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Advice on taking I-pill along with PCOS medicines - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Vaginal and Uterus Health
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2580 Questions
Doctor :   hi
Doctor :   Dr.XXX here.
User :   HI
User :   My wife is under pcos treatment
User :   she is having krimson 35
User :   u thr
Doctor :   yes, please proceed
User :   today is her last day of krimson 35 medication for this menstrual cyle & her period is due on next monday 9th august, can she take ipill today along with Krimson 35
Doctor :   let me read
Doctor :   why does she need to take I-pill?
Doctor :   women with PCOS have a hrad time to concieve
Doctor :   if she is suspecting to be pregnant after the intercourse she should go ahead with pregnancy
Doctor :   *hard
User :   we had unprotected sex today & we do not want a baby for some time now
User :   if she takes ipill today....can she continue with her regular pcos treatment for the comming cycle
Doctor :   she can continue with the treatment.
Doctor :   PCOS is one of teh reasons for infertility
Doctor :   if the I-pill disturbs teh cycle, her hormones might go more haywire
Doctor :   although there is no studies done to see the interaction of the two , being on safer side is better
User :   i mean she has to take krimson 35 tablets from 8th day after end of the previous 21 day schedule
Doctor :   ok
User :   so if she takes ipill today will she get her period due on mon (9th aug)...
Doctor :   she can take the I-pill, but since you had the intercourse on teh last day of the treatment with krimson
Doctor :   the chances of pregnancy is less
User :   today night she has to take the 21st(last pill) for this cycle
Doctor :   ok. when was the unprotected intercourse? how long back?
User :   which will again resume on monday(8th day)
Doctor :   I -pill can be taken within 72 hours of unprotected intercourse.
User :   today morn arond 5
User :   am
Doctor :   ok, so she can take her last pill today and take the I-pill tommorrow
Doctor :   around 6 Am
Doctor :   wait for her periods and start with next treatment cycle.
User :   any side effects of ipill.
User :   when we plan our baby after sm time
Doctor :   if you do not want to have a baby now, she can be put on birth control measures
Doctor :   no, usually effects wear off in 5-7 days so there wil not be any problems anytime few months down
User :   ok...
Doctor :   if she plans to get pregnant anytime, her regular treatment needs to be changed to
Doctor :   insulin modifiers and ovulation inducers to help her get proper egg release from ovaries
Doctor :   discuss about the pregnancy plans with her doctor when you are ready for the baby
User :   but if her period gets delayed from monday... should she take krimson 35 from monday..
Doctor :   it should not get delayed more than the scheduled time
Doctor :   if it does get delayed, then wait for periods to happen
Doctor :   and start with next pack after consulting her doctor
User :   so when she shud tak Krimson
Doctor :   after she gets her periods
User :   on which day
Doctor :   it can be on anyday after she gets her periods, but not delayed more than 10 days after her last pill of Krimson
Doctor :   if the periods are delayed more than 10 days
Doctor :   then she should report to her gynecologist.
User :   ok... if her periods do get delayed by 10 days is there a chance for her to concieve....even after taking ipill
Doctor :   no, it may not be conception, since she is on Krimson, but more due to hormonal disturbance after taking the I-pill
User :   so she can go ahead with ipill tomorroe
User :   ?
Doctor :   yes she can
User :   as krimson 35 is also a contraceptive pill can she avoid taking ipill
Doctor :   no, Krimson has very low doses of estrogen component, it may not give contraceptive protection
Doctor :   and it should not be used for contraception purpose, it will have a very hight failure rate
Doctor :   so to avoid pregnancy, I -pill should be taken within 72 hours of unprotected intercourse even if on Krimson
User :   have heard that after taking ipill ppl may get heavy bleeidng .. or vomit sensation
Doctor :   yes, they do tend to get these symptoms along with headaches and worsening of migraines due to the high hormonal content of the I-pill.
User :   ok..but that shd be fine ...
User :   ?
Doctor :   if she does get these symptoms, and these do not get controlled, then it is not fine
Doctor :   she will need medical attention .
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