While a medical termination using medications like mifepristone and misoprostol is highly effective, having an in-person clinical consultation or a formal medical evaluation is strongly recommended first. A healthcare provider needs to confirm how far along the pregnancy is and ensure it is not ectopic, which is vital for your safety before taking these medications at home. Please contact a trusted local clinic.

Taking the emergency contraceptive pill (i-pill, containing levonorgestrel) within five hours is highly effective at preventing pregnancy from this recent intercourse, especially without ejaculation. However, since she had already missed her period last month, she could potentially be pregnant from an earlier cycle. The emergency pill cannot reverse an existing pregnancy. To give you both peace of mind, I gently suggest she takes a home pregnancy test. If it is negative, her missed period may just be due to hormonal changes or stress.

The i-pill (levonorgestrel) is typically absorbed by your body very quickly, usually within two to three hours. If your diarrhea occurred after this window, the medication has already been fully absorbed and its effectiveness in preventing pregnancy should not be reduced. However, if you experienced severe diarrhea within two hours of taking the pill, its absorption might be affected. In that case, or if you remain highly concerned, it is best to consult a healthcare professional to discuss whether a repeat dose is necessary.

Since there was no penetration and you took the i-pill (levonorgestrel) within 23 hours, the chance of pregnancy is extremely low. The i-pill contains hormones that prevent pregnancy, which commonly causes temporary hormonal fluctuations. This is likely why your period is delayed by two days. A delay of up to a week is very normal after taking emergency contraception. To help ease your mind, you can take a home pregnancy test if your period is delayed by more than a week.

Emergency contraception pills (such as levonorgestrel) only protect against pregnancy from intercourse that occurred before taking the medication. They do not prevent pregnancy from subsequent unprotected intercourse, even the very next day. If subsequent unprotected intercourse occurred, another dose may be needed to ensure protection, depending on the type of pill taken. I highly recommend speaking with a pharmacist or healthcare provider as soon as possible to guide you and your partner on the safest next steps.

Emergency contraceptive pills, such as levonorgestrel, contain hormones that temporarily disrupt your natural cycle. This frequently causes irregular spotting or bleeding shortly after taking the pill, and it can also delay your next period by a few days or even a week. Your body is simply adjusting to the hormones. However, if your next period is delayed by more than a week, I recommend taking a simple home pregnancy test just for your peace of mind.