Q. I have not got withdrawal bleeding after 10 days of taking Unwanted 72. Why?

Answered by
Dr. Sameer Kumar
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Dec 02, 2018

Hello doctor,

I had unprotected sex 10 days back and then took Unwanted 72 after four hours. I have not got any withdrawal bleeding yet. What does it mean? When should I take the pregnancy test? Also, I am a patient of PCOD.

Dr. Sameer Kumar

Infertility Obstetrics And Gynaecology
#

Hello,

Welcome to icliniq.com.

You have rightly taken the emergency contraceptive pill within 72 hours of unprotected intercourse. The success rate of ECP is 99 % and ideally,the withdrawal bleed should start in the next 4 to 7 days, but if it has not yet, then you can opt for a serum beta hCG test after eight days post last intercourse to rule out pregnancy, if any, due to possible emergency contraceptive pill failure. If the hCG levels are less than 3 mIU then you are pregnancy safe else you are pregnant.

If the test is negative then you can safely wait for the menses to return for at least two weeks and then, can get an ultrasound pelvis done to check for endometrial thickness and post that if the endometrial thickness is more than 9 mm then you can opt for a withdrawal bleed with Progesterone.


Was this answer helpful?

 | 

Thank you doctor,

Ultrasound was done after nine days of unprotected intercourse. I took Unwanted 72 after unprotected intercourse. Today, little brown discharge then red discharge is shown. Is there any chances of pregnancy? Ultrasound report is attached.

Dr. Sameer Kumar

Infertility Obstetrics And Gynaecology
#

Hello,

Welcome back to icliniq.com.

The ultrasound shows an endometrial thickness of 8 mm and the uterus is empty without any sign of any pregnancy (attachment removed to protect patient identity). Moreover, the ovaries show multiple small subcenterimetric peripherally arranged follicles which have not ruptured as yet, indicating that you are still in your proliferative phase as on date. So, it indicates that you had sex during your safe period or in the early part of your menstrual cycle when estrogen levels were rising and hence high dose Progesterone pill like Unwanted 72 did not really cause an increase in progesterone level and then a withdrawal bleed in next 4 to 7 days.

Having said that, as there was no ovulation during this cycle as yet, so there was no chance of pregnancy. Eight days back, at the time of sex. You are pregnancy safe. Now, even if the withdrawal bleed does not occur as scheduled, it is fine. you can naturally wait for your menses to arrive. However, to be doubly sure, a serum beta hCG test would conclusively rule out pregnancy if the hCG levels as on date would be less than 3 mIU. So you may opt to get it done as well, it is a simple blood test. If I may ask when was your last menstrual period, the date?


Was this answer helpful?

 | 

Thank you doctor,

LMP a month back after taking Deviry 10 mg. Now, recently, light brown discharge was seen. And also, today I gave the blood sample for beta hCG test. The reports will come tomorrow.

Dr. Sameer Kumar

Infertility Obstetrics And Gynaecology
#

Hi,

Welcome back to icliniq.com.

Okay, that does not help much as you are a known case of PCOD, so going by the present USG report, pregnancy is unlikely. However, beta hCG levels shall be conclusive. Let us wait for them. In the meantime, do not get tensed, just relax.


Was this answer helpful?

 | 

Thank you doctor,

My beta hCG report is attached. Please check and tell. Can I consume Deviry 10 mg to induce my period?

Dr. Sameer Kumar

Infertility Obstetrics And Gynaecology
#

Hello,

Welcome back to icliniq.com.

The hCG levels are well below 3 mIU in the report (attachment removed to protect patient identity) and it confirms that you are not pregnant for sure and conclusively. You can opt for Deviry 10 mg twice a day for five days. Hence, to initiate your menses safely now. Also, please practice barrier contraception each time during sex in future as regular intake of emergency contraceptive pill is not healthy and also please seek treatment for PCOD. Else, irregularity of menses shall keep you confused more often. Take care.


Was this answer helpful?

 | 

Hi doctor,

Thank you so much.

Dr. Sameer Kumar

Infertility Obstetrics And Gynaecology
#

Hello,

Welcome back to icliniq.com.

If your cycles have been irregular and PCOD features are not evident on ultrasound then you shall need to get a hormonal profile done to rule out hypothyroidism, hyperprolactinemia and other hormones like FSH , LH, AMH , serum testosterone, HEAS, 17 OHP as well to analyse your ovarian reserve and any hormonal deficiency which can contribute towards oligomenorrhoea.


Was this answer helpful?

 | 

Also Read Answers From:

Comprehensive Medical Second Opinion.Submit your Case

Related Questions & Answers


Took unwanted 72 after having an unprotected sex. Will I be pregnant?

Query: Dear Doctor, I had unprotected sex. She took unwanted 72 within 12 hours. Will she be pregnant? In case she becomes pregnant, suggest any options other than abortion.  Read Full »

I have PCOD from the last 10 years. Please suggest a permanent cure.

Query: Hello doctor,I am 25, married and sexually active. I suffered from PCOD for a while, took all sorts of allopathic and homeopathic medicines and when I got scanned two months ago, PCOD was not found. I thought this is the end of my problem but, still, my periods are irregular. Last time, I was la...  Read Full »

Suffering from PCOD and taking medicines, but still it has not reduced. Can you help ?

Query: Dear Doctor, I am a 29 year old female suffering from PCOD, taking medicines from past 1 year. But still it has not reduced. I was into Metformin and Folic acid. At the same time I have also taken medicines for conception (i.e, clomiphene). Follicar study has been conducted for four times and only ...  Read Full »

Popular

Popular

Ask your health query to a doctor online?

Ask an Obstetrician & Gynaecologist Now

* guaranteed answer within 4 hours.
Enter Your Health Query
You can upload files and images in the next step.

Fee:  

 


Disclaimer: All health Q&As published on this website is not intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek the advice from your physician or other qualified health-care providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website.