HomeAnswersObstetrics and Gynecologycontraceptive pillI took contraceptive pills but missed my period. Why so?

Will contraceptive pills worsen pre-existing irregular period?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

Dr. Vinodhini J.

Published At April 24, 2020
Reviewed AtOctober 11, 2023

Patient's Query

Hello doctor,

The first day of my last period was on the 2nd of March, it lasted till 6th of March. I had unprotected sex on the 10th of March, but he did not ejaculate inside me but there is a chance that pre-cum may have gotten in. So for safety, I took contraceptive pills (Postinor 2) on the 11th. On the 16th, I noticed light bleeding, and it lasted till 19th. I am yet to see my period for this month. Although, I usually experience irregular menstrual cycles, is it possible I am pregnant? Or has it worsened my case of irregular menstrual cycle?

Hello,

Welcome to icliniq.com.

I have gone through the details and the sequence of events you mentioned and totally understand your anxiousness. See, the emergency contraceptive pills are high doses of progesterone hormone, so at times there can be withdrawal and sometimes there can be a delayed period too. The effects vary from a person to person. As you already had a history of irregular periods, it is difficult to predict just based on the sequence of events whether you could be pregnant or not. So a definitive test would be to check for a urine pregnancy test, preferably with an early morning urine sample. If that is negative, then you can rest assured that you are not pregnant. And you can take the medications mentioned below to get your periods and get yourself evaluated for the cause for your irregular periods. Regarding your irregular periods, I see that you are slightly overweight for your height. So mostly this could be due to PCOS (polycystic ovary syndrome) too that you have your irregular periods which need to be evaluated or maybe some hormonal changes in thyroid or prolactin hormones. You can tablet Meprate or Deviry 10 mg (Medroxyprogesterone) twice daily for five days and then stop. You must wait for the withdrawal bleed within next 7-10 days. Get blood tests done on second or third day of periods.

Investigations to be done

Ultrasound abdomen and pelvis. Complete hemogram. Lipid profile. LFT (liver function test). RFT (renal function test). 75 g glucose tolerance test (fasting/ 1 hour / 2 hour). HbA1c (glycated hemoglobin) level. Serum calcium, vitamin D and B12 levels. Serum fasting and post prandial insulin levels. Serum FSH (follicle stimulating hormone), LH (leutenizing hormone), free testosterone, estradiol, prolactin levels, thyroid profile (T3, T4, TSH, Anti TPO) on second or third day of the next menstrual period.

Differential diagnosis

PCOS.

Treatment plan

Tablet Meprate or Deviry 10 mg twice daily for five days and then stop. To wait for withdrawal bleed within next 7-10 days. To get blood tests done on second or third day of periods.

Preventive measures

Reduce weight. Maintain menstrual diary. Regular exercises at least one hour daily. Lifestyle and dietary modifications.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Sravanthi Nuthalapati
Dr. Sravanthi Nuthalapati

Obstetrics and Gynecology

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