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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Vaginal Bleeding After Taking Contraceptive Pill Followed By Intercourse?

I had unprotected sex during which he ejaculated in me. I took a emergency contraception pill within 12 hrs. I had my periods on 28/08-1/09/14. I had intercourse on 3rd. I have been bleeding since 10th. Bleeding was regular as it is during periods. I am worried if am pregnant. What is the reason for bleeding. Or was it periods itself. M very worried. Please help.
Mon, 25 Jul 2016
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General & Family Physician 's  Response
Hello dear Understand your concern
Chance of pregnancy is less you took Emergency contraceptive pill with in 12 hour after the sex. It is effective in preventing the pregnancy up to 95-97 percent. Also you did sex in infertile phase of cycle, at this time ovum is not released so less chance of pregnancy.
Bleeding is due to hormonal imbalance because Emergency contraception pill contain high progesterone level. First it support the endometrium but bleeding generally occur 6-7 days after taking contraception pill due to progesterone withdrawal effect.
Do not worry it is common problem and bleeding will disappear in 3-4 days.
If bleeding will not stop, following cause should be rule out by consulting the gynaecologist:

Endometrial dysplasia or cancer: endometrial biopsy is needed.
Cervical polyp and dysplasia: PAP smear and vaginal examination
Vaginal infections: diagnosed by swab test.

So wait for few days, its definitely stops and it continues then consult the gynaecologist to diagnose above cause:

Hope this will help you
Best regards
Dr. Sagar
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What Causes Vaginal Bleeding After Taking Contraceptive Pill Followed By Intercourse?

Hello dear Understand your concern Chance of pregnancy is less you took Emergency contraceptive pill with in 12 hour after the sex. It is effective in preventing the pregnancy up to 95-97 percent. Also you did sex in infertile phase of cycle, at this time ovum is not released so less chance of pregnancy. Bleeding is due to hormonal imbalance because Emergency contraception pill contain high progesterone level. First it support the endometrium but bleeding generally occur 6-7 days after taking contraception pill due to progesterone withdrawal effect. Do not worry it is common problem and bleeding will disappear in 3-4 days. If bleeding will not stop, following cause should be rule out by consulting the gynaecologist: Endometrial dysplasia or cancer: endometrial biopsy is needed. Cervical polyp and dysplasia: PAP smear and vaginal examination Vaginal infections: diagnosed by swab test. So wait for few days, its definitely stops and it continues then consult the gynaecologist to diagnose above cause: Hope this will help you Best regards Dr. Sagar