It is very common to experience irregular vaginal bleeding or spotting after taking emergency contraception. However, because of your history of an ectopic pregnancy and unilateral salpingo-oophorectomy, it is highly recommended to consult a healthcare provider, even with a negative pregnancy test. A professional evaluation ensures everything is safe and rules out any complications, as early pregnancy tests can sometimes be inconclusive. Please reach out to your gynecologist or a local clinic for a quick check-up to give you peace of mind.

For emergency contraception, the standard dosage is typically a single tablet of levonorgestrel (1.5 mg) within 72 hours, or ulipristal acetate (30 mg) within 120 hours of unprotected sex. Experiencing no side effects or immediate withdrawal bleeding is very common and does not mean the medication failed. Since PCOS naturally causes irregular menstrual cycles, tracking a missed period can be difficult. To ease your mind, I highly recommend taking a home pregnancy test three weeks after taking the pill.

Because emergency contraception works by delaying ovulation, it does not protect you from pregnancy during unprotected sex that happens after you have already taken the medication. Therefore, there is still a risk of pregnancy. Since taking multiple doses of emergency contraception in a short time can disrupt your cycle, it is best to consult your healthcare provider or pharmacist to see if another dose of levonorgestrel is safe for you right now. I also highly recommend taking a pregnancy test in 21 days for peace of mind. We are here to support you.

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Having anemia does not usually prevent the use of an i-Pill (emergency contraceptive tablet). It is generally considered safe for most women, including those with mild or moderate anemia. However, if you have severe anemia, other medical conditions, or are taking other medications, it is important to consult a doctor before use. Emergency contraceptives are intended for occasional use and not as a regular birth control method.

It is very common to experience a delayed period and changes in vaginal discharge, like a white discharge, after taking the i-pill (levonorgestrel). This emergency contraceptive contains hormones that temporarily disrupt your normal menstrual cycle, which often causes these exact symptoms. While these are typical side effects and not necessarily a sign of pregnancy, the only way to be completely sure is to take a home pregnancy test if your period is delayed by more than a week.