How to induce period after taking emergency pill

Question #12962

49 days ago

208

How to induce period after taking emergency pill - #12962

Navnil

Hello, I need urgent advice for my girlfriend (teen). Her last normal period was 21 Aug. She had protected sex on 2 Sep and took Unwanted-72 (levonorgestrel) on 4 Sep. She had withdrawal bleeding 9–12 Sep. Since then she has not had a regular period. We did urine pregnancy tests on 29 Sep, 8 Oct, and 17 Oct (all negative). She has occasional mild lower-abdominal cramps and light spotting but no full period. Her weight is 40–45 kg. Please advise: (1) whether pregnancy is fully excluded and (2) if medical treatment is needed now to induce a period, and what you would prescribe and how to take it. She needs a clear e-prescription and instructions for side effects and when to seek emergency help

Age: 19

300 INR (~3.53 USD)

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Dr. Arsha K Isac

I am a general dentist with 3+ years of working in real-world setups, and lemme say—every single patient teaches me something diff. It’s not just teeth honestly, it’s people… and how they feel walking into the chair. I try really hard to not make it just a “procedure thing.” I explain stuff in plain words—no confusing dental jargon, just straight talk—coz I feel like when ppl *get* what's going on, they feel safer n that makes all the difference. Worked with all ages—like, little kids who need that gentle nudge about brushing, to older folks who come in with long histories and sometimes just need someone to really sit n listen. It’s weirdly rewarding to see someone walk out lighter, not just 'coz their toothache's gone but coz they felt seen during the whole thing. A lot of ppl come in scared or just unsure, and I honestly take that seriously. I keep the vibe calm. Try to read their mood, don’t rush. I always tell myself—every smile’s got a story, even the broken ones. My thing is: comfort first, then precision. I want the outcome to last, not just look good for a week. Not tryna claim perfection or magic solutions—just consistent, clear, hands-on care where patients feel heard. I think dentistry should *fit* the person, not push them into a box. That's kinda been my philosophy from day one. And yeah, maybe sometimes I overexplain or spend a bit too long checking alignment again but hey, if it means someone eats pain-free or finally smiles wide in pics again? Worth it. Every time.

48 days ago

Hello,
🛑1) Pregnancy is almost certainly excluded.
Nothing to worry about.
2) periods is delayed due to the pill since it disturbed the hormonal cycle
Its a common issue,doesn’t mean anything serious
Her actual cycle may take 1–2 months to regulate, especially at her age and low body weight (40–45 kg), which can affect hormone balance.
If you want to induce periods, she can take ;
Tab. Norethisterone 5 mg – Take one tablet twice daily for 5 days
Expect bleeding within 7 days of stopping medication
🛑Or else she can wait if she is not overly anxious or distressed about the delay.
Periods often return within 6–8 weeks after taking emergency contraception, especially if withdrawal bleeding already occurred. Waiting allows her body to reset naturally without medication.
I trust this helps
Thank you

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Dr. Shayeque Reza

I completed my medical degree in 2023, but honestly, my journey in healthcare started way before that. Since 2018, I’ve been actively involved in clinical practice—getting hands-on exposure across multiple departments like ENT, pediatrics, dermatology, ophthalmology, medicine, and emergency care. One of the most intense and defining phases of my training was working at a District Government Hospital for a full year during the COVID pandemic. It was chaotic, unpredictable, and exhausting—but it also grounded me in real-world medicine like no textbook ever could. Over time, I’ve worked in both OPD and IPD setups, handling everything from mild viral fevers to more stubborn, long-term conditions. These day-to-day experiences really built my base and taught me how to stay calm when things get hectic—and how to adjust fast when plans don’t go as expected. What I’ve learned most is that care isn't only about writing the right medicine. It’s about being fully there, listening properly, and making sure the person feels seen—not just treated. Alongside clinical work, I’ve also been exposed to preventive health, health education, and community outreach. These areas really matter to me because I believe real impact begins outside the hospital, with awareness and early intervention. My approach is always centered around clarity, empathy, and clinical logic—I like to make sure every patient knows exactly what’s going on and why we’re doing what we’re doing. I’ve always felt a pull towards general medicine and internal care, and honestly, I’m still learning every single day—each patient brings a new lesson. Medicine never really sits still, it keeps shifting, and I try to shift with it. Not just in terms of what I know, but also in how I listen and respond. For me, it’s always been about giving real care. Genuine, respectful, and the kind that actually helps a person heal—inside and out.

48 days ago

Pregnancy is ruled out. Period delay is due to temporary hormonal imbalance from the emergency pill.
After emergency contraception, many girls and women experience:
Temporary hormonal imbalance (from high-dose levonorgestrel)
Anovulation (no egg released that cycle)
Stress-related delay or low body weight effect (her weight 40–45 kg makes cycle more sensitive)
The cycle usually resets within 4 – 8 weeks, but sometimes needs mild hormonal help.

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Dr. Nirav Jain

I am a qualified medical doctor with MBBS and DNB Diploma in Family Medicine from NBEMS, and my work has always been centered on treating patients in a complete, not just symptom based way. During my DNB training I rotated through almost every core department—Internal medicine, Pediatrics, Obstetrics & Gynecology, Surgery, Orthopedics, ENT, Dermatology, Psychiatry, Emergency medicine. That mix gave me the skill to manage acute illness, long term disease and preventive care together, something I find very important in family practice. In psychiatry I worked closely with patients who struggled with depression, anxiety, stress related problems, insomnia or substance use. I learned not just about medication but also about simple psychotherapy tools, psycho education and how to talk openly without judgement. I still use that exp in family medicine, specially when chronic disease patients also face mental health issues. My time in General surgery included assisting in minor and major procedures, managing wounds, abscess, sutures and emergencies. While I am not a surgeon, this gave me confidence to recognize surgical cases early, provide first line care and refer fast when needed, which makes a big difference in online or OPD settings. Now I work as a consultant in General medicine and Family practice, with focus on both in-person and online consultation. I treat conditions like fever, infections, gastrointestinal complaints, respiratory illness, and also manage diabetes, hypertension, thyroid disorders, and lifestyle related chronic diseases. I see women for PCOS, contraception counseling, menstrual health, and children for common pediatric issues. I also dedicate time to preventive health, lifestyle counseling and diet-sleep-exercise advice, since these small changes affect long term wellness more than we often realize. My key skills include holistic diagnosis, evidence based treatment, chronic disease management, mental health support, preventive medicine and telemedicine communiation. At the center of all this is one thing—patients should feel heard, safe, and guided with care that is both professional and personal.

46 days ago

Hello Navnil, thank you for sharing your concern. I understand this might be worrisome, but no need to worry.
First of all, your girlfriend is not pregnant, as all these UPTs are negative. Her periods can get disturbed because of the Unwanted-72 that she took. Still, if you want to clear your doubts, get an Ultrasound of Abdomen + Pelvis done. It’ll completely exclude pregnant and your worry too.
No medical treatment is needed now to get her periods. You can wait and watch, let her menstrual cycle reset with time. Still, if she doesn’t get her periods for the next 1 month, in any form, then start this medicine, (But start after another Urine Pregnancy Test negative) - Tab. Norethisterone 5mg twice a day × 5 days. She’ll get her periods a few days after the last dose. No major side effects as such, except for mild nausea, vomiting. Seek a Gynecologist’s help if any UPT comes +ve / Ultrasound shows pregnancy / periods don’t come after giving her Norethisterone / this issue continues, as she would need hormonal evaluation then.
Feel free to reach out again.
Regards,
Dr. Nirav Jain
MBBS, DNB D.Fam.Med

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Dr. Bharat Joshi

I’m a periodontist and academician with a strong clinical and teaching background. Over the last 4 years and 8 months, I’ve been actively involved in dental education, guiding students at multiple levels including dental hygienist, BDS, and MDS programs. Currently, I serve as a Reader at MMCDSR in Ambala, Haryana—a role that allows me to merge my academic passion with hands-on experience. Clinically, I’ve been practicing dentistry for the past 12 years. From routine procedures like scaling and root planing to more advanced cases involving grafts, biopsies, and implant surgeries. Honestly, I still find joy in doing a simple RCT when it’s needed. It’s not just about the procedure but making sure the patient feels comfortable and safe. Academically, I have 26 research publications to my credit. I’m on the editorial boards of the Archives of Dental Research and Journal of Dental Research and Oral Health, and I’ve spent a lot of time reviewing manuscripts—from case reports to meta-analyses and even book reviews. I was honored to receive the “Best Editor” award by Innovative Publications, and Athena Publications recognized me as an “excellent reviewer,” which honestly came as a bit of a surprise! In 2025, I had the opportunity to present a guest lecture in Italy on traumatic oral lesions. Sharing my work and learning from peers globally has been incredibly fulfilling. Outside academics and clinics, I’ve also worked in the pharmaceutical sector as a Drug Safety Associate for about 3 years, focusing on pharmacovigilance. That role really sharpened my attention to detail and deepened my understanding of drug interactions and adverse effects. My goal is to keep learning, and give every patient and student my absolute best.

49 days ago

Hello dear
See as per clinical evaluation,it seems periods are missing due to ocd medication.
So I assure you that the periods will remain normal after completion of current cycle.
So as per my clinical experience you must wait for max 1 week and then consult gynaecologist in person for better clarity
There could be requirement of medication or hormonal therapy to induce periods.
Also,i confirm you that during this period there will no pregnancy
Regards

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Dr. Prasannajeet Singh Shekhawat

I am a 2023 batch passout and working as a general physician right now, based in Hanumangarh, Rajasthan. Still kinda new in the bigger picture maybe, but honestly—every single day in this line teaches you more than textbooks ever could. I’ve had the chance to work under some pretty respected doctors during and after my graduation, not just for the clinical part but also to see how they handle people, real people, in pain, in panic, and sometimes just confused about their own health. General medicine covers a lot, right? Like from the smallest complaints to those random, vague symptoms that no one really understands at first—those are kinda my zone now. I don’t really rush to label things, I try to spend time actually listening. Feels weird to say it but ya, I do take that part seriously. Some patients just need someone to hear the whole story instead of jumping to prescription pads after 30 seconds. Right now, my practice includes everything from managing common infections, blood pressure issues, sugar problems to more layered cases where symptoms overlap and you gotta just... piece things together. It's not glamorous all the time, but it's real. I’ve handled a bunch of seasonal disease waves too, like dengue surges and viral fevers that hit rural belts hard—Hanumangarh doesn’t get much spotlight but there’s plenty happening out here. Also, I do rely on basics—thorough history, solid clinical exam and yeah when needed, investigations. But not over-prescribing things just cz they’re there. One thing I picked up from the senior consultants I worked with—they used to say “don’t chase labs, chase the patient’s story”... stuck with me till now. Anyway, still learning every single day tbh. But I like that. Keeps me grounded and kind of obsessed with trying to get better.

49 days ago

Hello Navnil
As per your history the disturbance in period is due to hormonal pill .
So nothing to worry normal period will begin after completing this cycle.
As you ask about pregnancy there is no pregnancy so nothing to worry about that .
Thank you

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Dr. Yuvraj Rathore

I am Dr. Yuvraj Rathore, a medical professional with a bit more than 4 years of clinical experiance. Sometimes it feels like much longer honestly — the kind of learning that only comes from working long nights, emergencies, and quiet OPD mornings where you actually talk to patients, not just treat them. I spent 3 years as a Junior Resident in the Department of Surgery at Government Medical College, Dungarpur. Those were intense days — assisting in surgeries, managing pre and post-op cases, handling inpatient care, and running through emergency cases where every decision mattered (and had to be fast). I learned not just the techniques but how to stay calm when things got messy. Surgical OPD became like a second home — dressing wounds, following up post-surgery patients, and sometimes just listening to someone who was scared about a diagnosis. After that, I worked for a year as a Medical Officer at a Community Health Centre (CHC). It was a very diffirent pace — more about continuity of care than crisis response. I provided primary healthcare, managed acute & chronic illnesses, and worked on preventive and promotive health services for rural families. You don’t realize how much small interventions matter till you see a diabetic patient come back stable after months. Medicine for me isn’t only about procedures or prescriptions — it’s about attention, patience, and being honest with the person in front of you. I like to balance clinical precision with empathy, and maybe that’s why I never really rush consultations, even when the line outside is long. Right now I’m focused on deepening my surgical knowledge while keeping my general practice roots strong. Every patient still teaches me something new — some days it’s about pathology, other days it’s about humanity. Maybe that’s why I still feel curious every single day I walk into the ward or clinic.

48 days ago

Hi Navnil
On the basis of your given presenting complaints
Assessment:
•	Pregnancy extremely unlikely (multiple negative UPT + withdrawal bleeding after ECP)
•	Likely secondary amenorrhea due to hormonal imbalance
Plan of treatment -
Tab Medroxyprogesterone 10 mg
1 tablet at night × 5–7 days it will
Induce withdrawal bleeding
Instructions:
•	Bleeding should start within 3–7 days after finishing Medroxyprogesterone
•	Take at the same time each day
•	Maintain hydration
Emergency Advice: Seek immediate help for severe abdominal pain, heavy bleeding, fever, vomiting, or positive pregnancy test

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Dr. Varunkumar J

I am an ENT specialist with over 6 years of clincial practice and in this time I have tried to balance hospital work with building my own setup. Currently I work as Consultant at Meridian Hospital Kolathur and also as visiting consultant at VIHAA Hospital Anna Nagar. Along with this I started SCOPE ENT CLINIC in Villivakkam, which is my own space to treat patients with more time n focus. Running a clinic teaches you different kind of responsibility, not only treatment but also trust, making sure patient feels heard and safe. My practice covers a wide range of ENT issues, from common ear infections, sinus problems, throat disorders to more complex surgical cases. I try to focus on giving indiviualised treatment plans, because each patient story is differnt even if the diagnosis sounds similar. Working in multiple hospitals also let me collabrate with other specialities which is important when dealing with complicated ENT cases linked to allergy, pediatrics or even neuro. Founding my own clinic was both challenging and rewarding. Some days are hard, managing staff, handling emergencies, ensuring things run smooth.. but it gave me chance to create an environment where patients get continuity of care. For me ENT is not just about procedures but also education, I try to explain conditions in simple words, guide on prevention and lifestyle changes that can reduce recurrnce. Over these years, what matters most to me is not just how many cases I handled but the connections built with patients and their families. I want to keep growing, keep learning new techniques and stay updated with advances in ENT, but at the same time keep the human touch alive in practice.

47 days ago

Hi Dear Navnil,
I can understand your concern
Kindly donot panic
Kindly do a USG Abdomen + Pelvis scan
OCPS can cause altered menstruation
Kindly visit a nearby Gynecologist for the same
Donot take any more Over the counter drugs
Take care

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Dr. Alan Reji

I'm Dr. Alan Reji, a general dentist with a deep-rooted passion for helping people achieve lasting oral health while making dental visits feel less intimidating. I graduated from Pushpagiri College of Dental Sciences (batch of 2018), and ever since, I've been committed to offering high-quality care that balances both advanced clinical knowledge and genuine compassion for my patients. Starting Dent To Smile here in Palakkad wasn’t just about opening a clinic—it was really about creating a space where people feel relaxed the moment they walk in. Dental care can feel cold or overly clinical, and I’ve always wanted to change that. So I focused on making it warm, easygoing, and centered completely around you. I mix new-age tech with some good old-fashioned values—really listening, explaining stuff without jargon, and making sure you feel involved, not just treated. From regular cleanings to fillings or even cosmetic work, I try my best to keep things smooth and stress-free. No hidden steps. No last-minute surprises. I have a strong interest in patient education and preventive dentistry. I genuinely believe most dental issues can be caught early—or even avoided—when patients are given the right information at the right time. That’s why I take time to talk, not just treat. Helping people understand why something’s happening is as important to me as treating what’s happening. At my practice, I’ve made it a point to stay current with the latest innovations—digital diagnostics, minimally invasive techniques, and smart scheduling that respects people’s time. I also try to make my services accessible and affordable, because good dental care shouldn’t be out of reach for anyone.

47 days ago

Pregnancy is very unlikely since she had timely emergency contraception, withdrawal bleeding, and repeated negative tests. The delayed period is most likely due to temporary hormonal imbalance from Unwanted-72. Please consult a gynecologist for evaluation and, if needed, safe prescription of medicines to induce her period after ruling out other causes.

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Dr. Aarav Deshmukh

I am a general physician with 8 years of practice, mostly in urban clinics and semi-rural setups. I began working right after MBBS in a govt hospital in Kerala, and wow — first few months were chaotic, not gonna lie. Since then, I’ve seen 1000s of patients with all kinds of cases — fevers, uncontrolled diabetes, asthma, infections, you name it. I usually work with working-class patients, and that changed how I treat — people don’t always have time or money for fancy tests, so I focus on smart clinical diagnosis and practical treatment. Over time, I’ve developed an interest in preventive care — like helping young adults with early metabolic issues. I also counsel a lot on diet, sleep, and stress — more than half the problems start there anyway. I did a certification in evidence-based practice last year, and I keep learning stuff online. I’m not perfect (nobody is), but I care. I show up, I listen, I adjust when I’m wrong. Every patient needs something slightly different. That’s what keeps this work alive for me.

47 days ago

Given the negative pregnancy tests on multiple occasions, it seems that pregnancy can be reasonably excluded, especially since they’re taken well after the expected period of implantation. Emergency contraception like Unwanted-72 can affect menstrual cycles by delaying ovulation or altering the endometrium, leading to changes in the timing and nature of the next period. The withdrawal bleeding she experienced from 9-12 Sep is known to occur after taking levonorgestrel, which might cause some disruption in the regular cycle. The occasional cramps and spotting could be due to hormonal fluctuations from the emergency contraceptive use. With her weight on the lower end, there can also be additional sensitivity to such medications, potentially impacting her cycle further.
Regarding inducing a period, it may not be medically necessary to intervene at this early stage unless there are additional concerning symptoms. In many cases, the menstrual cycle can take some time to normalize after emergency contraception. Ensuring she maintains a healthy diet and stress levels can be supportive. If a menstrual period hasn’t resumed in the coming weeks and irregularities continue, it might be worthwhile to consult a gynecologist before starting any medication. Medications like oral progesterone can be prescribed to induce a period, but these should be guided by a healthcare professional who can evaluate her specific health context. It’s important not to self-prescribe, as inappropriate use could cause further disruptions. Side effects of such medications include nausea, headache, and breast tenderness, and any severe pain, excessive bleeding, or other acute symptoms should prompt immediate medical attention. In summary, continue monitoring her symptoms, and consult a healthcare provider if her cycle doesn’t regularize or if she develops any concerning symptoms.

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Dr. Abhishek Gill

I am a doctor with 5 years total experience, mostly split between Emergency and Obstetrics & Gynaecology—and honestly both keep you on your toes in totally different ways. In the ER, you don’t get time to second-guess much. Things come at you fast—trauma, active bleeding, breathlessness, collapsed vitals—and you learn to think, act, then think again. But in Obs/Gyn, it’s more layered. One moment you’re handling routine antenatal care, the next you're managing obstructed labour at 3am with everything depending on timing. I try not to treat anyone like "just another case." I take proper history—like actual, detailed listening—and then move step by step. Exam, investigations only if needed (not just because), and explaining things clearly to the patient and attenders. Not gonna lie, sometimes I do repeat myself twice or thrice. People are stressed, they don’t hear it all the first time. Communication I’d say is one of my stronger areas, but not in some fancy textbook way. Just knowing *how* to talk, when to pause, when not to overload info. Like with a first-time mother in pain who doesn’t care about medical terms—she just wants to know if her baby’s okay. Those moments taught me more about medicine than most of my exams. I handle postpartum issues, early pregnancy complications, PCOD, menstrual complaints, emergency contraception consults too—bit of everything. And in casualty shifts, I’ve done everything from inserting Ryle’s tubes to managing hypertensive crises. You have to stay sharp. But also know when to slow down and re-evalutate something that doesn’t fit right. Counselling’s part of the job too. Sometimes patients need reassurance more than a prescription. Sometimes they just need honesty, even if the answer isn't simple. I don’t pretend to have all the answers, but I do care enough to find them. Bit by bit. Every single day.

47 days ago

Hello
Pregnancy is excluded.
Hormonal imbalance due to pill is the reason for delayed mensus.
Get these tests done for better evaluation.
1. Thyroid profile
2. Ultrasound transvaginal
No medicines needed before that
Review with the reports.
Take care

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Dr. Perambalur Ayyadurai Rohith

I am a general physician with more than 10 yr of clinical experiance, and in this time I worked with patients from all age groups, from young kids to elderly with multiple chronic issues. My practice has been wide, but I gradually developed deeper intrest in diabetology. I spend much of my day focusing on prevention, early diagnosis and management of diabetes, using lifestyle modification, medical therapy and regular monitoring. Many patients come worried about complications, and I try to explain things in simple language, whether it is diet, excercise, or understanding lab reports, so they dont feel lost. I also conduct detailed diagnostic evaluation and use evidence based protocols to make sure treatment is reliable and updated, even if sometimes I double check myself when results dont match the clinical picture. Apart from regular OPD practice, I gained strong experiance in occupational health. Over years I worked with multiple companies handling pre employment checks, annual medical exams, workplace wellness programs, and ensuring compliance with industrial health and safety standards. It is diffrent from hospital practice, but equally important, because healthy workers mean safe and productive workplace. I run medical surveillance programs and health awareness sessions in collaboration with corporates, and this also gave me exposure to preventive strategies on a large scale. For me, patient care is not just treatment but building trust. My career revolve around preventive medicine, ethical clinical practice, and continuous learning. I keep myself updated with modern medical protocols, but I also value listening to patient worries, since medicine is not only about lab values but also about how a person feels in daily life. I make mistakes in words sometimes, but in my work I try to be very precise. At end of day, my aim is to provide care that is accessible, evidence based and truly centered on patient well being.

46 days ago

Since she took Unwanted-72 within 12 hours, pregnancy is fully ruled out three negative tests confirm it.
Emergency pills can disturb hormones and delay the next period by 2–6 weeks this is common and not harmful.
Encourage balanced diet, hydration, and stress control, as stress and low body weight (40–45 kg) can further delay menses.
If no period even after 6–8 weeks from September, a short 5-day course of medroxyprogesterone acetate (Provera 10 mg daily) can be prescribed by a gynecologist to induce bleeding safely.
Avoid taking any hormone pills on your own. If irregularity continues after withdrawal bleeding, do thyroid and prolactin tests to rule out hormonal imbalance.

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