Do emergency contraception pills cause bleeding?

Hello,

Welcome to icliniq.com.

I understand your concern.

The emergency contraceptive pills are hormone-based and work in three stages to prevent unplanned pregnancy. First, they delay the release of an egg from the ovary. Second, if the egg was already released before taking the dose, they prevent fertilization of the egg by thickening the fluid around it. Finally, if the egg is fertilized before taking the pill, it prevents implantation in the uterus by making the uterus lining unsuitable for implantation.

So, when the emergency contraceptive pill is taken within 24 to 72 hours of unprotected intercourse, it effectively prevents unplanned pregnancy. Since you took your medicine on time, there is nothing to worry about. Some women experience light bleeding after the dose, which is expected because these pills are hormone-based and have side effects. Furthermore, since you started bleeding, there is nothing to worry about because implantation bleeding does not begin so early.

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Thank you for consulting me.

Hello,

Welcome back to icliniq.com.

I understand your concern.

I would suggest you wait for your period as this bleeding has occurred as a side effect of the emergency contraceptive pill. No medicine is recommended at this stage to induce periods as it may lead to hormonal imbalance as you just took an emergency contraceptive pill. Do not worry. You are unlikely to experience heavy bleeding anytime soon.

Thanks and regards.

Hello,

Welcome back to icliniq.com.

I understand your concern.

As previously stated, the medicine's negative effect may cause periods to be delayed. Furthermore, there is no need to be upset because medications are available. Still, they are not recommended to be taken at this time because you have already taken one pill. In addition, more medicines you take will result in more excess hormones being pumped into your blood, which is not required at this stage, and you have had regular cycles, and such excess hormones will only further disrupt your processes.

Still, if you genuinely believe you should take excess hormones to induce periods, please let me know. I think you are also worried about pregnancy, so this weekend you may check by getting a blood hCG (human chorionic gonadotropin) test.

Thanks and regards.

Hello,

Welcome back to icliniq.com.

I understand your concern.

Even if I tell you that medications take around five days to induce periods, I cannot guarantee the accuracy because you have already taken an I-pill. I appreciate your concern and sensitivity, but the best course of action is to wait in this circumstance. Taking any additional medication would only complicate the situation. Otherwise, I may have put you on tablet containing Medroxyprogesterone.

Thanks and regards.

Hello,

Welcome back to icliniq.com.

I understand your concern.

There is no need to be anxious because you are likely not pregnant because you have been bleeding since last week. However, I suggest you take a urine pregnancy test at home tomorrow to relieve your tension. For reliable results, perform the test with the first urine of the day. Do not drink plenty of water before the test.

Follow all the instructions given on the package of the pregnancy test kit. After testing, take a picture of the kit because the color changes fast and might be confusing. If the test is negative, there is no need to take any pills, and the bleeding after this week may be considered menstruation. Please let me know by tomorrow so we can decide whether or not to take medicine. Excess hormone use will unnecessarily complicate the situation.

You can always come back and reach me at icliniq.com.

Thank you for consulting me.

Hello,

Welcome back to icliniq.com.

I understand your concern.

You had intercourse a week before and then took a pill, so do not worry. You should take a pregnancy test tomorrow morning. Do not drink too much fluid before the test. You may also get a blood HCG (human chorionic gonadotropin) test done. You have already taken an i-pill; stressing about it will affect your monthly pattern. Even after you have performed the test, please provide the test results for my evaluation.

Hello,

Welcome back to icliniq.com.

I understand your concern.

If your urine pregnancy test results are negative, you can begin taking Progesterone for period withdrawal. Take tablet containing Medroxyprogesterone 10 mg once daily for five days. Check for withdrawal symptoms one week after the last dosage of the medicine.

Hello,

Welcome back to icliniq.com.

I understand your concern.

This withdrawal bleeding is your menstruation only. You can start taking medicines from tomorrow.

Hello,

Welcome back to icliniq.com.

I understand your concern.

If the urine pregnancy test was negative and there was no withdrawal bleeding with Progesterone, we need to examine the uterine lining. An ultrasound scan should be done to evaluate the uterine lining and any ovarian cysts.

Hello,

Welcome back to icliniq.com.

I understand your concern.

Extremely sorry to tell you that no endometrium thickness is written in your report. If it is less than 5 mm, there is no possibility of pregnancy. Feel free to ask any questions or to share any additional information.

Hello,

Welcome back to icliniq.com.

I understand your concern.

Yes, even though there is no chance of pregnancy, you may perform a test to relieve stress. Please do not be concerned.

Hello,

Welcome back to icliniq.com.

I understand your concern.

It is difficult to say because the endometrial thickness is not mentioned in the scan. You have another two weeks. However, avoid unprotected intercourse during that time.

Hello,

Welcome back to icliniq.com.

I understand your concern.

In your case, the progesterone pill did not cause bleeding. That implies that the endometrial lining was not thick enough to cause bleeding. So next, you can start oral contraceptive pills, which have estrogen and progesterone, for 21 days, after which your period will begin.

Hello,

Welcome back to icliniq.com.

I understand your concern.

You can use Femilon (Desogestrel and Ethinyl Estradiol), a low-dose contraceptive pill, one pill every day simultaneously. However, avoid taking pills if you have a history of high blood pressure, liver disease, or migraines. Nausea, vomiting, and headache are possible side effects. Periods will start within two to three days of stopping the pills. In case of side effects, it is best to consult a local gynecologist.

Hello,

Welcome back to icliniq.com.

How is your period flow? Is it the same as usual? Do you have a history of irregular periods in the last three cycles? Is there any reason you can see for the early onset of your period?

Please share the details so I can advise you on whether to take the pill or not. Awaiting your response.

Feel free to ask any questions or share any additional information.

Thank you.

Hello,

Welcome back to icliniq.com.

Thanks for the update and details. Please take the emergency contraceptive pill (a single tablet) to avoid the risk, as your last period was late and this time it is early.

Do not worry; I am always here for you.