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Delayed periods and lower abdominal pain after i pill use - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Menstruation and Miscarriage
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1777 Questions
User :   if delay in period after i pill what can we do
Doctor :   Hi
Doctor :   May I know your age?
User :   27
Doctor :   Do you mean that you have delayed period after you took I pill?
User :   yes my wife took i pill
Doctor :   May I know if her previous menstrual cycles were normal?
User :   yes
User :   it is noral
User :   normal
Doctor :   Ok
Doctor :   May I know when was her menstrual period?
User :   last mont its start on 12 nov & finish on 15th
Doctor :   Ok
Doctor :   Did your wife take the pill within 72hours following unprotected sexual intercourse?
Doctor :   Does she have any medical illness such as diabetes, thyroid problems?
User :   not any problem
Doctor :   Did your wife take the pill within 72hours following unprotected sexual intercourse?
User :   yes witn in 1 hour
Doctor :   Ok
User :   she is also feeling pain
Doctor :   You mean back pain?
User :   no lower pain
Doctor :   Is she have having breast enlargement, soreness, vomiting sensation or vomiting?
User :   no
Doctor :   Ok
Doctor :   Let me brief you.
Doctor :   Delayed period can occur due to multiple reasons that includes stress, nutrition, infection, hormonal, uterine, ovarian causes.
Doctor :   Based on your description, the possibilities are
Doctor :   1. Pregnancy - Get a urine pregnancy test done(the possibilties are very unlikely though)
Doctor :   2. Since your wife complains of lower abdominal/pelvic pain, there are chances that she may have an infection too.
Doctor :   This again can cause delayed periods, hence if her pain is severe, or if she develop discharge, problem while passing urine, you need to see a doctor-gynecologist
Doctor :   3. I pill itself is a hormonal pill. menstruation disturbances are one of the side effects of this drug.
Doctor :   hence the 3rd possible reason for the delayed period is the pill.
User :   i have do a urine test at home on 16 of this month it was negative
Doctor :   4. Apart from this, stress factors and lack of proper nutrition are also responsible.
Doctor :   Urine pregnancy test can show false reports, especially when one has taken a hormonal pill.
Doctor :   hence a confirmatory test after a week(in case the menstruation doesn't return) is necessary to confirm or rule out pregnancy.
Doctor :   Hence the measures you need to follow are
Doctor :   1. If the pain is severe, or if there is/develops fever, discharge, problems passing urine, then you need to report to a gynaecologist for evaluation
Doctor :   2. Repeat urine pregnancy test after a week to make sure itsn't pregnancy.
User :   if we dont want to continue pregnancy
Doctor :   3. Drink plenty of fluids, good nutrition in the form of plenty of vegetables and fruits are necessary.
User :   what can we do
Doctor :   If pregnancy is confirmed, and you want to discontinue pregnancy, then the option of medical termination(abortion) is available..
Doctor :   However a confirmation of intrauterine pregnancy using an ultrasound scan is a must before opting for abortion.
Doctor :   So, if pregnancy test come positive, you need to consult a gynecologist for abortion(MTP).
User :   any medicine will not discontinue pregnany
Doctor :   Yes, there are medicines available.
Doctor :   But that can be given only after ultrasound confirmation of pregnancy.
Doctor :   Hence see a doctor-gynecologist if the pregnancy test comes positive.
Doctor :   She/he will get the ultrasound test, prescribe you the abortion pills and guide you through the procedure safely.
Doctor :   Have you followed what i have suggested?
User :   if my ultrasond reports are negative then what is the reason of delay in period
Doctor :   If ultrasound scan is negative, then its not pregnancy for sure.
Doctor :   Its probably one of the other causes that i mentioned earlier.
Doctor :   Have you followed what i have suggested?
User :   yes
Doctor :   Do you have any other query?
User :   ya
Doctor :   Proceed.
User :   how much time is maximum delay in period after i pill
Doctor :   No fixed time period is known.
Doctor :   Since there can be multiple other reasons contributing to the condition,
Doctor :   I cannot predict the time this delay is expected.
Doctor :   Have you followed what i suggested?
Doctor :   I pill can induce menstrual irregularities that can last for next 2-3 months.
Doctor :   they settle down after that.
Doctor :   hence you need not concern.
Doctor :   Rule out the most important causes, that is pregnancy and infection.
Doctor :   if itsn't one of these causes, then it should be fine in her next subsequent cycles.
Doctor :   Have you followed what I have suggested?
Doctor :   Do you have any other query?
Doctor :   Are you there?
Doctor :   Are you there?
Doctor :   Are you there?
User :   ya
User :   what can we do best to discontinue pregnancy now
Doctor :   Since pregnancy is not confirmed, i would suggest you not to think of abortion now.
Doctor :   There are fair chances that her present symptoms may not be due to pregnancy at all.
Doctor :   Hence don't worry.
Doctor :   Get the pregnancy test first after a week(if her symptoms are persisting) and get an ultrasound test, if
Doctor :   the pregnancy test come positive.
Doctor :   Have you followed?
User :   the pregnancy test come positive then what is the best way to discontinue pregnancy
Doctor :   The best considering your wife's health and fertility is to get an ultrasound scan and opt for abortion under safe guidance.
Doctor :   Abortion can lead to life threatening complications and can lead to infertility when performed illegally without professional help.
Doctor :   Have you followed?
User :   medicine is not a good way for discontinue
Doctor :   The options/methods available for abortion depend on the ultrasound scan/
Doctor :   and yes, medical drugs given orally or placed pervaginally are effective during abortion.
Doctor :   Again, they can attempted if the pregnancy is an intrauterine one.
Doctor :   Ectopic pregnancy are handled surgically.
Doctor :   Have you followed?
User :   ok thank & good bye
Doctor :   Thanks for consulting me.
Doctor :   Bye for now.
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