Brief Answer:
Do A Blood Test For Beta-hCG To Confirm Pregnancy.

Detailed Answer:
Hello,

Thanks for writing to us on XXXXXXX

According to last menstrual period (6th July), you involved in unprotected sex close to fertile days as your previous cycle was regular. I-pill gives more than 85% protection against unwanted pregnancy within 24-48 hrs. In this context, chance of pregnancy is less but you need to confirm.

Brown colored discharge on 23rd July was a withdrawal bleeding due to effect of the pill. It is quite common and normal phenomena.

Most women usually get delayed period for 1 to 2 weeks from due date after taking the pill. You have also taken I-pill 2 times in this month and it can cause late period. Hormonal imbalance and mental stress are associated with it.

Early home pregnancy test is less significant. Here, I suggest you to undergo one blood test for beta-hCG which is more reliable and confirmatory. On negative blood test, you can wait another one week to get period normally.

Otherwise, you can consult with gynecologist for next line management. In absence of pregnancy, I prefer progesterone medication (like norethisterone) to induce period of my patients. Kindly, procure a complete prescription from your treating doctor after doing a blood test.

Practice safe sex in future. Use combined OCP instead of emergency pill in regular sex. Try to avoid mental stress.

Hope, above information is helpful to you. Let me know, if you need any further clarification.

Wish your good health. Good luck.

Regards,
Dr Soumen

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Brief Answer:
No Prescription Is Required For Blood hCG Test.

Detailed Answer:
Hello,

Thanks for your follow up query.

For undergoing blood test for beta-HCG, you do not need prescription from a doctor. You can do it from your nearest pathology centre or laboratory.

Blood test for beta HCG is more reliable and convenient in comparison to home pregnancy test. Therefore, I prefer this to rule out pregnancy.

Hope, I have answered your queries. If you do not have any query, you can close the discussion.

All the best.

Regards,
Dr Soumen

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Brief Answer:
On Negative Test, Period Is Expected Within 1-2 Wk

Detailed Answer:
Hello,

Thanks for your additional queries. Followings are my comments:

1) You can expect your period within 1-2 weeks from original due date after taking I-pill or other emergency contraceptive pills in the absence of pregnancy.

2) Home pregnancy test gives positive result around 95% after 2 weeks from ovulation day or near missed period. 96-99% positive result is obtained after 7 days of missed period. It depends on amount of pregnancy hormone (beta HCG) in urine and sensitivity of the pregnancy kit. For accurate result, morning urine sample is preferred after 7 days.

3) Withdrawal bleeding is a normal physiological phenomena. It occurs due to sudden withdrawal of large dose of hormonal medication (like I-pill) which leads to hormonal imbalance with falling of progesterone hormone. However, it does not mean that conception is possibly ruled out.

Hope, above questions are answered properly. You can use combined OCP in regular sex as it has dual benefits - 1) highest level of protection (99%) and 2) regularization of monthly cycle.

Take care your self.

Regards,
Dr Soumen

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