Common "Withdrawal Bleeding" queries answered by top doctors | iCliniq

Withdrawal Bleeding

Withdrawal bleeding is the monthly bleeding women on regular birth control pills experience during the pill-free period (or placebo week). Withdrawal bleed is not exactly the same as a menstrual bleed. It is caused by a slight change in hormonal levels and is much lighter than periods and also lasts fewer days.

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Can bleeding after taking Unwanted 72 indicate early pregnancy?

Query: Hello doctor, My fiancee is a 28 years old and weighs 94 lbs. We had unprotected sex on the 10th day of her menstrual cycle, and I am sure I did not ejaculate. But, I am worried about her getting pregnant. She took Unwanted 72 tablet 12 hours later. A week later, she had cramps and menses-like bleed...  Read Full »


Dr. Sameer Kumar

Answer: Hello, Welcome to icliniq.com. If she had withdrawal bleeding seven days after taking Unwanted 72, which lasted for three days, then she is unlikely to be pregnant. The pregnancy can be conclusively ruled out with a serum beta hCG test, as home pregnancy test may provide false negative results. ...  Read Full »

I experienced bleeding after taking the emergency pill. Why?

Query: Hi doctor, I have been using birth control pill (Crisanta LS) from last 2.5 years.This month I started on 13, and I doubt I missed 1 or 2. After 13 days of starting the pill, had safe sex with a condom, but we doubt that it broke. To be safe, I took two doses of Unwanted 72 the next day and stopped ...  Read Full »


Dr. Sameer Kumar

Answer: Hello, Welcome to icliniq.com. What you experienced was a withdrawal bleed following Unwanted 72 (emergency contraceptive pill), which occurs in 7 to 10 days post emergency pill intake. So, it is normal. There is no pregnancy at all, as is confirmed in the ultrasound pelvis with ET being 4 mm. ET ...  Read Full »

Why has my withdrawal bleed not started after taking I-pill?

Query: Hello doctor, After having I-pill, I had spotting like periods. Then I started having Sysron-N for five days and I completed the course six days back. But, my period has not started yet. Is it normal?  Read Full »


Dr. Sameer Kumar

Answer: Hello, Welcome to icliniq.com. Generally, after taking Sysron-N (Norethisterone) for five days, one should wait at least 7-10 days for the bleeding to start properly. As you have taken I-pill, there are chances to get delayed periods. Hence, you need to wait for at least a week to allow your perio...  Read Full »

I did not get period after stopping birth control pills. What should I do to get period without OCP?

Query: Hello doctor, I do not get my period for over a year after stopping birth control. I have stopped the birth control pill last year and have not had a period yet. I do eat a very healthy diet and do not do excessive sport. My periods before being on birth control were regular and I do not have a ...  Read Full »


Dr. Sameer Kumar

Answer: Hello, Welcome to icliniq.com. I have gone through the reports (attachment removed to protect patient identity) and your hormonal profile is normal just that progesterones are way too low indicating that you are not ovulating and hence no menses. Sometimes, amenorrhoea is seen after prolonged use ...  Read Full »

I have not had periods after taking contraceptives. Why?

Query: Hello doctor, My last period ended on the first of this month. I had sex on the fifth of this month. After 34 hours of sex, I took Unwanted 72, and again after nine hours, I took I-pill for more safety. But after that, I had no bleeding or vomiting, but on the 18th and 19th, I had a little blood in...  Read Full »


Dr. Sameer Kumar

Answer: Hello, Welcome to icliniq.com. The bleeding you had on the 18th was your withdrawal bleed, but it was scanty because you took two emergency contraceptive pills in less than 48 hours. The negative urine pregnancy test, which is done today on 29th, rules out pregnancy. However, the best way to concl...  Read Full »

I had light periods post-unprotected sex. Am I pregnant?

Query: Hello doctor, I am a 19 year old female. I had my menses two months ago. I then had unprotected sex with my fiance when I was in my fertile period. I took an I-pill within four hours. The next day we again had unprotected sex and he came inside me. This was about 12 hours after having the first I-pi...  Read Full »


Dr. Sameer Kumar

Answer: Hello, Welcome to icliniq.com. You rightly took the I-pill(emergency contraceptive pill) the first time within 72 hours as you were in your fertile period and the chances of pregnancy were higher. The second I-pill was not required as the first would be effective for the next 72 hours. This led to ...  Read Full »

Why did spotting occur after taking emergency contraceptive?

Query: Hello doctor, I am a 22-year-old female. I had my periods on the 2nd of this month. I had unprotected sex on the 10th and took a tablet of Unwanted 72 within an hour of having sex. After five days of taking the tablet, I experienced spotting for two days and very light bleeding on the third day. I h...  Read Full »


Dr. Sameer Kumar

Answer: Hello, Welcome to icliniq.com. The Unwanted 72 has a success rate of 99 %, so the withdrawal bleed that you experienced on the 15th is more likely to be a pill withdrawal rather than an implantation bleed. Another reason being you were on day 9 of your cycle during your act of sexual intimacy whic...  Read Full »

When should I expect my next periods after taking ECP?

Query: Hi doctor, I am a 32 year old female. I have a regular menstrual cycle, and I get my periods on the fifth of every month. Last month on the eighth, I had unprotected sex with my fiance. I took Unwanted 72 (ECP) within an hour. As I took an ECP, when should I expect my next bleeding? Is there any cha...  Read Full »


Dr. Sameer Kumar

Answer: Hello, Welcome to icliniq.com. As you had sex on the third day of your cycle, it was the safe period, so the chances of pregnancy are minimal. As you have taken Unwanted 72 for double protection, you should ideally get a withdrawal bleeding the next 7 to 10 days. You can actually wait for another ...  Read Full »

I took an ECP seven days ago. Can I take another one now?

Query: Hello doctor,I took ECP seven days ago, on the fifth day of my period. No side effects till now, but there has been withdrawal bleeding happening for the last three days. It has become light now. Accidentally, an unprotected penis with semen rubbed my vagina. It happened again 32 hours ago. Can I ta...  Read Full »


Dr. Sameer Kumar

Answer: Hello, Welcome to icliniq.com. As you are in the midst of your withdrawal bleeding, and the endometrial lining is being shed, there is no need to take a repeat ECP (emergency contraceptive pill) if you have accidentally had unprotected intercourse. There are no chances of pregnancy at all during bl...  Read Full »

Had sex two days before ovulation. Can I get pregnant?

Query: Hi doctor, I had unprotected withdrawal method sex two days before ovulation and had one I-pill within 30 hours. Today, I am experiencing period like cramps from morning. I just saw some spotting which may or may not be my early period. I am regular in my periods. My last period was on 12th of last ...  Read Full »


Dr. Sameer Kumar

Answer: Hi, Welcome to icliniq.com. This is not an implantation bleed or spotting at all, instead it is the initiation of a withdrawal bleed which is natural to occur after taking an emergency contraceptive pill like I-pill. The withdrawal bleeding is initiated within next 7-10 days after the pill and this...  Read Full »

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