Dr. Sameer Kumar
Obstetrics and Gynecology
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Patient's Query
Hi doctor,
I had unprotected sex approximately 18 hours ago. I am worried if I should take I-pill. I am already taking medication for PCOD since one year. There has been some improvement and my period is due in a day or two. The homeopathic medications that I am taking are Calcarea phosphorica 200 and Jonosia Ashoka. I am a 22 year old female and my weight is 138 lbs and height is 4'11". Should I take I-pill? Does it have any serious long-term effects? Also tell me if taking I-pill would worsen my PCOD problem? Please suggest few other safe contraceptive methods other than the general contraceptives. I had done lower abdomen ultrasound about four months back and the doctor observed small cysts. Thanks.
Hello,
Welcome to icliniq.com.
As you are a known case of polycystic ovary syndrome (PCOS) there are chances that you may have delayed ovulation and hence delayed menses. So, you must take an emergency contraceptive pill within 72 hours of last intercourse. Again you are on homeopathic medication which would have its effect for long-term and will not offer you any immediate protection. After the I-pill you should expect your menses in the next 7 days. If it does not occur, then you should rule out pregnancy with a serum beta-hCG test. Besides oral contraceptive pills (OCP) the best contraception for you would be a depot injection or a Norplant (Levonorgestrel) hormonal contraceptive. But, as you are a case of PCOS, hormones should be avoided and condoms should be used as barrier contraceptives.
Patient's Query
Hello doctor,
So, according to you should I take I-pill despite having PCOD? Are there any long-term side effects? Kindly guide.
Hi,
Welcome back to icliniq.com.
It is better not to be pregnant rather than thinking about long-term side effects. I-pill can cause delayed menses and that is anyways seen with PCOS. So, this pill will not actually cause grave delays but rather prevent you from pregnancy. You should see a withdrawal bleed within 7 days.
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