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How Can Emergency Contraceptive Pill Repeated Intake Affect Menstrual Cycles?
Hello one of my friend she is 22 years old had sex on 9th may not full intercourse just slightly for precautions she took I pill...her periods date were 5th every month ..in month of June she missed her periods. Now again she had protected sex on 15th June ..is it necessary to take pill again? Will it affect her periods cycle
Sat, 3 Sep 2016
Hallow Dear,
If she had taken I-pill within 72 hours of the unprotected intercourse, she is well protected form pregnancy.
Few days after taking I-pill like emergency contraceptive pills, little withdrawal bleeding may occur for a day or two. Moreover, the menses following these pills can get delayed by few days to a week or so. So such delay in menses should not cause any concern.
However, your narration mentions that she missed her period of June. It is not clear whether it was delayed by few days or she has missed it and did not get after May.
If she has missed her period, she has to assess the pregnancy status by one of the following:
1. Pregnancy test on overnight first morning urine sample a week after the missed period; done earlier, there is a possibility of false negative results.
2. Beta hCG test on blood: Values more than 25 mIU/ml are diagnostic of pregnancy while values under 5 mIU/ml denote no pregnancy.
Now whether she should cover her unprotected sex on 15 June depends upon her status of pregnancy. If she is pregnant, there is no need to cover this intercourse. If she is not pregnant, she may take I-pill; however, it has to be within 72 hours of the unprotected sex.
She should get withdrawal bleeding if she takes I-pill now. If she does not, she has to report to the Gynaecologist for missed period without pregnancy.
I hope this offers you clear guidelines.
Dr. Nishikant Shrotri
If she had taken I-pill within 72 hours of the unprotected intercourse, she is well protected form pregnancy.
Few days after taking I-pill like emergency contraceptive pills, little withdrawal bleeding may occur for a day or two. Moreover, the menses following these pills can get delayed by few days to a week or so. So such delay in menses should not cause any concern.
However, your narration mentions that she missed her period of June. It is not clear whether it was delayed by few days or she has missed it and did not get after May.
If she has missed her period, she has to assess the pregnancy status by one of the following:
1. Pregnancy test on overnight first morning urine sample a week after the missed period; done earlier, there is a possibility of false negative results.
2. Beta hCG test on blood: Values more than 25 mIU/ml are diagnostic of pregnancy while values under 5 mIU/ml denote no pregnancy.
Now whether she should cover her unprotected sex on 15 June depends upon her status of pregnancy. If she is pregnant, there is no need to cover this intercourse. If she is not pregnant, she may take I-pill; however, it has to be within 72 hours of the unprotected sex.
She should get withdrawal bleeding if she takes I-pill now. If she does not, she has to report to the Gynaecologist for missed period without pregnancy.
I hope this offers you clear guidelines.
Dr. Nishikant Shrotri
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