Irregular Periods: Concerns After Taking Emergency Contraception - Obstetrics and Gynecology

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Menstrual issues?


Hello Doctor: I have had normal menstrual periods for the past two months.
My last period started on July 23 and ended around July 28.
On July 28, I had intercourse with my husband, and there was some menstrual flow at that time.
The next day, my period ended, and to be safe, I took emergency contraception.
On August 4, I had intercourse with my husband again, and there was ejaculation.
After we finished, I noticed a small amount of brown blood.
The next day, I started experiencing menstrual-like symptoms and took the contraceptive pill within 24 hours.
Following that, I had what seemed like a menstrual period from August 4 to August 9, with a normal flow.
What could this situation be? Could the medication have caused my period to come early? Is there a possibility of pregnancy? I am very worried.
Thank you, Doctor.

Miss Chen, 20~29 year old female. Ask Date: 2012/08/09

Dr. Dong Yuhong reply Obstetrics and Gynecology


Hello: Given your situation, it is recommended that you see an obstetrician-gynecologist to help you regulate your menstrual condition.
When you visit the doctor, it is advisable to discuss the following questions with your attending physician: 1.
Your current fertility plans or desire for contraception 2.
The contraceptive methods you commonly use.
After the consultation, please ask the doctor how to choose a suitable contraceptive method based on your health condition and your plans.
Thank you!

Reply Date: 2012/08/09

More Info


It sounds like you are experiencing some concerns regarding your menstrual cycle after taking emergency contraception. Let's break down your situation and address your questions.

Firstly, it's important to understand how emergency contraception (EC) works. EC, such as Plan B or other similar medications, is designed to prevent pregnancy after unprotected intercourse or contraceptive failure. These pills are most effective when taken as soon as possible after the event, ideally within 72 hours, but they can be taken up to 5 days after. The primary mechanism of action is to delay ovulation, which means that if you take it before ovulation occurs, it can prevent the egg from being fertilized.

In your case, you had unprotected intercourse on July 28 and took emergency contraception shortly after. Following that, you experienced some unusual bleeding, which can be a common side effect of taking EC. The hormonal changes induced by the medication can lead to irregular bleeding patterns, including spotting or an early onset of your menstrual period. This is likely what you are experiencing with the brown discharge and the subsequent bleeding from August 4 to August 9.

It's also worth noting that emergency contraception can cause your next period to be earlier or later than expected, and it may be lighter or heavier than usual. This is due to the hormonal fluctuations that the medication causes in your body. The fact that you had a normal menstrual cycle for the two months prior to taking the EC suggests that your body was functioning normally, but the introduction of hormones from the EC can temporarily disrupt this regularity.

Regarding your concern about pregnancy, if you took the emergency contraception within the recommended time frame and followed the instructions correctly, the likelihood of becoming pregnant is significantly reduced. However, no contraceptive method is 100% effective, and if you continue to have concerns, especially if you experience symptoms such as a missed period or unusual symptoms, it would be wise to take a pregnancy test or consult with a healthcare provider for further evaluation.

In summary, the irregular bleeding you are experiencing is likely a result of the emergency contraception you took. It is not uncommon for EC to cause changes in your menstrual cycle. If your bleeding continues to be irregular or if you have any other concerns, I recommend reaching out to your healthcare provider for personalized advice and support. They can help you understand your situation better and provide guidance on what to expect moving forward. Remember, it's always better to consult with a professional when it comes to your health and well-being.

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