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What are the chances of pregnancy for a woman having unprotected sex on her ninth day of spotting?

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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. Uzma Arqam

Medically reviewed by

iCliniq medical review team

Published At December 14, 2022
Reviewed AtOctober 10, 2023

Patient's Query

Hi doctor,

I am 23 years old. I am married, weigh around 50 kg, and I am about 5 feet 3 inches tall. I have a 26-day cycle. I started taking contraceptive pills for eight days but discontinued after I noticed spotting from the eighth day onwards (today is the eleventh day, still have spotting). I had unprotected sex on the ninth day. I want to know whether the spotting is a cause for concern. Also, what are the chances of pregnancy with this? Please help.

Answered by Dr. Uzma Arqam

Hello,

Welcome to icliniq.com.

I understand your concern.

Did you start tablets from day one of the menstrual cycles? (day one is the first day of menstrual bleeding) or any other day.

Oral contraceptive pills are hormonal pills that affect the cycle. They should be taken as adviced- from day one of the menstrual cycle cyclically for 21 days, then seven days are rest days or placebo treatment (only empty tablets are given that do not have medicine in them).

If it is taken or started any other day or middle of the menstrual cycle or end can have a different effect.

Oral contraceptive pills can show irregular bleeding, spotting, weight gain, mood swings, breast tenderness, etc. So, bleeding is a side effect of OCPs (oral contraceptive pills) if you are not on any medications or have any illness for which you are treated or not treated.

Take full treatment if you have any problem or have been treated for any disease.

You have not described your detailed history of menstrual regularity, obstetrics, or medical and drug history.

I could not understand that you started contraceptive pills, quit due to spots, and then became interested in pregnancy chances.

You are still bleeding and had sex during the bleeding. Is it your ninth menstrual day or nine days after eight days of tablet taking?

COCP (combined oral contraceptive pill) should be properly and cyclically taken to regulate menses. If taken haphazardly, it can interact with the body's hormones and show responses like spotting, headache, etc.

As the last menstrual period date is not mentioned; if you skip menses in the coming weeks as per schedule, then do serum beta hCG (blood pregnancy test) to clear the situation.

I suggest the following,

1. It is best to have folic acid daily, 0.4 mg.

2. Healthy, nutritious diet along with walking or mild exercise daily.

3. If this spotting continues or gets heavy, or you have passage clots, dizziness or fainting, etc., report to the hospital and have beta hCG (human chorionic gonadotropin) earlier and have a transvaginal scan for pelvic, uterine, or cervical pathology.

Follow up with full detailed history and reports that you have recently done.

I hope this helps.

Kind regards.

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

Dr. Uzma Arqam
Dr. Uzma Arqam

Obstetrics and Gynecology

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