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Cause of no bleeding after taking emergency contraceptive - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Birth Control
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
User :   Hi, how late is normal for a period to come after taking levonelle one step? Mine is 3 days late. Thanks
Doctor :   hi
Doctor :   Dr AAAAAAA here
Doctor :   it can take 5-7 days for periods to start after taking the levonelle
User :   I have read up a bit on it and it said that most are normally on time & a few days late & if not by 5 days to contact a doctor, it's probably fine but just precautionary
Doctor :   no, sometimes it can take longer. on which day of your normal cycle have you taken this pill?
Doctor :   when was your last menstrual period?
User :   I took it approx 8 days after my last period
Doctor :   ok, then it will take longer for bleeding to occur, it might not occur at all, as the endometrial lining will not be sufficient to have much bleeding.
Doctor :   what was the gap between the unprotected intercourse or sexual contact and your taking pill?
User :   30 hours
Doctor :   ok. then it should work, wait for another 2 days to see if the bleeding or spotting start
Doctor :   if you do not see any spotting or light bleeding, in next 2 days time, then get a check done by a gynecologist.
User :   It was protected but took it precautionary as thought condom may have split but don't think it did
User :   I've had spotting at various times over last week
Doctor :   ok. if it was protected, chances are that pregnancy has not occurred, you need not worry
Doctor :   do not be alarmed if you do not get frank bleeding as the time you took the pill will not be sufficient to have proper endometrial growth for bleeding to happen like your periods
User :   Can't be 100% if it did or not but didn't want to take chances and am going away at the weekend & wanted the period over before then, one of the silly things shouldn't let stand in the way but think the stress of thinking of it may be holding it back too
User :   Yes the levonelle website stated normal for spotting I just assumed period would have begun now
Doctor :   ok. if there are 5-7 days left for your trip, then consider meeting a gynecologist today to ask for prescription to postpone the periods untill trip is over
Doctor :   such that you are not uncomfortable
User :   Is this possible at this stage
User :   There is only 2.5 days to the trip
Doctor :   then it may not be possible, as you need to start on those pills by 4-5 days before actual periods
User :   Ok
User :   Is period likely to be normal bleeding wise
Doctor :   periods will be normal
User :   Ok, do you think worthwhile trying for a pill to postpone if my period is three days late or is it too far into it now
Doctor :   if pregnancy has not occured
Doctor :   it is too late now. you should have started on the pill for postponement 2 days back
Doctor :   if the actual periods date is within next 3-4 days
User :   Ok
Doctor :   since you took the emergency pill in 30 hours, pregnancy will not be an issue
Doctor :   wait for your periods to happen this time

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