Brief Answer:
There is risk of cysts in ovary and infertility following regular iPill use

Detailed Answer:
Hi XXXX,
Thanks for writing in to us.

I have read through your query in detail.
Please find my observations below.

1. The iPill contains levonorgestrel 1.5 mg which is a high dose of hormone. This creates an environment in which implantation of the pregnancy does not occur and pregnancy is avoided.

2. Since it contains high dose of hormones therefore it causes irregular menstrual periods for the next two months in most women.

3. Taking it regularly might cause cyst formation in ovaries, polycystic ovarian disease, irregular cycles and infertility. These effects are due to the hormone imbalance after taking iPill.

4. However, the use of iPill in emergency situation is justified because this is the only way to stop a pregnancy at its earliest stage, even before it happens.

5. It is said that condoms or low dose contraceptives should be the preferred mode of birth control. Only if there is an accidental case like condom break or unprotected sexual intercourse should an iPill be used. It is acceptable to use iPill once in 3 to 4 months considering the benefits and risks of such a use and only where it is justified. Couples who intend to have regular unprotected sex should go for low dose hormone pills and condoms.

Hope this answers your question. Please feel free to correct any oversight in my interpretation of your problems and discuss them in detail as per your requirements.

Hope your query is answered.
Do write back if you have any doubts.

Regards,
Dr.Vivek

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