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Delayed periods after taking birth control pill - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Very Good Posted in: Women's Health
Answered by

General & Family Physician
Practicing since : 2004
Answered : 40 Questions
User :   I have taken Z-Pill Contraceptive pill. My periods are delayed by 5 days. My Pregnancy test is negative. What should i do? Is this normal? When i will get my periods back?
Doctor :   hi
Doctor :  
ok
User :   hi
Doctor :  
when was your last menstrual period?
User :   15th Dec
Doctor :  
when did you have the unprotected intercourse?
Doctor :  
after how much tim egap did you tale the pill?
Doctor :  
*time gap
Doctor :  
*take
User :   1 sec
User :   let me check the exact date
Doctor :  
what was the time gap between the unprotected intercourse and your taking the Z-Pill?
User :   29th dec we had unprotected sex
Doctor :  
ok
User :   on 30 th morning i have taken z pil
Doctor :  
what is your menstrual cycle length? 28 days? 30 days?
User :   30days
Doctor :   so, did you take the pill within first 12 hours of the unprotected intercourse?
User :   no consider within 24 hrs
Doctor :   so when you had the unprotected intercourse, you were in your 'fertile period' meaning to say, the time for egg release.
Doctor :   so the chances of pregnancy could be there,as you have not taken the pill withing the fist 12 hours
Doctor :  
it should work even if taken within 24 hours, but in case it didnt due to the time lag, then it is difficult to say that you are not pregnant.
User :   ok
User :   but i have taken preganancy test
User :   its negative
Doctor :   so now that you are 5 days late for your period,
Doctor :  
and the test according to you is negative?
User :   yesterday i did urine test
Doctor :  
ok
Doctor :  
what i suggest is that sometimes due to mental tension and stress, periods are known to start late too
Doctor :  
so wait for another 5 days
User :   hmm
User :   do i need to consult a local doctor here i didnt get my periods in next 5 days
Doctor :  
if you get your periods by that time, then no need to worry
User :   also i am not feeing the pain so i am not sure i will get in next 2 days or so
Doctor :  
if not, then check the test again, if it is still negative and you dont get your periods
User :   then
Doctor :  
then it is advised that you doa beta HCG blood test, as sometimes you could be pregnant but the HCG hormone (pregnancy hormone) will be less in urine showing the urine test as negative
User :   ok
Doctor :  
so at that time a bet HCG test along with a ultrasound scan is the confirmative and standard tests to be done
User :   What is cost of this test
Doctor :   if you feel that you are about to start your periods, then wait and see
Doctor :  
it shoul start
User :   ok
Doctor :  
in case it is not like your normalperiod, say the bleeding is less, or the pain is less, then
Doctor :  
again i would suggest you to get these above said tests done
User :   ok
Doctor :  
the cost of these tests varies form hospital, being a little higher in private setups
User :   If i wait for next 5 days . Doctor its not late to do test?
User :   How much i can wait
Doctor :  
no its not, what is done is done, you cannot change things by waiting longer or shorter, just that the concentration of the hormone will vary
User :   I am newly married and we dont want baby right now
Doctor :  
in case you are pregnant, it will increase more
Doctor :  
if you are already married, then dont go for abortion, as it results in permanent scarring of uterus, resulting in infertility issues later on
User :   ok
Doctor :  
so it is better that you continue the pregnancy incase you are pregnant, and follow proper birth control measures from the next time onwards
Doctor :  
have you followed what i have said?
User :   but i can start some pills to not have baby and to start with my periods
User :   yes i have followed
Doctor :  
even if you start teh pills, the baby would have already been in uterus, with placenta formed and it growing
Doctor :   it will have a heart beating inside it by now, which means that it is a living thing
Doctor :  
and properly secured to the uterus
Doctor :   so even if you take pills to abort it an dget your periods
Doctor :  
it will result in violent contraction of uterus, to expell teh baby out and cause the bleeding
User :   ok
Doctor :  
but sometimes when the expulsion is not done fully, then you need to go for D&C and this results in teh scarring
User :   hmm
User :   i understand
Doctor :  
also the forceful separatio of placenta from uterus wall itself will cause teh scarring
User :   but there has to be some way out
Doctor :  
i have given you the details of what can happen
User :   these are exceptions
Doctor :  
it is upto you to decide along with your partner what you want to do
Doctor :  
I deal with the infertility cases too
User :   no he dont want baby
Doctor :  
and about 80-85% of my pateints have history of aborting the first child
Doctor :  
so i always recommend to all the people like you not to go for abortion
User :   ok
User :   one question
Doctor :  
if you really did not want baby too soon, you should have taken contraceptive measures
Doctor :  
to not concieve itself
User :   if after 5 days i do the test and test are positive.
Doctor :  
like teh birth control pills and condoms
Doctor :  
ok
Doctor :  
then it will mean that you are pregnant
User :   can't we go on pills to get the period and abort the baby
Doctor :  
i have told you the result of this possibility already
User :   ok
Doctor :  
about what can happen f you take pills for this
User :   what is tech birth control pills
Doctor :  
birth control pills are the regular pills a woman need to take not to get concieved
Doctor :  
while on these pills, there is no release of egg itself
User :   it should be taken egulary
Doctor :  
so the pregnancy is not a risk unless, she forgets to take the daily dose of it
User :   then what abt the periods?
Doctor :  
the periods you will get normally as you get it, with less pain and a little less bleeding
Doctor :  
than your normal periods
User :   oh..
Doctor :  
this you can start practicing either after you deliver, i.e, if you are pregnant and want to continue teh pregnancy
User :   these pills have to be taken in periods or rest of days
Doctor :  
or after the abortion, if you opt for it, you can start the pills
Doctor :  
it has to be taken all the days, except period days
User :   ok
Doctor :  
it usually comes in a pack of 28 pills,
Doctor :  
at end of which you will get your periods
User :   so accordin to u these are best option
User :   which is best one to take?any brands?
Doctor :   right now if you are not pregnant and do not want to concieve, then yes this one of teh best option
User :   Can i get these without doctor consultancy
Doctor :  
you can go for a gyne examination, and then the gyne doc wil decide based on your health status, which one you need to use
User :   ok
Doctor :  
it is best to get teh prescription ones after examination to avoid undue effects on your health
Doctor :  
Is there any thing else I can help you with?
User :   actually we always use condoms. But this time condom broke up. Thats what problem was? and we not able to recognize that it got broken
Doctor :   condoms though it is a good contraception, has disadvantages
Doctor :  
due to breakage, slipping, etc
User :   Thats it doctor i got my answers..Thanks a lot...
Doctor :  
so teh failure rates are high for these
User :   hmm
User :   Thanks .Thanks for your time
User :   Thanks a lott
User :   bbye tc
Doctor :  
the BCP's are better than condoms in terms of failure rates, cos,as long as you are strict with taking them, there is no problems
Doctor :  
Please fill the feedback form, and comment box, and say done when done while I answer your next query.
User :   did that
Doctor :  
Thanks for consulting HealthcareMagic. Bye for now. Please chat with our doctors 24/7 for medical queries. Please refer your friends to our service.
User :   sure
Doctor :   Thanks for consulting HealthcareMagic. Bye for now. you can get back to us if any doubts
Doctor :  
we are there to help you 24/7
User :   thanks'
Doctor :  
you are welcome. bye for now.
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