Emergency contraceptive pills, like the i-pill (levonorgestrel), work by delaying ovulation to prevent pregnancy and must be taken within 72 hours after unprotected intercourse. If you have already missed your period, the i-pill will not be effective, as it cannot terminate an established pregnancy. Please rest assured that it will not cause harm if you are pregnant. Your best next step is to take a home pregnancy test or visit your healthcare provider for a blood test and supportive guidance.

A positive pregnancy test four months after a medical abortion indicates a new pregnancy, as pregnancy hormones from the previous one would have cleared within a few weeks. Taking the emergency contraceptive pill (i-pill) does not make having another medical abortion unsafe. While undergoing another medical abortion is safe under proper medical guidance, it is very important to consult a healthcare provider first. They will perform an ultrasound to confirm the pregnancy's location and duration to ensure you receive the safest care. Please visit a doctor soon to discuss your options.

It is very common for your cycle to be temporarily disrupted after these medications. Norethisterone (Primolut N) typically causes withdrawal bleeding within a few days, but taking an emergency contraceptive pill introduces a high dose of hormones that can further delay this. Since it has been six days, your first step should be to take a home pregnancy test to rule out pregnancy. If the test is negative, please give your body another week to adjust. If your bleeding still has not started by then, or if you experience any severe pain, it is best to consult your doctor for a gentle evaluation.

The i-pill (levonorgestrel) is highly effective at preventing pregnancy if taken within 72 hours of unprotected sex, but its effectiveness decreases over time. It is designed only for emergencies and is not recommended for monthly use, as frequent use can disrupt your menstrual cycle. For regular protection, daily contraceptive pills, implants, or IUDs are much safer and more reliable. Lastly, yes, post-coital pills and emergency contraceptive pills are different names for the same medication. I highly recommend discussing regular birth control options with your gynecologist to find what works best for your body.

Pregnancy is still possible, although the risk is generally lower if ejaculation occurs completely outside the vagina. This is because the withdrawal method is not fully reliable, and pre-ejaculate fluid may contain sperm in some cases. Since your period is expected in 7 days, monitor for its arrival. If your period is delayed or you have concerns about pregnancy, take a home pregnancy test after a missed period or consult a healthcare professional. If the unprotected intercourse occurred within the past 5 days and you do not wish to become pregnant, emergency contraception may be an option after discussing it with a healthcare provider.

Since you cannot take the emergency contraceptive pill (like the i-pill you mentioned) due to side effects, another highly effective alternative is having a copper intrauterine device (IUD) inserted by a doctor. This can prevent pregnancy if inserted within 120 hours (5 days) of unprotected sex and is nearly 100% effective. I recommend contacting a healthcare provider or gynecologist today to discuss if a copper IUD is a safe option for you.