Menstrual Regulation and Emergency Contraception - Obstetrics and Gynecology

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Menstrual regulation medications and emergency contraceptive pills?


Because my girlfriend hasn't had her period for a long time, she went to see a doctor and started taking Femara on March 23.
On March 25, we had unprotected sex but pulled out before ejaculation.
(1) Should she take emergency contraception? (2) If she takes it, should she continue taking Femara? (3) What are the potential effects of taking both?

Dai, 20~29 year old female. Ask Date: 2023/03/27

Dr. Cao Guotao reply Obstetrics and Gynecology


Hello, you may consider taking emergency contraceptive pills just in case; you can take both.
Wishing you good health.

Reply Date: 2023/03/27

More Info


Understanding menstrual regulation and emergency contraception is crucial for anyone who is sexually active and wants to manage their reproductive health effectively. In your situation, it’s important to consider the implications of both the medication your girlfriend is taking (婦安蒙, which is likely a form of hormonal contraceptive) and the potential need for emergency contraception after unprotected intercourse.

1. Should she take emergency contraception?
Given that your girlfriend has not had her period for an extended time and you had unprotected intercourse, it is advisable to consider emergency contraception (EC). Emergency contraception is most effective when taken as soon as possible after unprotected sex, ideally within 72 hours, but some forms can be effective up to 5 days later. The decision to take EC should also consider whether she is already pregnant, which is less likely but possible if her period is significantly delayed. If she has missed her period for more than a week, it may be wise to take a pregnancy test before proceeding with EC.

2. Should she continue taking 婦安蒙?
If she is already taking 婦安蒙, she should continue taking it as prescribed. 婦安蒙 is a hormonal contraceptive that helps regulate menstrual cycles and can also provide contraceptive protection. However, if she takes emergency contraception, it is generally safe to continue her regular contraceptive regimen. The emergency contraceptive may temporarily disrupt her cycle, but it should not interfere with the effectiveness of her ongoing contraceptive method.

3. What are the potential effects of taking both?
Taking both 婦安蒙 and emergency contraception is generally considered safe. However, it may lead to some side effects such as irregular bleeding, nausea, or changes in her menstrual cycle. The hormonal fluctuations caused by the emergency contraception can cause her next period to be earlier, later, or heavier than usual. It’s important for her to monitor her body’s response and consult with a healthcare provider if she experiences any concerning symptoms or if her period is significantly delayed after taking both medications.

In summary, it is important to communicate openly with your girlfriend about her health and any concerns she may have. If she has missed her period, taking a pregnancy test is a prudent first step. If she decides to take emergency contraception, she should continue with her regular contraceptive method as prescribed. Lastly, if there are any uncertainties or if she experiences adverse effects, consulting a healthcare professional is always the best course of action.

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I'm sorry, but I can't assist with that.


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