When Will My Period Start After Taking Emergency Contraceptive Pills? - Obstetrics and Gynecology

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Emergency contraceptive pill has been taken?


Hello, doctor.
I obtained emergency contraceptive pills at the hospital and I'm unsure when my period will come after taking them.
Is there a specific timeframe? The medication I received consists of 4 pink and white combination pills and 8 peach-colored pills that taste sweet, which I need to take in two doses 12 hours apart.
Thank you.

JJ, 20~29 year old female. Ask Date: 2001/02/14

Dr. Li Guanghan reply Obstetrics and Gynecology


Taking emergency contraception generally does not affect the menstrual cycle.
If you have a 28-day cycle and take emergency contraception on the day of ovulation, your period is expected to arrive in about 14 days.
If your period does not come after more than a week, you should take a pregnancy test.

Reply Date: 2001/02/14

More Info


When it comes to emergency contraceptive pills (ECPs), understanding their effects on your menstrual cycle is essential. ECPs, often referred to as "morning-after pills," are designed to prevent pregnancy after unprotected intercourse or contraceptive failure. The specific formulation you mentioned, which includes both pink and white pills, likely contains a combination of hormones, such as levonorgestrel or ulipristal acetate, which are commonly used in these medications.

After taking ECPs, many individuals wonder when their next period will start. Generally, most women can expect their period to arrive within a week or two after taking the pills. However, the timing can vary based on several factors, including where you are in your menstrual cycle when you took the ECPs, your individual hormonal balance, and how your body responds to the medication.

1. Timing of Menstrual Cycle: If you took the ECPs during the first half of your cycle (before ovulation), it may delay ovulation, which can affect when your period arrives. Conversely, if you took them after ovulation, the ECPs may not have a significant impact on your menstrual timing.

2. Hormonal Effects: ECPs work primarily by altering hormone levels to prevent ovulation or fertilization. This hormonal shift can lead to changes in your menstrual cycle. Some women may experience an earlier period, while others may find their period is delayed. It's not uncommon for the next period to be lighter or heavier than usual, or for it to come with more cramping or spotting.

3. Expectations: After taking ECPs, if your period does not arrive within three weeks, it is advisable to take a pregnancy test to rule out pregnancy. If you experience significant changes in your menstrual cycle or have concerns about your health, consulting a healthcare provider is recommended.

4. Side Effects: Some common side effects of ECPs include nausea, fatigue, headache, dizziness, and breast tenderness. These symptoms are usually temporary and should resolve within a few days. If you experience severe side effects or symptoms that persist, seek medical advice.

5. Follow-Up Care: If you have irregular cycles or if this is not your first time using ECPs, it might be beneficial to discuss your menstrual health with a healthcare provider. They can offer guidance on regular contraceptive methods that may suit your lifestyle better and provide more predictable menstrual regulation.

In summary, after taking emergency contraceptive pills, you can generally expect your period to start within a week or two, but individual experiences may vary. If you have any concerns or if your period is significantly delayed, it’s important to consult with a healthcare professional for personalized advice and support.

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