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Given that both your blood and urine pregnancy tests were negative one month after intercourse, and you have had normal periods since, you are not pregnant from that encounter. Those tests are highly accurate at that stage. The darkening of your nipples and areolas is likely due to hormonal fluctuations, which are very common with polycystic ovary syndrome (PCOS). I recommend scheduling an appointment with your doctor to discuss your PCOS symptoms and manage your hormone levels.

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.

Yes, taking the i-pill (levonorgestrel) can indeed cause changes to your menstrual cycle, including heavier bleeding and abdominal pain. Because it delivers a high dose of hormones, these side effects are relatively common as your body adjusts. To help manage the discomfort, you can try using a warm compress or taking mild pain relief. However, if your pain becomes extremely severe, or if you are soaking through more than two pads an hour, please consult a healthcare professional to ensure your safety.

Additionally, you took the emergency contraceptive pill (i-pill/levonorgestrel) the next morning, which further protects you. It is very common for emergency contraception to temporarily disrupt your hormonal cycle, which is likely why your period is four days late. This delay is a known side effect of the medication, not a sign of pregnancy. To ease your mind, you can take a simple home pregnancy test in a few days.

While the withdrawal method does carry a notable risk of pregnancy because pre-ejaculate can contain sperm, taking an emergency contraceptive pill (like levonorgestrel) within 24 hours is highly effective. When taken this quickly, it can reduce your risk of pregnancy by up to 95%. The sooner you take it, the better it works. Please consider speaking with a pharmacist or healthcare provider to get the pill as soon as possible and to discuss reliable, ongoing birth control options for the future.