Emergency Contraception: What to Do If Your Partner's Period Is Delayed - Obstetrics and Gynecology

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Regarding emergency contraception?


Doctor: My girlfriend got her period around December 24th last year.
After her period ended, we impulsively had intercourse without using contraception.
So, we went to the pharmacy and bought emergency contraception in early January.
About a week after taking it, her period came early.
Now it's January 30th, and her period still hasn't arrived! What should I do?

Zhuó jí de rén, 10~19 year old female. Ask Date: 2007/01/30

Dr. Lin Zhaopei reply Obstetrics and Gynecology


The advantages of emergency contraceptive pills are their convenience and effectiveness.
However, a downside is that they can cause irregular menstruation.
The menstrual cycle at the beginning of January can be considered a period, and it is normal not to have a period by January 30.
However, if there was sexual intercourse after the beginning of January, there is still a possibility of pregnancy.
It is recommended to purchase a pregnancy test kit from a pharmacy to check.

Reply Date: 2007/01/30

More Info


When it comes to understanding emergency contraception and the implications of a delayed menstrual cycle after its use, it's important to consider several factors. First, let's clarify what emergency contraception (EC) is. EC is a method used to prevent pregnancy after unprotected intercourse or contraceptive failure, such as a broken condom. The most common forms of EC are hormonal pills, often referred to as "morning-after pills," which can be taken within a few days after unprotected sex.

In your case, your girlfriend took the emergency contraceptive pill shortly after the incident in early January. It's not uncommon for hormonal contraceptives, including emergency contraception, to cause changes in the menstrual cycle. This can include earlier or later periods, lighter or heavier bleeding, or even missed periods altogether. The hormonal fluctuations caused by the pill can disrupt the regular cycle, leading to uncertainty about when the next period will occur.

Given that your girlfriend's period is delayed as of January 30, there are a few steps you can take:
1. Wait a Little Longer: Hormonal changes can take time to stabilize. It's often recommended to wait at least a week or two after the expected date of the period before taking further action.

2. Take a Pregnancy Test: If her period does not arrive within a week or so, it would be prudent for her to take a home pregnancy test. These tests are generally reliable and can provide peace of mind. If the test is positive, she should consult a healthcare provider for further guidance.

3. Consult a Healthcare Provider: Regardless of the pregnancy test result, if there are concerns about her menstrual cycle or if she experiences unusual symptoms (such as severe pain or heavy bleeding), it's advisable to seek medical advice. A healthcare provider can offer insights into her situation and discuss any necessary follow-up.

4. Understand the Effects of Emergency Contraception: It's essential to understand that while emergency contraception is effective in preventing pregnancy, it is not 100% guaranteed. Additionally, it is not intended for regular use and can cause temporary disruptions in the menstrual cycle.

5. Discuss Future Contraceptive Options: If you and your girlfriend are sexually active, it may be beneficial to discuss and establish a regular contraceptive method to prevent future instances of unprotected intercourse. Options include birth control pills, condoms, intrauterine devices (IUDs), and other methods that can provide ongoing protection.

In summary, a delayed period after taking emergency contraception can be a common occurrence due to hormonal changes. Waiting a bit longer, taking a pregnancy test, and consulting with a healthcare provider are the best steps to take in this situation. Open communication with your partner about these concerns is also crucial, as it can help both of you navigate this situation together.

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