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Emergency conception and its side effects - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Excellent Posted in: Sexual Problems
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2287 Questions
User :   Hi...Yesterday night at around 11 pm, we had unprotected sex...however, I made sure I removed my penis during ejaculation...But she feels if some part of sperms would have gone inside since she was sitting on top of me...Her periods are due in a week..And she is experiencing some sort of pain in her vaginal area and abdomen...So, should she take an i-pill now..?? We are afraid to take the same given its side-effects we have read so far...However, I am 99% sure that sperms would not have gone inside...So, is it safe to take the pill even if the sperms have not gone inside..?? Please reply soon..Thanks...
Doctor :   Hi
User :   Hi Doctor..Can you please really help us here ??
Doctor :   May I know if your partners periods are regular in the past?
User :   Yes...She is regularly getting her periods during the first week of every month...
User :   Also, she suffers from Polysctic Ovary Syndrome..
Doctor :   Ok
Doctor :   Let me explain.
User :   ok
Doctor :   The chances of pregnancy varies depending if your partner has ovulated or not or how long back she had ovulated.
Doctor :   Since you report that she suffers for PCOS
Doctor :   the period of ovulation is highly variable, just as the period days are variable.
User :   Doctor, If I am right, ovulation occurs only after 14 - 15 days starting from her first day of period, correct ??
User :   So, I think ovulation would not have occured yesterday because the first day of her last periods was on 7th March...What do you say..??
Doctor :   That is correct, if her total duration of menstrual cycle is 28 -30 days cycle.
Doctor :   In case the periods are irregular or not a 28-30day cycle the day of ovuation again changes.
User :   ok...nowadays (recent years), she is having regular peiods doctor told she has PCOS when she had irregular periods 2 years ago due to high tension, low blood quantity,etc..
Doctor :   Ok
Doctor :   So, if her periods were regular, then may I know the total duration of her menstrual cycle?
User :   30 - 32 days....
Doctor :   In a 30 - 32 day cycle, ovulation day falls 16th to 24th day.
Doctor :   This is based on calculation method which is one an unreliable method of knowing ovuation.
User :, shall she take an i-pill now or not ??
Doctor :   And yes based on this method, the chances of ovualation and thereby pregnancy is less.
User :   Since, there are many side effects of taking i-pill, can she just take a pregnancy test after 2 weeks to be on safer side.....Is that ok...??? If it turns out to be positive, then what should be done...?? Should she take any abortion pill or something after 2 weeks...??
Doctor :   Unless the sexual intercourse is on the day of period which is the absolute contraceptive days,
Doctor :   other days have some chances of pregnancy.
Doctor :   Hence I would suggest you to use I pill if you wish to avoid pregnancy.
User :   Since, there are many side effects of taking i-pill, can she just take a pregnancy test after 2 weeks to be on safer side.....Is that ok...??? If it turns out to be positive, then what should be done...?? Should she take any abortion pill or something after 2 weeks...??
Doctor :   Have you followed?
User :   yeah...
Doctor :   Yes, use of abortion pill after confirming pregnancy is also one option
Doctor :   however abortion pills should be taken under the guidance of a doctor.
User :   But, I am sure I did not ejaculate fully inside her...just a drop or so would have gone inside....
User :   Are you there doctor ??
Doctor :   Precum a secretion that occur as part of lubrication
Doctor :   can contain sperms in it.
Doctor :   I agree with you that the chances of pregnancy is very less.
Doctor :   But I cannot completely rule it out.
Doctor :   Hope it is clear to you.
User : problem...but i-pill has lot of side effects right....?? Is that safe now ???
Doctor :   Yes, I pill has side effects,
Doctor :   but that is the option available to you now, if you wish to avoid pregnancy now.
Doctor :   Else you can wait and take the pregnancy test.
User :   ok...thanks...
Doctor :   If they come positive and you do not wish to continue pregnancy, then you need to use abortion pills.
User :   ok doctor...we are going ahead with the option of i-pill...but worried about its side effects only...
User :   will it be more painful or something like that...Vaginal Bleeing etc...OR will it do any harm in the long run....???
Doctor :   About 20% women have reported side effects with Ipill, the rest have found it completely safe.
Doctor :   The effects are usually short time.
User :   Also, one last question....In case, sperms have not at all gone inside....So, taking i-pill is harmful or ok to take ??
User :   ok...Great...Thanks...
Doctor :   Effects such as nausea, vomiting, headache, some changes in periods, hair fall for a period of time are known to occur.
Doctor :   The effects normalize in the subsequent cycles.
Doctor :   Hence you need not worry.
Doctor :   No permanent effects are seen.
Doctor :   Hope it is clear to you.
Doctor :   Do you have any other query?
User :   ok, doctor...that's great...Thanks for your time and patiently answering our queries...
Doctor :   My pleasure.
Doctor :   Thanks for consulting me.
Doctor :   Bye for now.
User :   Bye...
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