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How can one restore the menstrual cycle after i-pill?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I experienced a tubal pregnancy that was terminated. Afterward, I had intercourse and took an I-pill within 72 hours. I had intercourse again later in the month and took another I-pill within 72 hours. However, I had unprotected intercourse on two occasions but did not take an I-pill either time.

  1. What is the likelihood of pregnancy from unprotected sex, considering no emergency contraception was used?

  2. Also, since I took two I-pills within two weeks, how might that affect my ovulation cycle, and when can I expect my regular ovulation to resume?

Please help.

Thank you.

Answered by Dr. Ali Osman

Hi,

Welcome to icliniq.com.

I have read your query and can understand your concern.

Although the exact date of your last menstrual period was not mentioned, if you had unprotected intercourse, there is a possibility of pregnancy. I recommend taking a pregnancy test to confirm.

Urine pregnancy test:

The normal frequency of menstrual cycle

The cycle between 24-38 days is a frequent menstrual cycle. The cycle is less than 24 days frequent.

If the cycle is more than 38 days, it is infrequent.

Starting from the day you get your menstrual cycle, if it is more than 38 days, it is abnormal.

To be safe, you should do a urine pregnancy test.

Tablet one pill is Levonorgestrel.

Mechanism of action:

Inhibit ovulation: It increases the cervical mucus thickness, which makes it difficult for sperm to penetrate the cervix. It delays the proliferative phase. It gives protection up to 90 %.

I hope I have answered your query.

Let me know if I can assist you further.

Thank you.

Patient's Query

Hello doctor,

After taking an I-pill, it is common to experience either withdrawal bleeding or a delay in ovulation. So, after taking the i-pill, the menstrual cycle is typically disrupted. In our case, two i-pills were consumed within two weeks. After that, we had unprotected intercourse twice, without taking another i-pill, assuming that the previous two doses may have impacted the menstrual cycle.

  1. Normally, it takes about 8 to 15 days for the egg to mature and for ovulation to occur, correct?

  2. Based on this, I assumed that the period of unprotected intercourse after taking two i-pills would be relatively safe. Could you clarify?

Kindly help.

Thank you.

Answered by Dr. Ali Osman

Hi,

Welcome back to icliniq.com.

Well, after taking two pills within two weeks, it may disturb the cycle, but assuming two pills you took weeks before my change the cycle and give protection is wrong.

Once you have had sexual intercourse, you should take the one pill within 72 hours; if it is more than three days, there is no protection for that intercourse.

My suggestion is you should do a urine pregnancy test; if it is negative, then I can tell you about a tablet that will make your cycle regular.

Tablet Dydrogesterone 10 mg twice a day for five days, then stop it, and bleeding will occur.

I hope I have answered your query.

Let me know if I can assist you further.

Thank you.

Answered byDr. Ali Osman

Medically reviewed byiCliniq medical review team

Published At January 27, 2025
Reviewed AtFebruary 5, 2025

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

Dr. Ali Osman
Dr. Ali Osman

Obstetrics and Gynecology

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