Is It Safe? Post-Intercourse Concerns in Women's Health - Obstetrics and Gynecology

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Is this okay?


After having intercourse, I felt very uncomfortable for several days and went to the gynecology department for an examination.
The doctor performed an ultrasound and said that the abdominal pain was caused by ovulation.
We did not have ejaculation inside; we put on a condom afterward because we were worried about sperm entering.
I took the emergency contraceptive pill.
Is it okay as long as my period comes?

Xiao Tian, 10~19 year old female. Ask Date: 2006/08/10

Dr. Zhong Wenzhen reply Obstetrics and Gynecology


If that is the case, the chances of conception are low.
Please wait for your next menstrual period.
If it is indeed delayed, seek medical attention.

Reply Date: 2006/08/10

More Info


When it comes to women's health, particularly regarding concerns after sexual intercourse, it's essential to understand the various factors that can influence both physical and emotional well-being. Your question touches on several important aspects, including the use of emergency contraception, the timing of ovulation, and the overall safety of sexual practices.

Firstly, it’s important to clarify what emergency contraception (EC) is and how it works. EC, such as the pill you mentioned (like NORLEVO), is designed to prevent pregnancy after unprotected intercourse or contraceptive failure (like a broken condom). It is most effective when taken as soon as possible after the incident, ideally within 72 hours, but some types can be effective up to five days later. However, it is not intended for regular use and should not replace regular contraceptive methods.

In your case, since you mentioned that you took the emergency contraceptive after a situation where there was concern about sperm entering the vagina, it’s understandable to feel anxious about potential pregnancy. The fact that you are experiencing discomfort and have been to a gynecologist who confirmed that it is likely related to ovulation is a good sign. Ovulation can cause mid-cycle pain, known as mittelschmerz, which is quite common and usually not a cause for concern.

Regarding your question about whether everything is okay as long as your menstrual cycle comes, the answer is generally yes. If your period arrives as expected, it usually indicates that you are not pregnant. However, if your period is late or if you experience any unusual symptoms, it would be wise to take a pregnancy test or consult your healthcare provider for further evaluation.

It's also worth noting that while emergency contraception is safe for most women, it can cause side effects such as nausea, fatigue, and changes in your menstrual cycle. If you find that your discomfort persists or worsens, or if you have any other concerning symptoms, it’s important to follow up with your healthcare provider for further assessment.

In terms of sexual health practices, using condoms is a reliable method to prevent both pregnancy and sexually transmitted infections (STIs). It’s great that you are being proactive about your sexual health by using condoms and considering emergency contraception when necessary. This dual approach significantly reduces the risk of unintended pregnancy and STIs.

Lastly, if you find yourself feeling anxious about your sexual health or potential risks, it may be beneficial to speak with a mental health professional. Anxiety about health issues can sometimes exacerbate physical symptoms, and addressing these feelings can lead to a better overall sense of well-being.

In summary, as long as your menstrual cycle returns to normal, you can generally feel reassured. However, always listen to your body and consult with healthcare professionals if you have any doubts or concerns. Your health and peace of mind are paramount, and staying informed is a key part of maintaining both.

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