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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Spotting, Tender Breasts, Painful Abdominal Cramps After Taking Emergency Contraceptives. Implantation Bleeding?

Hello. I have had unprotected sex (only for a short time, we used a condom straight after....) about a week ago. Because we did not use the condom the whole time, I took emergency contraceptive 30 hours later. There was no evidence of a ruptured condom. I was told by the pharmacist that after taking the emergency pill, my period could start early. I have had spotting for 2 days, tender breasts and quite painful abdominal cramps , that I get during first days of menstruation . I am scared that it could be implantation bleeding too? Could the emergency pill be causing the spotting too? I normally have regular period. I have found out that I have a small cyst on my ovary. Should I be worried about pregnancy? I do not plan it. Thank you.
posted on Sat, 12 Jan 2013
Twitter Fri, 26 Jul 2013 Answered on
Twitter Fri, 26 Jul 2013 Last reviewed on
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OBGYN,  's  Response
Hi,
From your questions it is not evident on which day of cycle you had sex. That is important for a precise reply. Emergency pills sometimes alter the existing menstrual cycles. It is actually a higher dose of hormone, so it can have it's effects on endometrium and this spotting is a frequent symptom. There are tests which can indicate the possibility of a pregnancy but it is prudent to wait to your next expected date and then do a urine pregnancy test. We see a high failure rate for emergency pills.
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Spotting, Tender Breasts, Painful Abdominal Cramps After Taking Emergency Contraceptives. Implantation Bleeding?

Hi, From your questions it is not evident on which day of cycle you had sex. That is important for a precise reply. Emergency pills sometimes alter the existing menstrual cycles. It is actually a higher dose of hormone, so it can have it s effects on endometrium and this spotting is a frequent symptom. There are tests which can indicate the possibility of a pregnancy but it is prudent to wait to your next expected date and then do a urine pregnancy test. We see a high failure rate for emergency pills.