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Is Pregnancy Possible Despite Taking Oral Contraceptive?

Posted on Mon, 2 Mar 2015

Question: had unprotected sex with gf after 2 days of her last period (unprotected sex on 31st jan) and then she took ipill in 12 hours. she is feeling headache, laziness and tired from 1st of feb. what are the chances of pregnancy and why is this happening to her?

Answered by Dr. Sameer Kumar (5 minutes later)

Brief Answer:
no chance of pregnancy

Detailed Answer:
Hello,
Thanks for contacting hcm .
The chances of her getting pregnant is negligible as you had intercourse during the safe period 2 days after menses stopped and as ovulation was yet to occur she was safe already.
However she took pill as well as double protection following which she may experience a withdrawal bleed in next 7-10 days but the bleed may be scary as pill was taken so early in menstrual month when endometrium has not yet formed completely.
The symptoms of laziness and headache are due to progesterone fact of pill and she should increase her water intake to counter the same.
No need to worry for pregnancy.
regards

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

Follow up: Dr. Sameer Kumar (4 minutes later)

i didn't ejaculated in her and i'm worried about precum.
and what to expect from her periods?
should she expect on her dates or liable chances of getting late?

Answered by Dr. Sameer Kumar (2 minutes later)

Brief Answer:
explained

Detailed Answer:
Hello,
There will be no pregnancy in safe period as there is no ovum to fertilise by your sperms then.
her menses would resume in 7-10 days which would be withdrawal bleed from pill and that itself would become her fresh LMP now and her next menses would be a month later after the date of this withdrawal bleed.
this should be expected.
regards

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

Follow up: Dr. Sameer Kumar (4 minutes later)

so you mean there would be no periods after this withdrawal bleeding on her expected dates, instead they will shift to next month around the dates of withdrawal bleeding.

Also should we go for pregnancy test after withdrawal bleeding if periods didn't come on expected dates? (her expected dates are 25th of month, having 28 dats cycle)

Answered by Dr. Sameer Kumar (1 minute later)

Brief Answer:
explained

Detailed Answer:
Her menses would not be on her due dates now. it would be changed according to the withdrawal bleed date.
also the periods may be further delayed as pill causes delayed menses as side effect,
regards

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

Follow up: Dr. Sameer Kumar (48 hours later)

thanks for your help doctor.

She was feeling heaviness in her abdomen on 3rd feb and today is no pain , is it normal after ipill?
or it shows anything?

also i heard about ectopic pregnancy.
is there any chances of ectopic pregnancy ?

Answered by Dr. Sameer Kumar (8 minutes later)

Brief Answer:
explained..

Detailed Answer:
If she has taken ill on 1st feb then , she should wait for 7-10 days for withdrawal bleed to ensue. Thats mandatory. she will get cramps and symptoms in next few days.
Ectopic can be confirmed only ultrasonologically after the serum beta hcg test turns out to be positive after 7 days of intercourse and if no intrauterine pregnancy is seen. one cannot say it at present.
We should ideally wait for the menses to resume by 8th -10 th feb and if they don't then get a serum beta hcg test. if positive then an ultrasound to ascertain intrauterine or ectopic pregnancy. so that remains the protocol and has to be followed patiently.
regards

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

Follow up: Dr. Sameer Kumar (2 minutes later)

thanks doctor.

And what more symtoms may come?

Answered by Dr. Sameer Kumar (10 minutes later)

Brief Answer:
pms symptoms

Detailed Answer:
she may start having PMS symptoms and may experience nausea, headache, mood swings,low back ache , mild cramps , increased frequency of urine , once she nears her withdrawal bleed date.
these are normal symptoms and are actually welcome symptoms.
regards

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

Follow up: Dr. Sameer Kumar (3 minutes later)

And doctor if she didn't have menses around 8th and 10th what should we do?

if menses occur we should go for pregnancy test and ectopic pregnancy test?

Answered by Dr. Sameer Kumar (18 minutes later)

Brief Answer:
explained..

Detailed Answer:
please refer to my previous message , i have already outlined the protocol . if the mess occur then she is not pregnant at all.
regards

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

Follow up: Dr. Sameer Kumar (2 days later)

Doctor my concern is related to above thread.
she now got period kind of bleeding though they are heavy and she is also experiencing headache, abdominal pain, nausea, tiredness along with it.

Is there anything to be concern about?

Also for how long this bleed may continue and for how much time i should wait for this bleeding to end?

Answered by Dr. Sameer Kumar (3 hours later)

Brief Answer:
its her withdrawal bleed and PMS symptoms...explained

Detailed Answer:
hello,
good to hear that she has started with her menses, indicates that she is not pregnant and its her withdrawal bleed. This may last from 4-5 days and slowly would decrease in flow.
however the symptoms she is having are PMS symptoms and may experience nausea, headache, mood swings,low back ache , mild cramps , increased frequency of urine , which shall subside once the bleeding ends.
She can take an antispasmodic like TAB MEFTAL SPAS 500mg twice a day for 3 days to control her symptoms.
regards

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

Follow up: Dr. Sameer Kumar (12 hours later)

doctor so now after ending of this withdrawal bleeding do we have to take pregnancy test or this bleeding is enough to state that there is no pregnancy.
should i feel safe now and consider there is no pregnancy?

Answered by Dr. Sameer Kumar (57 minutes later)

Brief Answer:
yes you are safe

Detailed Answer:
hello,
There is no need to take a pregnancy test ideally after the withdrawal bleed has been established.you are safe. please follow contraception practices while having sex if unwanted pregnancies are to be avoided.
regards

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

Follow up: Dr. Sameer Kumar (8 hours later)

doctor I also have one querry

can you please tell me after this withdrawal bleed the original periods due date will be from the date of starting of withdrawal bleeding?

and after this withdrawal bleed do we need to take any pregnancy test?

and also if the periods get late , then late periods should be considered from withdrawal bleeding date or original dates?

and after this withdrawal bleed there would be any kind of problems that may arise or what will be the scenario after this withdrawal bleed completion?

Answered by Dr. Sameer Kumar (43 minutes later)

Brief Answer:
queries answered

Detailed Answer:
hello,
1.all calculations have to made from the day of withdrawal bleed now as this becomes the fresh LMP date . The menses due date would be 1 month from this withdrawal bleed date.

2.Pregnancy test need not be taken after the bleed.
3. If periods get late then it should be calculated from withdrawal bleed date .
4. There is a likelihood that next menses can be delayed by 10 -15 days as this is a known side effect or emergency contraception, so be aware and follow barrier contraception after ovulation till menses .
regards

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

Follow up: Dr. Sameer Kumar (18 hours later)

doctor now she has stopped her withdrawal bleeding on 3rd day morning i.e. 8th of feb, is this normal and rule out the chance of pregnancy?

also doctor her menses delay should be counted from 25th( original period date) or 6th(withdrawal bleed day) ?

Answered by Dr. Sameer Kumar (6 minutes later)

Brief Answer:
3 days is fine and lmp becomes 6th feb

Detailed Answer:
hello,
thats fine for a withdrawal bleed even if it has stopped in 3 days.
HER LMP should be taken as 6th feb now onwards for calculating delays if at all.
regards

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

Follow up: Dr. Sameer Kumar (22 hours later)

Doctor please tell me in case if there any chance of pregnancy and should we take pregnancy test to rule out pregnancy.
i'm worried although she is normal now.

Answered by Dr. Sameer Kumar (7 hours later)

Brief Answer:
get a serum beta hcg test done.

Detailed Answer:
If you are so anxious , then the best way to rule out any pregnancy would be to do a serum beta hcg test which is a lab based blood test, which is very sensitive to the levels of hcg. If the levels of hcg are more than 1, then pregnancy is confirmed , else ruled out completely.
regards

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

Follow up: Dr. Sameer Kumar (10 hours later)

so doctor this blood test should be done now or it should be done after delay of periods?

Answered by Dr. Sameer Kumar (2 hours later)

Brief Answer:
yes you should do it.

Detailed Answer:
Yes it has to be done if you really want to confirm absence of pregnancy.
regards

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

Follow up: Dr. Sameer Kumar (8 hours later)

doctor this querry is related to above thread.
on 10th feb around 9:00 she started feeling nausea, headache, weakness.

what does this mean?
is it normal ?

Answered by Dr. Sameer Kumar (2 hours later)

Brief Answer:
this can be PREMENSTRUAL symptoms..( PMS)...explained

Detailed Answer:
THSI CAN BE ATTRIBUTED TO progesterone withdrawal bleed and symptoms of PMS which may last for few days even after the bleed has ended and may indicate that she may have not completed the withdrawal and may experience some spotting for few days.
This is considered normal. hOwever as advised earlier if is better to get a serum beta hcg test done to confirmatively rule out pregnancy anyways.
regards

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj