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Does taking Levonorgestrel after sex affect my ovulation?

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

Patient's Query

Hello doctor,

I took Levonorgestrel, then I had withdrawal bleeding after a week. I had unprotected sex two days later, and then I took Levonorgestrel again. Is it possible I could have been ovulating two to three days after withdrawal bleeding?

Kindly help.

Hello,

Welcome to icliniq.com.

I understand this is stressful, especially after taking Levonorgestrel twice in the same cycle. I will explain clearly what likely happened inside your cycle and what the chances are.

After taking Levonorgestrel, you had withdrawal bleeding. That bleeding is not a real period. It is just a hormonal response to the emergency pill. Because of that, your natural cycle becomes unpredictable for the rest of the month. Levonorgestrel can delay ovulation or sometimes cause you to ovulate earlier or later than usual. So your question about ovulating two to three days after withdrawal bleeding is possible, but not very common. The bigger issue is that taking Levonorgestrel twice in a short time makes your cycle even more confused and makes it difficult to predict ovulation.

You had unprotected sex and took Levonorgestrel again. Since Levonorgestrel mainly works by delaying or blocking ovulation, if you have not ovulated yet, the second Levonorgestrel still gives protection. If you had already ovulated before taking it again, then Levonorgestrel offers much less protection. However, with your very low body weight, Levonorgestrel may be slightly less effective, but it still reduces the chance a lot.

Right now, the only way to know is to wait for your next period. Your period might come late because of the two doses of Levonorgestrel. If your period is more than one week late, take a pregnancy test. If you have nausea, breast tenderness, or cramping before that, consult a doctor.

I hope you are satisfied with my answer. For further queries, you can consult me at iCliniq.

Thank you.

Answered byDr. Ashraf Ghani

Medically reviewed byiCliniq medical review team

Published At February 9, 2026
Reviewed AtFebruary 11, 2026

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