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Is Pregnancy Possible Despite Taking Oral Contraceptive?

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Posted on Thu, 9 Jun 2016
Question: i had sex with my girlfriend without using condom, she took contraceptive pill after 70 hrs , during this period we had sex several times,,,, now already seven days had gone ,,,, but she is not bleeding ,,, is there any chance that she is pregnant. if she is than which medicine should she should take to abort this pragnancy.
doctor
Answered by Dr. Dr. Soumen Patra (2 hours later)
Brief Answer:
Chance of pregnancy. Do home pregnancy test.

Detailed Answer:
Hello,

Thanks for writing to us.

If she had taken emergency pill after 70 hrs of unprotected sex, she will get protection around 58% against unwanted pregnancy. There is quite chance of being pregnant.

I suggest her to undergo one home pregnancy test with morning urine if she misses her regular period. Possible pregnancy should be ruled out.

Review with test result for next management. Without confirmation of pregnancy, abortion pill is NOT recommended. It may cause ill-health effect.

Hope, it helps for your information. Good luck.

Regards,
Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
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Follow up: Dr. Dr. Soumen Patra (45 hours later)
sir she has done pregnancy test ,, the result is positive ,,,, which medicine she should take , for abortion,,,, which do not have any side effects,, her age is 24 ,,,, and she is taking no other medicine ,,,, and if we want to do unprotected sex again which medicine she should take ,,, so that there is no need to take emergency pill,,,, expecting a good and healthy reply .

thank you
doctor
Answered by Dr. Dr. Soumen Patra (20 minutes later)
Brief Answer:
Abortion should be done under guidance of gynecologist.

Detailed Answer:
Hello,

Thanks for follow up query. Followings are my comments:

1) On POSITIVE test, I can suggest her to undergo medical termination of pregnancy with abortion pills under supervision of local gynecologist (need complete prescription) and it will be helpful in emergency situation also. It is safe and effective.

Following is the general guideline for medical abortion:

a) Do one Trans Vaginal ultrasound (TVS scan) to confirm gestational age and nature of pregnancy (uterine or tubal) before taking the abortion pill. Tubal pregnancy is more dangerous and it needs different treatment.

b) Medical abortion can be done successfully up to 9 weeks (63 days) in 95% cases. Ideally, 1 Mifepristone tab is taken in the morning, which is followed 24 to 48 hrs later by four Misoprostol tabs (2 orally and other 2 vaginally).

Immediately after taking those pills, she will get vaginal bleeding and strong abdominal cramp till fleshy mass or clots are expelled out.

c) She may get bleeding or small clots for 1-2 weeks to resolve the abortion completely. Next, follow up examination is required after 1 week to check retained bits or placental tissue. One pelvic ultrasound (post abortion) is quite helpful for confirmation.

d) In failed medical abortion (5% cases), surgical procedure (D & C) is required to evacuate uterine cavity completely. In such case, gynecologist can help her.

2) If you want to involve in unprotected sex frequently, then she has to take REGULAR contraceptive pill like FEMILON etc. It should be taken from D1 of cycle and continued for next 21 days with 7 days gap for period.

It will give more than 99% protection against unwanted pregnancy after 1-month used and her cycle will be quite regular. Condom should be used for initial 1 month.

Hope, it helps for your information. Good luck and take care.

Regards,
Above answer was peer-reviewed by : Dr. Naveen Kumar
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Answered by
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Dr. Dr. Soumen Patra

OB & GYN Specialist

Practicing since :2011

Answered : 4058 Questions

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Is Pregnancy Possible Despite Taking Oral Contraceptive?

Brief Answer: Chance of pregnancy. Do home pregnancy test. Detailed Answer: Hello, Thanks for writing to us. If she had taken emergency pill after 70 hrs of unprotected sex, she will get protection around 58% against unwanted pregnancy. There is quite chance of being pregnant. I suggest her to undergo one home pregnancy test with morning urine if she misses her regular period. Possible pregnancy should be ruled out. Review with test result for next management. Without confirmation of pregnancy, abortion pill is NOT recommended. It may cause ill-health effect. Hope, it helps for your information. Good luck. Regards,