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HomeAnswersObstetrics and Gynecologymissed periodI have not had periods after taking contraceptives. Why?

Had blood in discharge after I-pill, but my periods have not come. Please help.

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

Answered by

Dr. Sameer Kumar

Medically reviewed by

Dr. Lekshmipriya. B

Published At July 3, 2018
Reviewed AtFebruary 22, 2024

Patient's Query

Hello doctor,

My last period ended on the first of this month. I had sex on the fifth of this month. After 34 hours of sex, I took Unwanted 72, and again after nine hours, I took I-pill for more safety. But after that, I had no bleeding or vomiting, but on the 18th and 19th, I had a little blood in my vaginal discharge. Today is the 29th, but my periods have not come. I did a urine pregnancy test on the 28th, but it was negative. But still, my periods have not come. I do not want a pregnancy. Please help.

Answered by Dr. Sameer Kumar

Hello,

Welcome to icliniq.com.

The bleeding you had on the 18th was your withdrawal bleed, but it was scanty because you took two emergency contraceptive pills in less than 48 hours. The negative urine pregnancy test, which is done today on 29th, rules out pregnancy. However, the best way to conclusively rule out pregnancy is a serum beta hCG test which, if less than 3 mIU/mL, rules out pregnancy conclusively. Your next menses now is likely to be delayed, probably after the 18th of the coming month, if we consider the 18th as the day of your withdrawal bleed. This can again be correlated with an ultrasound pelvis, showing us the endometrial thickness. If the endometrial thickness is less than 7 mm, you are already in the proliferative phase of your new cycle, and menses would be around 18th.

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

Dr. Sameer Kumar
Dr. Sameer Kumar

Obstetrics and Gynecology

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