period ended) and I am unsure if the condom was used properly (there was no ejaculation).
The next day, around 12-1 PM, I took emergency contraception.
However, I had sexual intercourse again on January 26 (the fourth day after my period ended), and this time I checked the condom for any breakage and it was intact!
Six days after taking the emergency contraception, I experienced bleeding that was similar in volume to my usual menstrual flow, lasting about four days.
On the fifth day, the blood was a deep brown color, and on the sixth and seventh days (today), there has been no bleeding at all.
Yesterday, I took a pregnancy test for the first time on the twelfth day after the intercourse and a second test on the tenth day, both showing one line.

I would like to ask the doctor if this bleeding counts as an early period? Is there still a chance I could be pregnant? Should I take another pregnancy test? (I am worried about being pregnant.) Was the pregnancy test I took yesterday accurate? I am considering taking preemptive contraception (which could also help regulate my cycle), but today is the seventh day.
Is it still effective to take it now, or should I wait until my next period to take it? I apologize for the many questions, and I appreciate your help.
Thank you! 🙇‍♀️🙇‍♀️🙇‍♀️

Fish, 20~29 year old female. Ask Date: 2023/02/06

Dr. Zhang Kunmin reply Obstetrics and Gynecology

Hello, based on your description, it is recommended to check for pregnancy if your period is more than a week late.
You should wait until you confirm that you are not pregnant before starting the birth control pills in the next cycle.
Thank you! Wishing you peace and health.
Dr.
Zhang

Reply Date: 2023/02/06

More Info

When it comes to emergency contraception and the possibility of becoming pregnant afterward, there are several important factors to consider. Emergency contraception (EC) is designed to prevent pregnancy after unprotected intercourse or contraceptive failure, such as a broken condom. The most common forms of emergency contraception include the morning-after pill (like Plan B or Ella) and the copper intrauterine device (IUD).

In your case, you mentioned having irregular menstrual cycles and taking emergency contraception after a potential contraceptive failure. The timing of your menstrual cycle is crucial in understanding your situation. Since you took the emergency contraception shortly after unprotected intercourse, it is likely that it was effective in preventing ovulation, which is the primary mechanism by which these medications work.

The bleeding you experienced six days after taking the emergency contraception could be a side effect of the medication. Many women experience changes in their menstrual cycle after taking EC, including earlier or later periods, lighter or heavier bleeding, or even spotting. This bleeding can sometimes be mistaken for a period, but it may not be a true menstrual cycle. Given that you experienced bleeding similar to your usual menstrual flow, it is possible that this was a withdrawal bleed due to the hormones in the emergency contraception.

As for the pregnancy test results, it is important to note that home pregnancy tests are generally reliable when taken correctly. If you took the test at least a week after the potential conception date, and it showed a negative result, it is likely accurate. However, if you are still concerned about the possibility of pregnancy, you can retest a few days later or consult with a healthcare provider for a blood test, which can detect pregnancy earlier than a home test.

Regarding the use of preemptive contraceptive pills, it is advisable to wait until your next menstrual cycle to start them. Taking hormonal contraceptives can help regulate your cycle and prevent future unintended pregnancies, but they should ideally be started at the beginning of a new cycle for maximum effectiveness.

In summary, based on your description, it seems that the emergency contraception you took was likely effective, and the bleeding you experienced may be a side effect rather than an indication of pregnancy. However, if you have any lingering concerns or if your next period does not arrive as expected, it would be wise to consult with a healthcare professional for further evaluation and guidance. Remember, maintaining open communication with your healthcare provider about your menstrual health and contraceptive options is key to managing your reproductive health effectively.

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Hello, if you are taking birth control pills, you should not become pregnant. Wishing you good health.