Why is my period late?

Question

Hello doctor,

I am 33 years. I had emergency contraceptive pill last month and got my periods 39 days back for four days duration. But, this month still did not get my periods as expected. We had sex, but there was no ejaculation or precum discharge. So, we decided not to take any pill. Now, I have been feeling a little cramp like feeling in my lower abdomen as I feel during periods, but only water-like white discharge as in ovulation time coming out. Why is my periods late?

Answer 1

Hi,

Welcome to icliniq.com.

You have taken an emergency pill three months back and there was period last month. You had sexual exposures in the end of last month. Now, probability is, it could be due to the effect of the emergency pill. Being itself a hormone in high dosage, it could bring a havoc change in your body's hormonal balance. Thus, following an I-pill intake, you may face spotting as well as delayed cycle. This problem might last for one or two cycles. This could be the reason your scheduled cycle is delayed. Still, I suggest you to do a pregnancy testing as in very few cases; the I-pill may fail. But, I repeat that the chance is very remote. Lastly, anxiety or stress might cause a delayed cycle. So, if you are stressed, that also could have an additive effect over the action of I-pill.

Answer 2

Hi,

Welcome back to icliniq.com.

You are really tensed as I can see. Just relax as you are not pregnant.

The beta-hCG (human chorionic gonadotropin) levels (attachment removed to protect patient identity) are also corroborating my opinion as it is below normal. If you are pregnant, by this time it should have reached few thousands. You will have your period. Be patient. As this is due to the effect of the I-pill, nobody can tell you when you will have periods. But, obviously within next one month. Another point I must share with you is if you remain anxious or stressed, this will cause a delay in commencing your next cycle more and more.

Answer 3

Hi,

Welcome back to icliniq.com.

Yes, you need to retest it though you are sure there was no ejaculation inside. Have your partner used condom? Then it is fine provided there was no tear or slip. You need not to do it and need not be tensed also. But if not, it was a withdrawal method only and you are at risk. I think you are aware of the fact that the precum often contains sperms and there are lots of incidences of failure in withdrawal technique. You can do either a pregnancy testing next month or a serum beta-hCG test. Hopefully, my assumption is, you will have your cycle in the meantime as you are having some discharges and pain. Thus, there will be no need of doing these tests at all.

Answer 4

Hello,

Welcome back to icliniq.com.

At present, you can use period inducing agents. As these are progesterone tablets, the effect will be evident only after 10 days. Just start tablet Deviry (Medroxyprogesterone) 10 mg twice a day for 5 days. But, do not expect to have it within few days. You have to wait for 7 to 10 days. Pregnancy is a remote possibility. If you have it accidentally then there is also option which I will discuss you when needed.