Post-Pill Bleeding: Pregnancy Concerns and Side Effects

Are you pregnant?

Hello, I experienced bleeding on the 6th day after taking the emergency contraceptive pill, and it continued on the 7th day, resembling a menstrual period.
Is this a side effect? If this is my period, can I still get pregnant? Does having my period mean that pregnancy is not possible? Recently, I've gained over a kilogram, and I'm concerned that I might be pregnant.
Thank you for your response, doctor.

Niming, 10~19 year old female. Ask Date: 2015/08/07

Dr. Lü Lizheng reply Obstetrics and Gynecology

1.
After taking the emergency contraceptive pill, if your subsequent menstrual cycle is somewhat irregular, it can be considered a side effect of the emergency contraceptive.
If the bleeding is excessive or lasts too long, medical attention is necessary.

2.
Since menstruation has occurred, pregnancy is unlikely.

3.
There are many reasons for weight gain that are not related to pregnancy.

4.
If you are still concerned, you can purchase a pregnancy test kit for verification.

Respectfully, Dr.
Li-Cheng Lu, Taoyuan Hospital.

Reply Date: 2015/08/07

More Info

Hello! Thank you for your question regarding post-pill bleeding and its implications for pregnancy. It’s understandable to have concerns about your menstrual cycle and the possibility of pregnancy after taking emergency contraception.

When you take emergency contraceptive pills (ECPs), such as the "morning-after pill," it can lead to various side effects, including changes in your menstrual cycle. The bleeding you experienced on the 6th and 7th days after taking the pill could be a side effect known as "withdrawal bleeding." This type of bleeding can resemble a menstrual period and is caused by the hormonal changes induced by the pill. It is not uncommon for women to experience this kind of bleeding after taking ECPs, and it does not necessarily indicate that you are pregnant.

Regarding your question about the possibility of pregnancy: if you have taken the emergency contraceptive pill within the recommended time frame (usually within 72 to 120 hours after unprotected intercourse), it is designed to prevent ovulation or fertilization. If you experience withdrawal bleeding, it typically indicates that the pill has worked, and you are unlikely to be pregnant. However, it is important to note that if you had unprotected intercourse after taking the pill, there is still a possibility of pregnancy.

As for your weight gain of at least 1 kilogram, it is essential to consider that weight fluctuations can occur for various reasons, including hormonal changes, water retention, or dietary habits. If you are concerned about potential pregnancy, the most reliable way to confirm this is through a home pregnancy test or a visit to your healthcare provider.

In summary, the bleeding you are experiencing is likely a side effect of the emergency contraceptive pill rather than a sign of menstruation or pregnancy. If you have any further concerns or if your symptoms persist, I recommend consulting with a healthcare professional for personalized advice and further evaluation.

Additionally, if you have any unusual symptoms, such as severe abdominal pain or prolonged bleeding, it is crucial to seek medical attention promptly. Your health and well-being are of utmost importance, and a healthcare provider can give you the best guidance based on your specific situation. Thank you for reaching out, and I hope this information helps clarify your concerns!

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