While the cessation of bleeding and cramping after 16 days is a positive sign that the process is progressing normally, it alone cannot guarantee that the medical abortion was fully successful. To ensure your health and safety, further evaluation is necessary. I highly recommend either taking a home pregnancy test three to four weeks after using the medications or scheduling a follow-up appointment with your healthcare provider for an ultrasound or blood test.

Hello. I understand your concern, but please be reassured. Since you have been consistently taking your daily combined oral contraceptive containing levonorgestrel and ethinylestradiol for 14 days, you are already fully protected against pregnancy. These daily pills become effective after 7 days of consistent use. Therefore, taking an emergency contraceptive pill like Unwanted 72 is not necessary. Taking extra hormones when you are already protected is not needed and might cause minor side effects like nausea or irregular spotting. Just continue taking your daily birth control pills on schedule.

Te risk of pregnancy in this situation is extremely low, virtually close to zero. Sperm are very fragile and do not survive well on dry skin or after being wiped away. Additionally, taking emergency contraception within an hour of the contact is incredibly effective at preventing pregnancy, especially on day eight of the menstrual cycle. You did exactly the right thing by acting quickly. It is very common to feel anxious, but you can be highly reassured by these factors. If the period is delayed by more than a week, a simple home pregnancy test can provide final peace of mind.

While taking Unwanted 72 (levonorgestrel) within two hours of unprotected sex is highly effective, no method is 100% guaranteed. The emergency contraceptive itself can cause side effects like a delayed period, nausea, and abdominal discomfort. However, symptoms like a fever and severe headache are not typical side effects of this medication and need careful evaluation. I gently recommend taking a home pregnancy test since your period is late. Please also consult a healthcare professional promptly to evaluate your fever and other symptoms so you can get the right care and peace of mind.

Daily oral contraceptive pills (containing generic estrogen and progestin) are highly effective, over 99% with consistent daily use, at preventing pregnancy, though they require a daily routine and do not protect against infections. Condoms are about 98% effective with perfect use, have no hormonal side effects, and provide excellent protection against infections. Many couples choose to use both together for maximum peace of mind and protection.

The combination of acne marks, hyperpigmentation, and hirsutism (excess hair) often points to an underlying hormonal imbalance, such as Polycystic Ovary Syndrome (PCOS). I highly recommend visiting a healthcare provider to check your hormone levels. For treatment, generic topical options like azelaic acid, retinoids, or vitamin C can effectively fade dark spots. To address the root hormonal cause and hirsutism, your doctor may suggest oral contraceptives or generic spironolactone.