What is the reason for no bleeding after I-pill?

Question

Hello doctor,

I had unprotected sex on the 11th of the menstrual cycle and the guy did not ejaculate. I was worried since it was the 20th day of my menstrual cycle and I have an average of a 32-day cycle. So, I took an I-pill within seven hours. My last period was on the 23rd of last month and the next period is due on the 24th of this month. I track my period using an app and it said that I have medium chances of pregnancy. It has been 10 days since I have taken the I-pill. I am worried that there is no bleeding yet. I took a pregnancy test and it came negative. Can you explain why my bleeding may not have started yet?

Answer 1

Hello,

Welcome to icliniq.com.

Ideally, the withdrawal bleeding following an I-pill should start in the next five to seven days but it can be delayed often due to increased stress on one hand and the other reason is I-pill failure and pregnancy.

So, the best would be to get a serum beta hCG test done now. If the hCG levels are less than 5 mIU/mL then you are surely not pregnant and can wait safely for a few more days to allow your withdrawal bleed to start.

Regards.

Answer 2

Hello,

Welcome back to icliniq.com.

The blood test can be done after seven days post last intercourse to get the earliest results. This is the most sensitive test for pregnancy. As you have already crossed 10 days now, you may get it done tomorrow.

Regards.

Answer 3

Hello,

Welcome to icliniq.com.

I cannot see any attached report with this follow-up. Please reattach it and if you are unable to do so, you may just mention the results of the serum beta hCG report here for evaluation.

Answer 4

Hello,

Welcome back to icliniq.com.

This is a negative report and confirms that you are not pregnant at all and there is no apparent need to be worried and now you can safely wait for your menses to return naturally.

Regards.