This month I had intercourse with my fiancé while
Patient :This month I had intercourse with my fiancé while on my second pack of birth control (28 pills - Aviane). It was the 2nd day of the pills. That same day I ended up having drinks with friends, and I took my pill at the same time 4pm like I always do. I did not start drinking till 7 pm and ended up vomiting at 10pm. ( 6 hours after taking the pill). At 12 am that same day I had sexual intercourse. We did not use a condom however he pulled out. It has been two and a half weeks since this incident and I'm almost done with my active red pills and on my third to last active pill I have noticed dark brown discharge. Its not a lot but I have cramping with it since the first day I started this spotting. I still have 2 more active pills left. Should I be concerned with pregnancy since I had puked 6 hours after taking the pill and not using a condom, and if not when should I expect to receive my withdrawal bleeding? As a side note, the first month while on birth control I had brown discharge a few days prior to receiving my withdrawal, however the bleeding showed up on my last active pill. I did not start taking these pills on a first Sunday, but started taking them 10 days after getting my period. Your response is appreciated.
Thank you for your query at AskTheDoctor.com
I understand your concern.
Firstly there is minimal chance of pregnancy from the exposure you had since your partner pulled out. Also, even though you puked the drug was there for 6 hours and the hormonal variations would have occurred by then. Moreover, you were consistent with the drugs after that.
So, there is no risk of pregnancy here.
You should finish your active pills and expect the withdrawal bleed in a weeks time following that. It can come earlier but definitely not later. Also, I will appreciate if you sit with your gynaecologist and fix on a specific timing and the number of days you are supposed to take the pill.
Hope this was helpful,
Feel free to discuss further,
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