Patient's Query
Hi doctor,
I am 42 years old. I am a hypertensive patient with beta-thalassemia and fits. I am taking Yasmin for a long period of time. I have never missed my pill. I got my periods after four days of taking a pill and I started a new pack instead of waiting for seven days. I got spotting till ten days of my periods. I had some bad dizziness on the seventh day. I had sex on the same day. I consulted a gynecologist immediately. The doctor told me that my blood pressure is increased. The doctor suggested taking medications for blood pressure and advised to stop OCP. She put an IUD on the tenth day of my period and told me that it is safe to use it.
She prescribed me Crina-NCR 15 mg. I did not stop taking Yasmin as I want to finish the pack. After a week, I started to have bleeding again. She increased the dose of Crina-NCR 15 mg and she checked my IUD. It was a bit down and she tried to push it back to keep it in position. At last, she removed it and told me that we can put it on the next cycle. I have completed my Yasmin pack yesterday and stopped taking Crina-NCR too. Will sex had on a single day cause pregnancy? Would Yasmin takes care of it as I was having spotting on that day? Is it fine to take Crina-NCR with Yasmin? I cannot take risks regarding pregnancy and my first delivery was a rebirth for me. Kindly help.
Hi,
Welcome to icliniq.com.
As you were taking Yasmin (Estrogen with Progestin), then there are no chances for you to have ovulation. You have not stopped taking pills even when you started taking other medications. So there is no way to have ovulation. Your sexual exposure was on the seventh day of your period. Every woman ovulates during the fourteenth day of her period. Eggs stay alive for a day and sperms can live for three days. So there are no chances for the sperms to be present so long there. Crina-NCR (Norethisterone) is a progesterone and so you will not have any abnormalities in periods. There are no chances to have reduced effectiveness of Yasmin. Intrauterine devices are the best emergency contraception. It can be used within five days after sex. IUD (intrauterine device) makes the inner lining of the uterus unfavorable for embryo implantation. There are no chances for you to become pregnant at this age.
I hope this has helped you.
Please feel free to reach out to me again for further queries.
Thank you.
Patient's Query
Thank you doctor,
I have completed my course and took a break of seven days. I got my periods with a good amount of bleeding. I have started taking a new pack of Yasmin after seven days of break. This month, I got UTI, and the doctor prescribed Niftas 100 mg twice and Mirberg 50 mg once a day. I have completed five days of course and I have to take it for two days. I have Yasmin to be taken for three days. Today I have some spotting. I do not understand the mystery. Does this mean that Yasmin has lost its effectiveness or antibiotics has reduced its effectiveness? Can I become pregnant in this situation?
Hi,
Welcome back to icliniq.com.
As you had proper bleeding, then there are no chances for you to become pregnant. Niftas (Nitrofurantoin) induces the metabolism of hormones. So the effects of the hormones get reduced. You can take a single dose of 100 mg per day and it is sufficient. When it is taken at a higher dose, the hormone levels created by the pill gets reduced transiently. But it does not indicate that ovulation has occurred. When a pill of Niftas is used, a mild fall in hormone is seen as a withdrawal of hormones and you can have bleeding. Nothing can be done and you will become fine in the next period.
I hope this has helped you.
Please feel free to reach out to me again for further queries.
Thank you.
Patient's Query
Thank you doctor,
Do antibiotics reduce the effect of hormones? Is it right? Can I become pregnant?
Hi,
Welcome back to icliniq.com.
Do not worry about contraception effects. Withdrawal effects of hormones can cause minimal spotting. This does not mean that there is no effect at all. The effect of hormones gets marginally reduced and ovulation is usually suppressed. You cannot get pregnant until you get ovulation. But from next time onwards, ask your doctor to give antibiotics and medicine that does not show liver metabolism inducing effects. If you take them unknowingly, you can take a minimum dose or increase the dose of contraceptive pills. For time being, do not be worried. Your history does not suggest a chance of pregnancy.
I hope this has helped you.
Please feel free to reach out to me again for further queries.
Thank you.
Patient's Query
Hi doctor,
Thank you for your response.
I had consulted you earlier when I was taking Yasmin. I am now off Yasmin and had a copper T inserted five months ago. Even though it has been five months, my husband and I still use condoms. I just wanted reassurance about whether there is any chance of pregnancy despite using both methods. I regularly check my IUD strings and have not noticed any abnormalities so far.
Please help.
Hi,
Welcome back to icliniq.com.
I understand your concern.
Nice to hear back from you. The Copper T device is 100% effective if it is in the correct position, which you are confirming by checking the strings. When used perfectly, condoms are also 100% effective. Therefore, there is no need to use both methods simultaneously; using both is only for your personal reassurance. There is no chance of pregnancy.
I hope this has helped you.
Please feel free to reach out to me again for further queries.
Thank you.
Patient's Query
Hi doctor,
Thank you for your response.
As I told you, I have a Copper T but am still using condoms. I am scared of an unwanted pregnancy even with dual protection. One more thing is that with the IUD, I have spotting for three to four days and then my regular flow starts. Should I consider the spotting day as the first day of my period, or should I count the day my regular flow starts as the first day?
Hi,
Welcome back to icliniq.com.
I understand your concern.
The day of proper bleeding is considered day one.
I hope this has helped you.
Please feel free to reach out to me again for further queries.
Thank you.
Patient's Query
Hi doctor,
Thank you for your response.
I am sorry for bothering u again and again. But I messed up something and now I am freaking out what to do!!!I got my period 6 days back. I am still bleeding. After April I had completely stopped taking yasmin cos I have put copper t. Yesterday which was my 5th day I wrongly took one yasmin pills cos of old practice. I got my 3 cycle on time. Will this one pill will affect my cycle? Should I worry about it? My husband uses condom too.
Hi,
Welcome to icliniq.com.
I understand your concern.
A single tablet of Yasmin (Drospirenone and Ethinylestradiol) will make no difference. Your periods will not be disturbed at all. Just forget about any other method if copper T is in place.
I hope this has helped you.
Please feel free to reach out to me again for further queries.
Thank you.
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Answered byDr. Balakrishnan. R
Medically reviewed byDr. K. Shobana
Same symptoms don't mean you have the same problem. Consult a doctor now!
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