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What Causes Constipation, Lower Abdominal And Pelvic Aches Post Intake Of Plan B?

Posted on Wed, 16 Mar 2016

Question: My wife is having constipation & lower abdominal aches & pelvic aches 3 weeks after taking Plan B morning after pill she took it on Dec 31st 11hours after we had sex. She had a regular on time period XXXXXXX 12th -17th with no side effects she is also experiencing light spotting & brown mucus discharge chunks when she urinated can she be pregnant or are this side effects of Plan B

Answered by Dr. Shanti Vennam (23 minutes later)

Brief Answer:
They are not side effects of the pill.

Detailed Answer:
Hello,

Thanks for writing to us.

The present symptoms your wife is experiencing are not due to the emergency contraceptive pill. Since she had a normal natural period after consuming the pill, pregnancy also is excluded.

The occurrence of spotting on passing urine suggests the possibility of an urinary infection. Urinalysis will help to sort out the issue. In urinary tract infections also, menstrual disturbances are observed.

A clinical evaluation by a specialist and a trans-vaginal sonogram are going to help plan further management.

Hope your query has been answered. Please feel free to contact for further clarifications. I will be happy to help.

regards,
Shanti.V.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Shanti Vennam (4 minutes later)

She is not spotting when passing urine it's overnight in a panty liner the brown mucus chunks come out sparingly when she does urinate no pain when urination or burning sensation. I was wondering if it can be because of the plan b pill. As well as constipation issues

Answered by Dr. Shanti Vennam (8 minutes later)

Brief Answer:
Not due to Plan B.

Detailed Answer:
Hello,

Thanks for writing back.

The spotting cannot be due to Plan B. Though there may not be any symptoms of urinary tract infection, in the current scenario, I would suggest a routine urinalysis. The passage of brown mucus chunks suggests old bleeding. This needs to be assessed. Constipation is likely to be unrelated to this spotting.

Hope this helps.

regards,
Shanti.V.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Shanti Vennam (2 hours later)

Could she be going through an eptopic pregnancy or a miscarriage due to the cramping under belly aches & constipation

Answered by Dr. Shanti Vennam (10 hours later)

Brief Answer:
Please get a trans-vaginal sonogram done.

Detailed Answer:
Hello,

Thanks for writing back.

I do not think she is pregnant since she had a normal natural period after the incident. Yet, if you doubt an ectopic or a missed pregnancy, please get clarification through a trans-vaginal/pelvic sonogram.

If there is an ectopic pregnancy, her symptoms would be more of an upper gastric nature like vomiting and the pain would be either a dull ache transforming to severe in nature as the condition evolves.

Constipation can occur due to hormone imbalance; yet, this is not the only reason. This should be evaluated simultaneously.

Please also exclude urinary tract infection as this can also cause lower abdominal pain along with cramps and spotting. There may not be symptoms of burning or urgency typical of an infection, always.

Hope this helps.

regards,
Shanti.V.

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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar