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What Causes Withdrawal Bleeding After Taking Emergency Contraception Pill?

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Posted on Fri, 24 Jun 2016
Question: Ive tried on the emergency contraception pill on 1st May . Im having my period now and it started on 13th may but its lighter than usual and short than usual . i usually have 7-8 days of bleeding but on my third day which is today its unsually light . could it be the ecp side effect ? . he always has condom on when we have sex . I always had nausea for the first two days of my period . Could i be pregnant ?
doctor
Answered by Dr. Sameer Kumar (52 minutes later)
Brief Answer:
you are not pregant

Detailed Answer:
Hello.
Thanks for the query to HCM,
The bleeding that you are experiencing is a withdrawal bleed following ecp and due to high progesterone effect the bleeding presently is light which is normal to experience. If you would have been pregnant then there would have been no bleeding at all and progesterone pill would have further helped in supporting the pregnancy, so indirectly as you have bled now, you are not pregnant.
Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Sameer Kumar (9 hours later)
Hi again doctor,
May I ask what you meant by "no blooding at all when you have been pregnant"? Because according to all the research I have done, it says that you will still bleed regardless. May I also ask what is the real meaning of implantation bleeding? And the situation that I'm currently at, it could also be due to implantation bleeding right? Also, how long does the side effect on ecp last? Lastly, I'm finding it weird that my bleeding stop today? Is it normal to have that? Hope to get a reply as soon as possible

Thanks!
doctor
Answered by Dr. Sameer Kumar (3 hours later)
Brief Answer:
answered

Detailed Answer:
Hello,
During pregnancy, the progesterone levels tend to increase supporting the pregnancy and as ECP is a high dose progesterone, it would have further added on to the natural progesterone and further supported continuation of pregnancy and not caused any bleeding at all. Bleeding is du to endometrial shedding or due to threatened miscarriage once pregnancy is confirmed.
Implantation bleed occurs in next 4-5 days after the intercourse and not after 2 weeks, so this is not implantation .
Thirdly the bleeding is less because you had a hormonal pill and that does tend to reduce the flow of menses during the withdrawal and this pattern may last for 1-2 cycles , this is a known effect of ecp.
regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Sameer Kumar (2 days later)
Hello again,

I just wanna ask about the brown discharge that I have right now . It used to be dark brown , but then it fades to brown on the 4th-5th day . Is that the side effect of ECP as well ?
doctor
Answered by Dr. Sameer Kumar (2 minutes later)
Brief Answer:
answered

Detailed Answer:
Yes , the discharge is likely to be brownish and then shall reduce itself by 4th-5th day. It is expected in case of ECP intake, so need not worry.
Regards
Note: Revert back with your gynae reports to get a clear medical analysis by our expert Gynecologic Oncologist. Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Sameer Kumar

OB and GYN Specialist

Practicing since :2002

Answered : 1782 Questions

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What Causes Withdrawal Bleeding After Taking Emergency Contraception Pill?

Brief Answer: you are not pregant Detailed Answer: Hello. Thanks for the query to HCM, The bleeding that you are experiencing is a withdrawal bleed following ecp and due to high progesterone effect the bleeding presently is light which is normal to experience. If you would have been pregnant then there would have been no bleeding at all and progesterone pill would have further helped in supporting the pregnancy, so indirectly as you have bled now, you are not pregnant. Regards