Your Menstrual Cycle After Taking Emergency Contraception - Obstetrics and Gynecology

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The timing of the next menstrual period after taking emergency contraception?


Hello doctor, I would like to ask when my next period will arrive.
My menstrual cycles were on October 23 and November 24, but I had sexual intercourse on December 12 and took emergency contraception.
My period came on December 29.
When can I expect my next period? Will there be any irregularities in my cycle? Thank you, doctor.

Niming, 10~19 year old female. Ask Date: 2016/01/11

Dr. Tian Yiwen reply Obstetrics and Gynecology


Theoretically, a month is counted from December 29, but because emergency contraceptive pills contain high doses of hormones, some individuals may experience menstrual irregularities after taking them.

Reply Date: 2016/01/11

More Info


When it comes to understanding your menstrual cycle after taking emergency contraception, it's important to recognize that emergency contraceptive pills (ECPs), such as Plan B or Ella, can indeed affect your menstrual cycle. These medications work primarily by delaying ovulation, but they can also cause changes in your menstrual cycle, including the timing and flow of your next period.

Based on the information you've provided, your menstrual cycle has been relatively regular prior to taking the emergency contraception. You had your last menstrual periods on October 23 and November 24, and then you had unprotected intercourse on December 12, after which you took the emergency contraceptive pill. Your next period arrived on December 29, which is a little earlier than expected, but this can be a common effect of taking ECPs.

After taking emergency contraception, your next period may come earlier or later than usual. It can also be lighter or heavier than your normal flow. In your case, since you had your period on December 29, you might expect your next period to arrive around the same time in January, possibly within a few days of your usual cycle. However, since your cycle can be influenced by the emergency contraception, it may not be as predictable as before.

It's also worth noting that some women experience irregularities in their menstrual cycles after taking emergency contraception. This can manifest as spotting, changes in flow, or even missed periods. If your cycle was typically regular before taking the ECP, it's possible that you may experience some irregularities this time around.

If your next period does not arrive within a week of when you expect it, or if you experience significant changes in your cycle that concern you, it would be advisable to take a pregnancy test to rule out pregnancy. Additionally, if you continue to have irregular cycles or if you have any other concerns, consulting with a healthcare provider would be beneficial. They can provide personalized advice and help you understand what to expect moving forward.

In summary, after taking emergency contraception, it is common to experience some changes in your menstrual cycle. Your next period may arrive around the same time as usual, but it could also be affected by the ECP, leading to irregularities. If you have any concerns about your menstrual cycle or potential pregnancy, don't hesitate to reach out to a healthcare professional for guidance.

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Hello, taking emergency contraceptive pills can sometimes cause irregular menstruation. If you're concerned about pregnancy, it's advisable to monitor your symptoms, and if you're still unsure, you can take a pregnancy test 12 days later. Wishing you good health.

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Hello, it is possible that the irregular menstruation is caused by the emergency contraceptive pill. First, confirm that you are not pregnant, and then you can just monitor the situation. Wishing you good health.

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Please visit a prescribing physician for an examination.

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