What are the recommended medical evaluations and next steps for a patient presenting with a delayed menstrual period after taking emergency contraception, who has multiple negative pregnancy tests but is experiencing symptoms of nausea, cramping, fatigue, back pain, and shoulder pain?
It is very common for emergency contraception to delay your period and cause temporary side effects like nausea, fatigue, and cramping. While your negative pregnancy tests are reassuring, the combination of cramping, back pain, and especially shoulder pain requires prompt medical evaluation. Shoulder pain can sometimes indicate pelvic irritation or other issues that need to be checked right away. Please visit a doctor or urgent care clinic today for a physical exam, and possibly a blood test or ultrasound.