Dr. Mavani Jimesh Himatbhai
Obstetrics and Gynecology
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
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Patient's Query
Hello doctor,
I had unprotected intercourse two days after my period. The first time we used the condom, the second time without and did the withdrawal method. I took the action about one and a half an hour later. I do not know when I was ovulating and did not think it could be my fertile week. I started bleeding five days later and it was light and pink then has gotten heavier and turned red and moderate enough to soak a panty liner. I have taken HPT twice and both showed negative. Is this implantation bleeding or withdrawal bleeding?
Hello,
Welcome to icliniq.com.
If it was your second day of your period and you take an emergency pill after intercourse that it is withdrawal bleeding and due to the tablet. Your period can be irregular this time and may take two to three cycles to get regularize and maybe the next cycle will be normal depends on your body's own hormonal cycle. If HPT (home pregnancy test) is negative then no need to worry, you are not pregnant and the second day of menses is counted as safe days of any cycle. So you cannot be pregnant during that period because of no ovulation during menses.
Drink more water and wait for your period and do not get much stress. Everything is fine and under control. And if you get your period for three to four days and if you have intercourse two days after that, also you had taken the precautions like condom, withdrawal and at last emergency pill and it also comes in safe period. So do not worry. More chances that it is withdrawal bleeding and sometimes ovulation bleeding. In both cases, you do not have to worry because if it is ovulation bleeding then it is happening now and no need to worry about before.
I hope this helps.
Patient's Query
Thank you doctor,
The thing is it was two days after my period ended. That was the ninth day in my cycle. My cycle is usually six or seven days long and not sure when I ovulate and when is my safe window until I ovulate. I am stressed out because although I believe I took it in a timely manner some people say bleeding five days afterward could mean pregnancy. It is been three days that I have been bleeding and it is getting lighter. Should I retest HPT next week, it would be two weeks post intercourse.
Hi,
Welcome to icliniq.com.
Your cycle is regular I believe, and the ninth day of the cycle is a bit tricky. You may be ovulating around nine days. But as I said earlier, with condom and withdrawal method there is very less chances of pregnancy and emergency pills more decrease the chance of pregnancy. And yes, in a regular 28 to 34 days cycle females normally ovulate around 11th to 17th day of their cycle and you had intercourse on 9th. This also decreases the chance of pregnancy. There is a minimal chance and it is because we do not know exactly how much longer this cycle was going to be. The best way is to wait for your period or 15 more days and then do HPT. If it turns out to be positive then only you should get worried. Otherwise, there are very less (0.001% or less) chance of getting pregnant in this cycle for you. So do not worry. And now the only option you have is to wait for periods or 15 days. If periods get delayed or if you want to do early then after 15 days, do HPT and if it turns out positive then you are pregnant and if negative than it is delayed menses.
Periods can be delayed in this cycle because you have taken hormonal pills and you are bleeding due to its side effect. So I think your cycle is already somewhat disturbed. Bleeding within a week after taking a tablet suggests withdrawal bleeding more likely. You can do the HPT test weekly till you get your period or up to three to four weeks after intercourse and if all are negative then there is no chance of pregnancy after that and if the period does not come until then you may have to take hormonal tablets like Progesterone to induce menses. But that is unlikely. So wait for some more days and stay calm.
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Obstetrics and Gynecology
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