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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Why Am I Not Bleeding After Taking Misoprostil?

i had unprotected sex about the 8th day of my cycle,then i took a single tabllet of POSTINOR1,I FELT REALLY SICK SO I didnt take the second dose.about 2 days later,i took 2 complete doses of postinor 2,then had unprotected sex again about a week to my expected period.iam 8 days past my expected period.home pregnancy test done 5 days ago was positive. i took oral misoprostil for 3 days.no bleeding yet.could i be pregnant/?
Thu, 9 Jun 2016
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OBGYN 's  Response
Hello,
I have gone through your query and sorry to say, you have messed up your hormone balance and this is the result. The first instance of unprotected intercourse did not need any emergency contraceptive in the first place, since it happened during the safe period, presuming you have regular 28-30 day cycles. Also, the week prior to the expected date of menstruation is also safe as ovulation occurs two weeks prior to the onset of the next period. Yet, in the current scenario, owing to the intake of the emergency contraceptive, the hormone milieu is disrupted and hence ovulation may have been delayed. This may have made the second act unsafe and probably resulted in conception. Please get a blood test for pregnancy to confirm followed by a trans-vaginal sonogram to plan further management. Hope this helps.
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Why Am I Not Bleeding After Taking Misoprostil?

Hello, I have gone through your query and sorry to say, you have messed up your hormone balance and this is the result. The first instance of unprotected intercourse did not need any emergency contraceptive in the first place, since it happened during the safe period, presuming you have regular 28-30 day cycles. Also, the week prior to the expected date of menstruation is also safe as ovulation occurs two weeks prior to the onset of the next period. Yet, in the current scenario, owing to the intake of the emergency contraceptive, the hormone milieu is disrupted and hence ovulation may have been delayed. This may have made the second act unsafe and probably resulted in conception. Please get a blood test for pregnancy to confirm followed by a trans-vaginal sonogram to plan further management. Hope this helps.