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Pregnency risk
Hello Doctor,
I would like to discuss my pregnancy risk and my current symptoms.
My last menstrual period started on 29 June and ended around 3 July. I had unprotected intercourse on 5 July (withdrawal) and again on 6 July, during which ejaculation occurred inside. I took an emergency contraceptive pill (levonorgestrel/i-Pill) on 8 July, within about 48 hours.
A few days later, I noticed some brown spotting, along with breast pain. Today, I am having moderate brown bleeding that is enough to require a sanitary pad, along with severe lower abdominal pain.
My menstrual cycles are usually irregular, often longer than 40 days.
Could you please let me know whether these symptoms are likely to be side effects of the emergency contraceptive pill, or if they could indicate another problem?
Based on the dates you have mentioned, the pregnancy risk is low but not completely zero. Since you took levonorgestrel (i-Pill) within 48 hours, it is expected to significantly reduce the chance of pregnancy.
Brown spotting, irregular bleeding, breast tenderness, and lower abdominal cramps are common side effects of emergency contraception due to the temporary hormonal changes it causes. The bleeding you are experiencing is most likely related to the pill rather than implantation.
Next Steps
However, because you had unprotected intercourse with ejaculation inside, emergency contraception is not 100% effective. Therefore:
* Do a urine pregnancy test if your next period is delayed by more than 1 week or 21 days after the last unprotected intercourse, whichever is earlier.
* If the lower abdominal pain is severe, one-sided, associated with dizziness/fainting, or the bleeding becomes very heavy (soaking ≥2 pads per hour for 2 consecutive hours), seek immediate medical evaluation to rule out other causes, including an ectopic pregnancy, although this is uncommon.
Health Tips
If the pain is moderate to severe or persists despite the bleeding, I would recommend an examination by a gynecologist and, if indicated, a pelvic ultrasound.
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Needs evaluation likely
Next Steps
Serum beta hcg and consult your gynaecologist
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These are the symptoms of Contraceptive Pill, as these pills increase the Uterine Contractility that is why you lower Abd pain.
Do gynae consultation for your late periods,it could be becoz of PMOS or may be other factors like Over weight, DM Thyriod pblm and so on.
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