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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is The Contraceptive Pill Causing Lactation?

Hello. I m a 22 years old female. 7 weeks ago I was having protected sex (using a male condom) when the condom slipped and got stuck inside me. It took me 3 hours until I figure out how to get it out and I did. The intercourse was only 3 days after the end of my previous period and when we noticed the condom had slipped we didn t go through with the intercourse and there was no ejaculation. Just to be safe, however, I decided to take the emergency contraceptive pill (Contraplan II: levonorgestrel is the active ingredient). This was my second time ever taking this pill - the first time I took it was 2 months before that. 5 days after taking the pill I experience heavy vaginal bleeding for 4 days. There was protected sex after that incident. My period was 9 days later (counting from the period preceding it, not the bleeding after the pill) but I did get the period after all. 2 days before I got the period, when I started having a pregnancy scare, I took a quantitative blood test and it was negative. It is now 2 weeks since that period. 2 days ago I started experiencing lower abdominal pain (that is normal though in my case because I have IBS). My back sometimes hurts and so do my shoulders. The symptom that got me worried is that my left breast started hurting around the nipple and I noticed very light lactation yesterday. Light in the sense that a) It is not milky, but it is not clear either, and b) the quantity is little, I actually have to squeeze the nipple for the discharge to come out and when it does, it is barely a drop. I went to see a gynecologist today. She ordered a blood test to test the prolactin level. I asked for an ultrasound to check for an ectopic pregnancy. She conducted it and said there was no ectopic pregnancy. She told me that my ovary was very active though. I am yet to do the blood test and the urine test she asked for. I just want to check that this means I definitely do not have an ectopic pregnancy. And if not, what can the reason behind the lactation be? Is it related to the contraceptive pill at all? Thank you.
Tue, 29 Jan 2019
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General Surgeon 's  Response
Hello,

It is not related to contraceptive pills. Lactation is induced by hormones like prolactin while contraceptive pills contain estrogen and progesterone.

Consult an endocrinologist and get evaluated.

Hope I have answered your query. Let me know if I can assist you further.

Wishing you all the best.

Regards,
Dr. Shinas Hussain, General & Family Physician
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Is The Contraceptive Pill Causing Lactation?

Hello, It is not related to contraceptive pills. Lactation is induced by hormones like prolactin while contraceptive pills contain estrogen and progesterone. Consult an endocrinologist and get evaluated. Hope I have answered your query. Let me know if I can assist you further. Wishing you all the best. Regards, Dr. Shinas Hussain, General & Family Physician