Hello,

Thanks for writing to us.

First thing, emergency contraceptive pill (having levonorgestrel) gives more than 95% protection against unwanted pregnancy if it is taken within first 24 hrs of unprotected sex. She got withdrawal bleeding, similar to period, after one week. It is normal thing.

However, according to above clinical presentation, we need to rule out possible conception. Here, I suggest her to undergo one home pregnancy test at the earliest to check pregnancy status. Blood test for beta hCG is advisable for confirmation.

Following above test reports, you need to consult with gynecologist to perform clinical examination. One ultrasound scan will give additional information in this context. Proper management can be done only after diagnosis of the case.

Hope, above information is quite helpful to you for understanding. If you need any clarification, you can freely ask me.

Wish your good health and practice safe & protected sex next time.

Regards,
Dr Soumen

---