Dr. Sameer Kumar
Obstetrics and Gynecology
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
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Patient's Query
Hello doctor,
My partner took an Unwanted 72 tablet on 15th last month and had bleeding from the 26th to 31st. Her expected date for the period was 6th this month but a doctor suggested she should wait till 15th. She started with an odorless vaginal discharge and has reduced since but is yet to have her periods. She has no common symptoms of pregnancy but is under tremendous stress. What would you suggest?
Hello,
Welcome to icliniq.com.
The bleeding that she had from 26th to the 31st, post Unwanted-72 intake, was the withdrawal bleed or her menses which got initiated as per the schedule of emergency pill intake. So, now her next bleeding or menses would only be after a month post 31st, that is, by the 2nd or 3rd of next month onwards. In some cases, this may be delayed by a further one or two weeks as it is a known side effect of Unwanted-72 to delay natural menses for the next one or two cycles. So, pregnancy is unlikely as she had a withdrawal bleed. However, if you wish to confirm as well, then get a urine pregnancy test done.
Regards.
Patient's Query
Hi doctor,
Thank you for the reply.
My girlfriend got her period in january first week. Then she took an unwanted 72 pills for the first time after eight days. Then she experienced vaginal mucus with blood for six days after 11 days for five days. The blood flow was very lower that is less than one small pad per day. What was this spotting or bleeding? Or was it a period because the blood flow was hardly anything? When can she expect her next period, and how many months does it take to get the cycle back to normal? Are there any chances of pregnancy?
Hello,
Welcome back to icliniq.com.
You need to understand that on the day she took the pill, she was on her day 11 of her cycle, where endometrium begins to develop and has not yet been mature, which occurs in the second half after ovulation and under the progesterone hormone effect. The emergency contraceptive pill, which is high-dose progesterone, when given, causes sudden maturation, and then the withdrawal occurs in the next 5 to 7 days it may not be a proper menses but brownish discharge but continuous for 4 to 5 days. She may have passed small threads of blood with vaginal mucous discharge. But again, to conclusively rule out pregnancy, it is better than a serum beta hCG test may be opted for in her case, where if the hCG levels are less than 3mIU/mL, then she is surely not pregnant. The bleed can be safely termed a withdrawal bleed, not an implantation bleed. Though in her case, the chances of pregnancy are low. If a negative test, then as mentioned, menses can restart from soon or further delayed by 10-15 days as a side effect of the pill. Please practice barrier contraception till the next menses arrive.
Regards.
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Obstetrics and Gynecology
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