Had Unprotected Sex, Took Ipill But Didn't Had Withdrawal Bleeding. Further?

Brief Answer:
Chance of pregnancy is quite low (less than 1%).

Detailed Answer:
Hello,

Thanks for writing to us.

First thing, you involved in unprotected sex in relatively safe period as her previous cycle was regular. Taking unwanted 72 (emergency contraceptive pill) gives her additional protection against unwanted pregnancy. It is effective more than 95% within first 24 hrs and 85% within 24-48 hrs. Here, chance of pregnancy is quite low (less than 1%).

Secondly, most women usually get a withdrawal bleeding, similar to period, within 7-10 days after taking the pill. Therefore, she can wait few more days and it may coincide with her regular period as her due date is too close. Don't be worried much. Extra stress can delay her period to some extent.

The last thing, her period may be delayed for 1-2 weeks due to effect of the pill - leads to hormonal imbalance. If she misses the dates by more than 7 days and is very concerned, feel free to exclude pregnancy by home pregnancy test.

To summarize, chance of pregnancy is quite less and she can wait up to 1 week to get her period before undergoing to any pregnancy test. She needs not to be worried about this.

Hope, I have answered your queries. Let me know, if you need any clarification.

Wish your good health and practice safe sex in future.

Regards,
Dr Soumen

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Brief Answer:
Pill is effective without withdrawl bleeding.

Detailed Answer:
Hello,

Thanks for follow up query.

Most women usually get withdrawal bleeding within 7 to 10 days after taking the pill. However, it does not signify that the pill has not worked without the bleeding. Therefore, you don't need to worry about that.

Hope, it helps for you. If you don't have any other query, you can close the discussion.

Good luck. All the best.

Regards,
Dr Soumen

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Brief Answer:
Don't Be Worried. Just Wait 1 Wk For Her Period.

Detailed Answer:
Hello,

Thanks for your follow up queries. Followings are my comments:

1) First thing, you should not be worried much as you did unprotected sex in safe period (24th August) and she additionally took unwanted 72. Pregnancy depends on proper timing of ovulation or fertile days and unprotected sex. Her fertile days was 14th to 21st August. So, chance of pregnancy is quite rare or negligible.

2) Pregnancy test is valid after 2 weeks of successful fertilization as beta-HCG is detectable in blood or urine only that time & not earlier. Therefore, I suggest her to wait another one week (up to 7th September) to get period normally. If she does not get her period by this time, one home pregnancy test can be done to exclude pregnancy and stay in safe zone.

3) Home pregnancy test is not useful and it is too early now. It will be useful only after 7th September according to your last sexual encounter (24th August).

4) Don't be worried regarding this as I have already told you that unwanted 72 pill makes period delayed for 1-2 weeks from due date. It is a normal thing.

5) Finasteride is 5-reductase inhibitor & selectively blocks androgen activity in the prostate & skin. However, it does not effect on spermatogenesis/ semen quality. It only reduces circulating DHT( Dihydro testosterone) without lowering testosterone. Therefore, it has no effect on possible conception.

6) She needs to wait at least one week to get withdrawal bleeding/ normal period. With negative pregnancy test and in the absence of period, she needs to take progesterone pill (like norethisterone) to induce period.

7) MTP kit is available only after prescription following doctor's consultation. Next thing, she will never take MTP kit without confirmation of pregnancy. Medical termination of pregnancy is to be done under guidance of a gynecologist or health care provider. There is adverse effect of those medications like nausea, vomiting, excessive vaginal bleeding, abdominal pain, fainting etc. This can't be controlled by her alone if it is taken at home. Therefore, doctor's consultation is must for proper guidance, direction and emergency purpose.

8) With this type of problem, you can visit to local doctor or gynecologist in your nearest location. I think that they can manage this & it will be helpful in emergency situation. Kindly, contact with your nearest healthcare provider.

Hopefully, I have guided you with my experience. You can close the discussion.

Take care of her. Good luck.

Regards,
Dr Soumen

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Brief Answer:
Don't be worried. No chance of pregnancy.

Detailed Answer:
Hello,

Thanks for your response.

First of all, you do not need to worry about this incident. As she got her period on expected time, there is no chance of pregnancy.

Second thing, possibility of pregnancy is very much rare after getting period in protected sex with condom and without ejaculation. You are quite safe in position and she never be pregnant from this. However, she may undergo one home pregnancy test if feasible to clear confusion and relieve mental stress.

Last thing, her next period may be delayed for 1-2 weeks from expected due date. It occurs due to effect of the pill which causes hormonal imbalance. It is a normal thing. She would maintain a healthy life style to get regular period.

Hope, I have answered your all queries. Don't be worried.

Good luck. All the best.

Regards,
Dr Soumen

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