Patient :Hi there, my last period started on the 5th of march, I have a relatively stable cycle so would be expecting my next one on the 4th or 5th of April. However on 12th my boyfriend and I had unprotected sex, I took the morning after pill on the 13th and began to bleed lightly (brownish colour) on the 18th . This then developed to a very very heavy bleeding on the 19th for the day that was very red and heavier than any of my previous periods ever. It is now the 27 and I have has the very light bleeding (brown colour) primarily only see it when wiping but a lil on the undies also, each day since the 18th (apart from the day of very heavy bleeding. My periods usually only last around 4 days and aren't very heavy, so given that I am still not due for another 9 days, have been bleeding for around 10 days lightly and had one day of unusually heavy bleeding, what do you think could be going on? Thanks , (25yrs old)
Thank you for asking this question on ATD.
Please note that in otherwise uncomplicated and normal individuals, some spotting within normal limits after a few days of morning-after-pill intake. These emergency pills are hormonal in nature and the unscheduled vaginal bleeding is because of changes in hormone levels in the blood. This kind of bleeding (spotting, in most cases) usually stops on its own after some time and no treatment is usually required.
However, in ladies who habitually use ECPs (Emergency Contraceptive Pills), the hormonal environment in the blood gets utterly deranged and unwarranted bleeding pattern is observed. Make sure, you have not used these pills in other occasions before. In case you did, this bleeding may probably because of that also. There are yet other causes of unscheduled bleeding that includes ovarian and uterine causes and hence it will be wise for you to have yourself examined by a gynecologist to rule out other related medical problems. Please discuss your concerns and give a thorough menstrual and medical history to the doctor for a proper diagnosis, and seek treatment specific to your circumstances.
Please go for another suitable contraceptive method to prevent recurrence of similar episodes, after discussing with your doctor.
Hope this helps, Alice!
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