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Irregularities in the periods after I pill - 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 : 2005
Answered : 2585 Questions
Doctor :   hi
Doctor :   How can I help you?
Doctor :   Dr. XXXXXXXX here
Doctor :   please proceed with your health query
User :   my gf had ipill, afeter 3-4 days she had period , again afetr 4-5 days she had taken ipill
User :   now she is waiting for the period
Doctor :   ok
Doctor :   how long after the unprotected intercourse did she took the I-pill?
Doctor :   when was her last menstrual period? are her periods regular?
User :   she is waiting for 10 days after her due date of period
User :   i never ejaculate inside
User :   also her body has no sign od anything
User :   her last period ends on 13 july
Doctor :   ok. when did she took the first I-pill? i mean to ask after how many days of her last period?
User :   i am not sure
Doctor :   and when was the repeat pill taken? please provides dates .
Doctor :   when was her last menstrual period? are her periods regular?
User :   but after 6 days i think
User :   initially she took then had aperiod
Doctor :   if she is already 10 days overdue from her expected date of periods, then it could either be due to hormonal disturbances due to the repeated pill use, or it could be due to pregnancy.
User :   and then after 6 she took again
Doctor :   she should consider getting an examintaion done by a gynecologiust
Doctor :   to look for the underlying cause for her absent periods
User :   but her body is showing no sign
Doctor :   it will need a careful examination, blood and urine tests along with ultrasound scan to see what is going on
User :   of anything
Doctor :   it is not necessary that all women sould feel the pregnancy changes
Doctor :   some women feel it soon after a fruitful intercourse
User :   what u suggest
User :   to do
Doctor :   and some women do not feel at all
Doctor :   since her periods are already 10 days late, I would not recommend any further delay
Doctor :   she should consider getting an examination done by a gynecologist
User :   she took first time any type of pill
User :   after taking ipill
User :   what is the maximum time , the period may delay
Doctor :   please confirm the names of the pills taken by her
User :   iPill
Doctor :   if she has had regular periods before, then it should not delay for more than 10 days (in case she is not pregnant) , a delay of 10 days or more suggests possibility of pregnancy
User :   before she had regular period
Doctor :   what was the time gap between the unprotected intercourse and her pill intake?
User :   before
User :   i never ejaculate inside her
User :   is precum do any effect
Doctor :   even if you do not ejaculate inside her, if she is in her fertile period, when egg is released from ovary, even 'pre-cum' (lubrication fluid from you) can get her pregnant since it is known to contain sperms
Doctor :   hence I asked her last menstrual period dates and teh other dates
Doctor :   to confirm what could have gone wrong
User :   she took ipill two times in a short apan
User :   span
User :   took ipill , after that she had a normal period
User :   again took ipill after 1 week
Doctor :   i can understand that, it would help if you could tell her last periods dates, dates of unprotected intercourse and the time gap between the intercourse and intake of the pills.
User :   i was remain with her last month
User :   only few time s i put inside
User :   but never ejaculate
User :   i always ejaculate outside
Doctor :   as I said earleir: even if you do not ejaculate inside her, if she is in her fertile period, when egg is released from ovary, even 'pre-cum' (lubrication fluid from you) can get her pregnant since it is known to contain sperms
User :   what the excess ipill do in this case
User :   what u suggest i do now
Doctor :   and withdrawal method/pull out method of contraception is associated with highest failure rates
User :   as my social conditions are very adverse for both of us
Doctor :   take her for an examination by a gynecologist and tests to confirm her pregnancy and look for other causes for her absent periods if she is not found to be pregnant
User :   i am planning for that
User :   are preg strip are reliable
Doctor :   not, they are not reliable all the time..they can show 'false negative' results during early pregnancy
User :   if she is not pregnant what will happen next
Doctor :   false negative means that they can show negative results even though she is pregnant
User :   if she is preg what will happen next
Doctor :   if she is not found to be pregnant, other investigations would be necessary to look for causes for her absent periods.
Doctor :   and if she is not pregnant, and the treatment is done to get her periods back
Doctor :   and you decide to be sexually active, consider putting her on birth control measures
Doctor :   to avoid future pregnancy
User :   to get her periods back , medical consultation is necessary
Doctor :   yse it is necessary, as we cannot say what could be wrong
Doctor :   she needs examination, blood test, urine tests and ultrasound scan to be done
Doctor :   to see what is going on
User :   ok
Doctor :   the tests done will confirm if there is pregnancy or some other cause due to hormonal disturbance after pill use or any ovarian cause.
User :   i am planning for the examination,are there any easy home abortion methods
User :   she is very tense
Doctor :   depending on the test results, treatment and further course of action can be decided
Doctor :   do not let her self medicate herself anymore, she has already taken high dose contraceptives twice
Doctor :   consult a gynecologist , who, after examination will decide what should be done.
User :   what are the side effects of taking ipill two times as in aour case
Doctor :   if found pregnant and going ahead with abortion, she will need to be under supervision to avoid complications that could be dangerous for her life
User :   upto what time ab... is safe
Doctor :   the side effects include hormonal imbalance, bleeding pattern change, change in ovulation, etc
Doctor :   it depends on medical condition of patient
User :   she is 25 year old
Doctor :   it can be done upto 20 weeks of gestation, under constant supervision of gynecologist
User :   what is gestation
Doctor :   pregnancy age=gestation
User :   how much time we have now
Doctor :   do you mean to ask 'how much time you have for getting abortion done?' or "how much time you have for continuing teh discussion?
User :   no
User :   how many weeks i ahave , that ab is safe
Doctor :   the earlier the better as the complications keep on rising as time goes by
User :   what are the methods , u prefer , as i knows nothing about that
Doctor :   as I said, the methods and decision for abortion depends on the examination a nd test results
User :   i should go to gyne.
Doctor :   first let it confirmed if she is pregnant or not
Doctor :   which is possible after examination by gynecologist and tests
User :   preg strip is how much reliable
User :   is it can bluf also
Doctor :   they are not reliable all the time..they can show 'false negative' results during early pregnancy, blood test sand ultrasound scan are the most reliable and give accurate results
Doctor :   * blood tests and
User :   if i go to gyne it will should accurete result
User :   now
User :   how much time is left , i can talk to u
Doctor :   your discussion with me started at 8:38 am, so from there you have 45 minutes, so about 10 minutes more should be there.
User :   now at this time the doctor and there test only say the truth
Doctor :   yes.
User :   ok sir
User :   thanks a lot
User :   i am closing this discussion
User :   thx for ur kindness
Doctor :   is there anything else I can help you with?
User :   can i have ur phone no
Doctor :   I am available for online discussion from 8 am - 4pm IST. you can log in anytime to continue this discussion
User :   any hospital in xxxxx ,which is good enough
Doctor :   please give me a moment while i search f or your information
User :   how cud i get u next time
Doctor :   you can log into 'live chat' and ask for Dr. xxxx
User :   ok
Doctor :   WWW.WWWW.WW
Doctor :   visit this link to locate hospitals in xxx
Doctor :   is there anything else I can help you with?
User :   thnx
Doctor :   thanks for consulting me. bye for now.
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