I had spotting on the next day of my unprotected sex. Is this a sign of pregnancy?

Question

Hello doctor,

I had unprotected sex on my infertile day, but I was quite scared, so I took post-pill a week later I had another unprotected sex this time in my fertile days but did not receive the post-pill immediately next day I saw a slight spotting which prompted me into taking the emergency pill. Now a week later, I have been bleeding for two days. I hope this is not a sign of pregnancy. Please help me understand it better.

Answer 1

Hello,

Welcome to icliniq.com.

Ideally, the emergency contraceptive pill is to be taken within 72 hours of last intercourse to be effective 99 %. It is of no importance if taken after a week. Nevertheless, the bleeding which you got mid cycle before you took the pill was likely to be an ovulation bleed as you had sex in your safe period, then you took the high dose progesterone emergency pill, which initiated a progesterone withdrawal after two days in the form of bleeding as expected. This rules out pregnancy as you had a withdrawal bleed, but it is always best in such cases to get a serum beta hCG test done to be conclusively sure.