Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
134 Doctors are Online

Took paxil for anxiety disorder. Had unprotected sex. Missing period and feeling tired. Concerned

User rating for this question
Very Good
Answered by
Practicing since : 1989
Answered : 7251 Questions
Hello, I am 32 yo female, 5"8 140 lbs. medical history of anxiety disorder controlled by Paxil. I am one week late on menstrual cycle and have always been very regular. Had incident of unprotected intercouse. Took a few tests at day 3 and 6 of missed period and were negative. Just had annual pap last month and everything was good. Am extremely tired, what other medical conditions could cause this? Thank you in advance.
Posted Tue, 19 Feb 2013 in Early Pregnancy Signs and Symptoms
Answered by Dr. Shanti Vennam 39 minutes later

Thanks for writing to us.

The risk of contracting pregnancy due to the unprotected intercourse you had during the past cycle depends on the timing. If it was around mid-cycle, when there is no contraception and when ovulation usually occurs, then it is risky. Otherwise there is not much to worry.

Urine pregnancy tests may not give a positive result soon after a missed period as they are not so sensitive to read the low levels of beta-hCG. Instead, you can get a blood test done for beta-hCG levels. They start giving a positive result as early as 3 weeks after the missed period and with low levels of the hormone.

You should consult your gynecologist for an evaluation and you may also need a sonogram. If pregnancy is diagnosed, your doctor would decide on continuing the present medications or change them as the situation demands.

If you are still on Paroxetine, the tiredness you are experiencing could be a side-effect of this drug also. In fact, Paroxetine is better stopped when contemplating pregnancy as studies have shown birth defects.

Tiredness may be a part of many conditions; be it anemia, hypoglycemia, early pregnancy, hypothyroidism, infections and so on. Pertaining to your case, it is most likely that you are pregnant.

Hope I have clarified your doubts. If you need any further clarifications, please feel free to ask. I will be happy to help.

Above answer was peer-reviewed by
Share on Facebook
Share on Twitter
Share on Google+
Question is related to
Diseases and Conditions

The user accepted the expert's answer

Ask an OBGYN

© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor