Concerns About Taking Emergency Contraceptive Pills: Your Questions Answered

Q: Concerns About Taking Emergency Contraceptive Pills: Your Questions Answered

Hello, the responses to your questions are as follows： <br>1. <br>Days 3-14 are close to the ovulation period, so there is a possibility of becoming pregnant.<br>2. <br>Oral contraceptives should be taken according to the recommended schedule in the package insert; otherwise, the

Will taking birth control pills this way cause any problems?

I had my menstrual cycle on 1/8, 2/6, and 3/7.
I had intercourse on 3/9 and 3/14, using condoms throughout.
I started taking the pre-coital contraceptive pill at 00:20 on 3/17.
I would like to ask the doctor: 1) Is there a possibility of pregnancy from the intercourse on 3/14 (with condom use)? 2) I have read some articles stating that the pre-coital contraceptive pill should be taken on the first day of the menstrual cycle (I am taking "Esmeron").
Since I started taking it so many days later, will it be ineffective? 3) Will taking "Esmeron" lead to infertility or other side effects? 4) Since I started taking it late, should I stop taking it when my next menstrual cycle comes (expected on 4/5) to allow for a natural menstrual cycle? Would this have a lesser impact on my body? This issue has been troubling me for a long time; every month after intercourse, I worry about my menstrual cycle not coming and the possibility of pregnancy.
This anxiety is really overwhelming.
I hope the doctor can clarify these concerns for me.
Thank you very much.

A-Dai, 20~29 year old female. Ask Date: 2011/03/17

Dr. Zhang Kunmin reply Obstetrics and Gynecology

Hello, the responses to your questions are as follows:
1.
Days 3-14 are close to the ovulation period, so there is a possibility of becoming pregnant.
2.
Oral contraceptives should be taken according to the recommended schedule in the package insert; otherwise, their effectiveness may be reduced, and menstrual irregularities may occur.
3.
Taking oral contraceptives does not cause infertility unless there are other factors involved.
4.
If you did not take the pills within the recommended timeframe, it is advisable to discontinue use and wait until the next cycle to start again.
Therefore, if your period is overdue, it is better to take a pregnancy test.
Thank you! Dr.
Zhang

Reply Date: 2011/03/17

More Info

When it comes to concerns about emergency contraceptive pills (ECPs) and their effectiveness, it's important to clarify a few key points regarding your situation. Let's address your questions one by one.

1. Risk of Pregnancy After Intercourse on 3/14: Since you used condoms during intercourse on 3/14, the risk of pregnancy is significantly reduced. Condoms are an effective form of contraception when used correctly. However, no contraceptive method is 100% effective, and if the condom broke or slipped off, there could be a risk of pregnancy. If you are concerned about this, taking an emergency contraceptive pill (ECP) like "艾斯麗安" (Esmeron) can help reduce the risk of pregnancy if taken within the appropriate time frame after unprotected intercourse.

2. Timing of Taking ECPs: ECPs are most effective when taken as soon as possible after unprotected intercourse. While some sources suggest starting regular birth control pills on the first day of your menstrual cycle, ECPs can be taken at any time during your cycle. Since you took the ECP on 3/17, which is a few days after the intercourse, it can still be effective. However, the sooner you take it after unprotected intercourse, the better the efficacy.
3. Concerns About Infertility and Side Effects: Taking ECPs like "艾斯麗安" does not lead to infertility. These pills are designed for occasional use and are safe for most women. Common side effects may include nausea, fatigue, headache, and changes in your menstrual cycle. Some women may experience a delay in their next period or spotting between periods after taking ECPs. If you have any unusual symptoms or concerns, it’s always best to consult with a healthcare provider.

4. Stopping Birth Control Pills Before Your Next Period: If you are taking regular birth control pills and are concerned about your menstrual cycle, you do not necessarily need to stop taking them to allow your period to come naturally. Birth control pills work by regulating your hormones, and stopping them can lead to irregularities in your cycle. If you are using ECPs, it’s important to continue taking your regular birth control pills as prescribed unless advised otherwise by your healthcare provider. If you have concerns about your cycle or the effects of the ECP, discussing this with your doctor can provide personalized guidance.

In summary, while the use of condoms significantly reduces the risk of pregnancy, taking an ECP like "艾斯麗安" can provide additional peace of mind if you are concerned about potential contraceptive failure. It’s important to remember that ECPs are a safe and effective option for preventing pregnancy after unprotected intercourse. If you have ongoing concerns about your menstrual cycle or contraceptive methods, consider scheduling a visit with a healthcare provider for further evaluation and personalized advice. Your mental well-being is also important, so addressing anxiety around these issues can be beneficial.

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