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What Are The Chances Of Pregnancy Even After Taking Emergency Contraceptive Pill?

Posted on Tue, 7 Apr 2015

Question: Hi! I am 26 female. I have pcod and therefore have been prescribed oral contraceptive I.e Dianne 35 for treatment. I have been taking it since a year regularly without any problems. I started my pack on 19th Feb and my last period was on 16th Feb. This month I had unprotected sex on 2 March (took all pills before this regularly) on 7th March I was unwell and puked after 1 hour of taking the pill. Then on 12th March I had unprotected sex again and since I thought I had puked out a pill during the month I took an emergency contraceptive the next day within 24 hours. I am supposed to start my next pack on 19th March. My first question is if I can be pregnant because of this whole situation and if I can take a blood test either today or tomorrow as I am travelling after this. Please help!

Answered by Dr. Richa Agarwal (56 minutes later)

Brief Answer:
The chances of pregnancy are low.

Detailed Answer:
Hi,

Thanks for writing to us about it.

I can understand your concern.

The prospects of pregnancy are very low in your instances, but nothing is 100%.

Pregnancy test is usually detect pregnancy hormone hcg in the blood and urine and test accuracy depends upon its sensitivity.

Usually beta hcg blood test can be performed as early as 6-7 days after ovulation or urine test 14 days after ovulation.

In my opinion you can get your test done, but if test results are negative, repeat the exam after one week if you will not resume your menses.

Hope it is useful, feel free to ask more.

Rehards

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

Follow up: Dr. Richa Agarwal (5 hours later)

Dear Dr. XXXXXXX

Thank you so much for your reply.

Please find below my last 4 cycles details:

25th - 29th November 2014
23rd - 27th December 2014
23rd - 27th January 2015
16th - 20th February 2015

I haven't missed any pill since i last remember, may be for more than 2 months and I'm quite sure of it. Only puked out one pill on 7th March 2015 as i got food poisoning.

I had unprotected intercourse on 2nd march 2015 and I am only worried if i could be pregnant because of this because i read somewhere that sperm can live in a woman's body for about 5 days.

I generally get my period every tuesday on my break but today i didn't get it. Should i be worried? Is it because of the ipill that my period can be late?

As i am travelling abroad on 20th March i wanted to be sure that I'm not pregnant. Will the serum beta HCG test detect pregnancy right now?

Also, I did 2 urine tests at home yesterday and both were negative.

Is it too soon to take tests?

I am really worried because i will be coming back to XXXXXXX only after 3 weeks and im unmarried.

If incase im pregnant is it possible for me to get an abortion in Delhi?

Answered by Dr. Richa Agarwal (4 hours later)

Brief Answer:
Period can be delayed due to I-pill.

Detailed Answer:
Hi,

Nice to hear from you once again.

The chances of pregnancy are low in your case, so please do not take any stress.

Blood beta hcg test can detect pregnancy as early as 6-12 days after conception or 7 days before your expected period date.

So you can go for beta hcg testing right now.

If test ressult is positive it means you are pregnant but if it is negative right now it can be false negative and repeat test is required to confirm it.

Your period may be delayed due to side effect of I-pill( due to hormonal disturbance ).

Yes, if you get pregnant abortion can be possible in XXXXXXX by abortion pills or through DNC.

Revert back to me with your test results.

Good luck.
Regards

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

Follow up: Dr. Richa Agarwal (16 hours later)

Hi Dr. XXXXXXX

thank you so much for your reply!

I just have one more question.

I am coming back to XXXXXXX after my trip on 14th April. Incase i need an abortion, will it still be possible to do it through drugs when im back. I wouldn't want to do it when im not at home :(

Thanks and regards,
XXXX

Answered by Dr. Richa Agarwal (1 hour later)

Brief Answer:
Abortion pills can only be taken upto 49 days.

Detailed Answer:
Hi XXXXXXX

You are most welcome.

Abortion pills can only be taken up to 49 days of pregnancy.

If pregnancy is more than 49 days, surgical abortion ( D&C) more safe and effective method to terminate pregnancy.

Hope it was useful.

Regards

Above answer was peer-reviewed by : Dr. Pradeep Vitta

Follow up: Dr. Richa Agarwal (1 hour later)

Dear Dr. XXXXXXX

Thank you again for you reply.

I just want to know how many days pregnant will i be when i reach back.

Is the surgical abortion procedure easily available? Do you know of any places in XXXXXXX or XXXXXXX

I am planning to do a HCG blood test tomorrow. Will share results with you.

Best regards,
XXXX
One more question:

Is the medical abortion procedure painful? If i plan to do it in USA will i need to stay at home?

Best regards, XXXXXXX

Answered by Dr. Richa Agarwal (4 hours later)

Brief Answer:
Almost two months pregnant.

Detailed Answer:
Hi XXXXXXX

If your LMP is 16 feb and your expected period date is 16 march, you are almost 2 months pregnant when you will be back from USA.

So in that case surgical abortion is better choice in your case.

Yes, in Delhi/ XXXXXXX you can go for surgical abortion.

Fortis is a good hospital.

Yes, medical abortion is a painful procedure and after taking medication you will get cramps to expelled the product of conception but it can be reduced by taking medicine for it.

Yes, during procedure you should remain at home because it may cause severe bleeding in the process of expulsion of products of conception.

Hope it is useful, feel free to discuss further.

Regards

Above answer was peer-reviewed by : Dr. Pradeep Vitta