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Taken I-pill on the second day of my period. Are there any chances to get pregnant?

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Taken I-pill on the second day of my period. Are there any chances to get pregnant?

The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Answered by

Dr. Sameer Kumar

Medically reviewed by

iCliniq medical review team

Published At September 1, 2018
Reviewed AtNovember 29, 2023

Patient's Query

Hi doctor,

I had unprotected sexual intercourse on the day one of my period. The penis was rubbed against my vagina. But we have not done penetration. I was worried due to precum. So, I took an I-pill on the day second of my period within 13 hours. Should I be worried? When should I expect my next period since I took the pill on day second of my period? I have my cycle for 24 to 26 days. Should I expect withdrawal bleeding in this case? And what can I do to get my regular periods? Are there any chances of getting pregnant?

Answered by Dr. Sameer Kumar

Hi,

I am glad you chose icliniq for your medical-related queries.

I understand your concern and will try to help you with it.

As you have taken I-pill early on the day second of your cycle, you may or may not get a withdrawal bleeding. The chances of pregnancy are minimal as you are in your safer period with regular cycles. If you do not have a withdrawal bleeding, then get a serum beta hCG test done after eight days, to rule out pregnancy. If it is negative, wait for your menses, which may be delayed this time.

Thank you.

I appreciate your trust in icliniq.com and for giving me the chance to serve you.

Our goal is to prioritize your health and help you according to your preferences and needs.

Patient's Query

Hi doctor,

Thank you for the reply.

Today is the sixth day of my period, and I am getting bleeding in less amount than a regular period. I have not got the bleed for a long time. Is the bleeding due to I-pill? I also feel a little tired and sleepy. Is there anything to be worried?

Answered by Dr. Sameer Kumar

Hi,

Welcome back to icliniq.com.

I do understand your concern.

Thanks for asking again.

As you took I-pill on the day second of your menses. So the progesterone withdrawal will be started by day 4, as I-pill is a high dose of progesterone which causes bleeding until the effect of high dose progesterone exposure wears off in next 36 to 48 hours. The withdrawal bleeding can be added to the normal endometrial shedding, and hence the bleeding can be prolonged. But when the flow is reduced, and not changing more than two to three pads a day, the bleeding can stop in the next two to three days.

The tiredness, weakness, and sleepiness is due to the progesterone effect of I-pill, which can cause bloating, often constipation, mild nausea, and heaviness in the head (common progestogenic symptoms). These can be alleviated or controlled by increasing your daily water intake to four to five quarts a day and keeping yourself well hydrated. The most common side effect of I-pill is the irregularity in one or two menstrual cycles and can often be heavy. So, it is advised to stop taking I-pill for the next three months. Practice barrier contraception or switch to low dose oral contraceptive pills for the next three months.

Regards.

Once more, thank you for allowing us to be of service to you.

We value the high level of confidence you have in us!

Patient's Query

Hi doctor,

Thank you for the reply.

I had the sexual act again. Still, I am having bleeding. Is there any chance of pregnancy after this? I would like to know what can I do to get my periods on time the next month? What can I do to get a balanced cycle? Is there anything to worry? Is this a withdrawal bleeding? I am getting it now.

Answered by Dr. Sameer Kumar

Hi,

Welcome back to icliniq.com.

It is the withdrawal bleed which has got combined with your menses. There is no way to get regular periods for the next cycles naturally. I advise you eat healthily and drink plenty of water and keep yourself distressed. However, you can take low dose oral contraceptive pills for a month or two. The day when you stop your pack, the next three to five days, you will get your menses. Pregnancy is unlikely to happen. The flow will end up naturally in the next few days.

Regards.

Once more, thank you for allowing us to be of service to you.

We value the high level of confidence you have in us!

Patient's Query

Hi doctor,

Thank you for the reply.

Even today I had a little bit of bleeding, and the bleeding was light brownish. I am drinking lots of water as suggested by you. For how many days will I have this bleeding?

Answered by Dr. Sameer Kumar

Hi,

Welcome back to icliniq.com.

The bleeding generally lasts for four to five days. If the bleeding has reduced to spotting and with light brown discharge, it will stop in next one to two days. You have to be patient. I would like you to be relaxed. When taken I-pill, this pattern of bleeding is expected in the early proliferative phase of the cycle where the endometrium is shed and rebuilds. This process is delayed by three to four days. You can expect your bleeding pattern accordingly.

Patient's Query

Thank you doctor,

My bleeding stopped yesterday. But there is some white discharge. Sometimes I get them usually. My sleepiness feeling has also gone. Is this kind of discharge normal?

Answered by Dr. Sameer Kumar

Hi,

Welcome back to icliniq.com.

It is good to hear that your bleeding has stopped. It is a normal cervical discharge in response to the growing estradiol levels during the proliferative phase. The discharge may be in a thin homogenous type. It is seen in the midcycle of preovulation for two to three days. It is normal physiology.

Patient's Query

Hello doctor , today is the 14th day of my cycle and as earlier mentioned I took ipill on day 2 ...today I have got some white spotting ..is this normal ?
Answered by Dr. Sameer Kumar
Hello, The white discharge or spotting by day 14 ,the mid cycle spotting which is non itchy and non foul smelling is cervical mucous which is physiological ,indicating yourself nearing ovulation time. It is not a post ipill effect. So , in short this is normal to experience in mid cycle. The only possible side effect post ipill intake that you may experience is possibly delayed next menses by 7 to 10 days and may be heavier than normal. However ,the pattern may vary from women to women. Hope you are practicing barrier contraception this cycle? Regards.

Patient's Query

Yes doctor . The discharge is creamy in texture and sticky ..it's not clear in colour and not stretchy and it has caused milk white coloured spotting .. I hope this is normal ..
Answered by Dr. Sameer Kumar
Hello, Yes, that is normal for mid cycle. This may last for 2to 3 days hence and once you ovulate this shall decrease when natural progesterones shall rise in second half of cycle. No itch and no smell rules out any vaginal infection. You may use plain water alone or an alkaline vaginal wash like Vwash to clean yourself. Do not use any soap locally in or around vagina. That actually causes a change in vaginal flora and can increase discharge hence soaps should be avoided completely and preferably plain water washes are recommended. Regards

Patient's Query

Hello doctor , today is the 17th day of my cycle...I generally have two muffins in the morning since I have to go to work and then have lunch at 1 ...at around 9 am I often feel discomfort in the stomach and salivate more ...and gurgling sound in stomach ..since last half a month or so this is more often ..is this any side effect of ipill ? And if I google any of the symptoms it's showing related to pregnancy morning sickness which gets me worried all the more .. please help
Answered by Dr. Sameer Kumar
Hello Rn, The symptoms of bloating and gurgling that you are experience during afternoon usually indicates dyspepsia and often seen due to delayed gastric emptying which is a side effect of progesterone withdrawal, but usually seen after 3-4 th day post intake and not after so many days. MR. GOOGLE, has been misguiding most of young women, for every vomiting and bloating according to GOOGLE SIR is due to pregnancy. So request , not to get worried on that part. however, if you wish to have a documentary proof which is conclusive then you may get a serum beta hcg test done. If the hcg levels are less than 3mIU then you are conclusively not pregnant. This is the gold standard. The symptoms you experiencing are those of dyspepsia and something called hunger pangs , where salivation is common with sudden onset cramps especially in epigastrium. Please offer yourself small in-between snacks post your muffin breakfast. By the way, Muffin alone is not a healthy breakfast. You must incorporate milk with cereals in it for a complete meal. And as i always mentioned, please keep your daily water intake high, this would help you tide over most of progestogenic side effects this cycle. I hope the white discharge must have gone by now. The blood test is just to put your anxiety to rest finally with respect to pregnancy. If not a blood test , you can opt for a home pregnancy test with a HPT KIT. Regards

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Sameer Kumar
Dr. Sameer Kumar

Obstetrics and Gynecology

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