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How To Prevent Unwanted Pregnancy After Having Sex?

Posted on Wed, 25 Jun 2014

Question: hi Dr. XXXXXXX . i use to take gynera pills for 4 months and i stopped on May 14th and i had unprotected sex on XXXXXXX 4th...I am driving crazy on what to do as I should start taking the pills on XXXXXXX 14th and I do not want to get pregnant so what are the chances of it? and what should i do now?

Answered by Dr. Som Biswas (18 minutes later)

Brief Answer:
You should take iPILL

Detailed Answer:
Hi,

Thank you for your query. I can understand your concerns.

Ideally you are supposed to use condoms during pill free period.

There is a slight possibility of you getting pregnant.

You should take iPILL ( emergency contraceptive pill) within 3 days ie by 6 th XXXXXXX end to prevent pregnancy.

Regards,

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Som Biswas (10 minutes later)

thank you for the reply. As I live in the UAE the after day pills (ecp) are not sold here as abortion is considered to be illegal. I have checked with the pharmacies and nothing as such is available. please let me know what to do? should I go to the hospital?

Answered by Dr. Som Biswas (2 minutes later)

Brief Answer:
Yes you need to go to the hospital

Detailed Answer:
Dear XXXX

Yes you need to go to the hospital if the pill is not available freely.

The gynecologists there will be able to arrange it.

Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Som Biswas (8 minutes later)

thank you so much as now its late and I can go in 7 hours or so. how long should I stay on the ECP and if they dont have the ipill are there any ulternative pills I should take? and should I start taking gynera after it right away before XXXXXXX 14th or I wait and start again on XXXXXXX 14th? what is the possibility of having pregnancy after the ECP?

Answered by Dr. Som Biswas (21 minutes later)

Brief Answer:
Yes go in as soon as possible.

Detailed Answer:
Dear XXXX

Yes go in as soon as possible.

Only 1 tablet of ECP is required.

If they do not have iPILL any ECP will do.

NO gynera should be started only from XXXXXXX 14th.

Chances of pregnancy after ECP if taken within 3 days of unprotected sex is NIL.

Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Som Biswas (4 hours later)

thanks unfortunately they wont give the pill or do the tube...my husband consulted the dr and sent me this:Â other option is to take at least 100 microgram ofethinyl estradiolÂ and aÂ progesterone. Traditional birth control pills contain ethinyl estradiol or an estrogen along with a progesterone. One table has approximately 20 -30 microgram of estradiol depending upon the brand. So give her 4 tablets [ if they contain 30 microgram each] or 5 tablets [ if they contain 20 microgram each of ethinyl estradiol] of birth control pills. The dose is to be repeated after 12 hours. Also please remember to take the active pills as some packs contain active pills and 4-7 dummy or sugar pills. The sugar pills will not work. So she will need 2 doses. The first dose must be taken within 72 hours of unprotected sex and the second dose is taken 12 hours after the first dose. However this regimen is associated with side effects like nausea and vomiting. So please ask her to take this after meals and if possible give her a drug to control nausea likeÂ domperidoneÂ or ondansetron. If there is vomiting within 2 hours of taking the tablets then efficacy is not certain. The pills may also cause irregular period or delayed period. The pills cannot be used if there is active liver or kidney disease orÂ heart disease. If this is not available then other option is to use low dose mifepristone within 72 hours.

Answered by Dr. Som Biswas (6 minutes later)

Brief Answer:
You can take them at your own risk.

Detailed Answer:
Dear XXXX

Well these are alternate options which might or might not work all the time.

These are NOT standard treatment and have side effects.

I will not be able to recommend it to you due to patient safety.

You can take them at your own risk.

Regards,

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Som Biswas (19 minutes later)

so please recommend me something to do or take

Answered by Dr. Som Biswas (42 minutes later)

Detailed Answer:
Dear XXXX

Did you get your periods after you stopped pill on May 14th?

After how many days of stopping the gynera pill do you get periods?

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Som Biswas (31 minutes later)

the last pill i took was may 10... my period stared on may 14 and ended on may 19...and i had unprodected sex and he came inside me and it happened yesterday....and I have been on gynera pills for 4 months non stop and this is the first time I stop. please let me know as I just consumed all my followup questions and im lost

Answered by Dr. Som Biswas (5 minutes later)

Brief Answer:
You have to take the ECP from somewhere

Detailed Answer:
Dear,

The chance of pregnancy is high because you had sex around the time when you ovulate.

You have to take the ECP from somewhere. Arrange it from some other country.

There is no other way.

The other options which your doctor told your husband can be tried but with due risk.

Regards

Note: Revert back with your gynae reports to get a clear medical analysis by our expert Gynecologic Oncologist. Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar