This emergency contraceptive contains hormones that can temporarily alter your wife's menstrual cycle, causing her period to be lighter, heavier, early, or delayed. While spotting is typical, we cannot completely rule out pregnancy based on symptoms alone. To give you both peace of mind, I recommend she take a home pregnancy test if her expected period is delayed by more than a week, or three weeks after taking the pill.

Yes, the i-Pill (Levonorgestrel) your girlfriend took at 9:00 AM will most likely still provide protection against the second incident that occurred later the same day. Levonorgestrel works by delaying or preventing ovulation (the release of an egg from the ovary) and its effects usually continue for at least 24 hours after taking it. Because of this, another i-Pill is generally not needed for intercourse that occurs on the same day after the tablet has been taken. However, emergency contraceptive pills are not 100 percent effective, especially if ovulation has already begun. If her next period is delayed by more than a week, she should take a pregnancy test. Taking two i-Pills on the same day is generally not harmful, but it may increase the risk of side effects such as nausea, vomiting, dizziness, breast tenderness, tiredness, abdominal pain, or irregular bleeding. It may also temporarily disturb her menstrual cycle. For better protection in the future, continue using condoms carefully and consider a regular contraceptive method if needed.

Taking the i-pill (levonorgestrel) will not cause any long-term health effects for you or your baby. It is common to experience a temporary drop in breast milk supply, but this typically recovers within 2 to 3 days as the hormone clears your system. To help rebuild your supply, try nursing more frequently, pumping after feeds, and staying well-hydrated.

The risk of pregnancy from non-penetrative genital contact is extremely low. Emergency contraception, like levonorgestrel or ulipristal acetate, is generally not needed unless semen was directly spilled near the vaginal opening. However, if you feel anxious, taking it within 72 to 120 hours can offer peace of mind. If pregnancy does occur and is detected early (around 4 to 5 weeks), a highly safe and effective non-surgical option is medical abortion. This typically involves taking two generic medications, mifepristone followed by misoprostol, under a healthcare provider's guidance. Please consult a doctor for personalized care.

Irregular or prolonged bleeding is a very common side effect after taking emergency contraception like the i-pill (levonorgestrel). The hormones can temporarily disrupt your cycle, sometimes causing bleeding that lasts for a week. Usually, this resolves on its own. However, you should seek medical evaluation if the bleeding becomes very heavy (soaking a pad or tampon every hour), is accompanied by severe abdominal pain, dizziness, or if it continues beyond a week without slowing down.

It is safe to take the emergency contraceptive I Pill (levonorgestrel) while you are taking Glyciphage SR 500 (metformin) and folic acid for PCOS. There are no known harmful interactions between these medications. For the best effectiveness, try to take the emergency pill as soon as possible, ideally within 72 hours of unprotected intercourse. Given your last period was July 10th, the emergency pill might cause your next period to be slightly early or delayed, which is a normal side effect. If your period is delayed by more than a week, please take a home pregnancy test and consult your gynecologist.