Emergency Contraception: What to Expect After Taking the Pill

Emergency contraceptive pill

Hello, I got my period around February 4th, but I had unprotected intercourse on March 2nd and I'm not sure if there was ejaculation.
I immediately went to see a doctor and took emergency contraception.
Since taking it, I haven't had any bleeding as of March 7th.
Is this normal? Now, every time I urinate, I feel like I haven't fully emptied my bladder and I still feel the urge to urinate, but I can't.
I would like to know what the chances of pregnancy are.

Ai Yu Bing, 20~29 year old female. Ask Date: 2024/03/07

Dr. Chen Zhiyu reply Obstetrics and Gynecology

"Every time I urinate, I feel like I haven't fully emptied my bladder, and after finishing, I still have the urge to urinate but can't.
It is recommended to visit a gynecology clinic to check for infections or other underlying causes, and to consult with a physician for any additional questions.
Thank you."

Reply Date: 2024/03/07

More Info

When it comes to emergency contraception (EC), understanding what to expect after taking the pill is crucial for managing anxiety and ensuring proper follow-up care. In your case, you had unprotected intercourse on March 2 and took the emergency contraceptive pill shortly after. It’s important to note that the effectiveness of emergency contraception is highest when taken as soon as possible after unprotected intercourse, ideally within 72 hours, but some pills can be effective up to 120 hours post-intercourse.

Regarding your concern about not having experienced any bleeding by March 7, this can be within the realm of normal. Emergency contraceptive pills can cause changes in your menstrual cycle, including delayed periods or even no bleeding at all. Some women may experience spotting or bleeding shortly after taking the pill, while others may not see any bleeding until their next expected period, or their period may be delayed. The hormonal content of the pill can disrupt the normal hormonal signals that regulate your menstrual cycle, leading to variations in timing and flow.

As for your symptoms of feeling like you cannot fully empty your bladder, this could be unrelated to the emergency contraception itself. Urinary symptoms can arise from various causes, including urinary tract infections (UTIs), which are common and can cause discomfort and a feeling of incomplete voiding. If this sensation persists or is accompanied by pain, burning during urination, or any other concerning symptoms, it would be wise to consult a healthcare provider for further evaluation.

In terms of pregnancy risk, if you took the emergency contraceptive pill as directed and within the appropriate time frame, the likelihood of becoming pregnant is significantly reduced. However, no contraceptive method is 100% effective. If your period is more than a week late, it would be advisable to take a home pregnancy test for confirmation.
In summary, while the absence of bleeding after taking emergency contraception can be normal, it’s essential to monitor your symptoms. If you continue to experience urinary discomfort or if your period does not arrive, seeking medical advice is recommended. Remember, emergency contraception is a safe and effective way to prevent pregnancy after unprotected intercourse, but it is not intended for regular use and should not replace regular contraceptive methods. Always consult with a healthcare provider for personalized advice and to address any concerns you may have regarding your reproductive health.

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