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  • Category: Gynaecology

    Menstrual cycle and intercourse


    Have a query about menstrual cycle and intercourse? Looking out for medical advice online? Here, find advice from experts to all your queries.

    I had my periods on 14th jan to 17th jan and intercourse happened from 19th jan to 21st jan. My period cycle is normal. Twice we did without a condom but that too for minutes. I panicked and took unwanted 72 on 23rd. I have noticed changes like headache and dizzness and little brown spotting. It's been 5 days now. What should I do ?
  • #148265
    Your query is not clear. You are worried whether you will conceive . Ovulation happens during 12 to days before your next menstrual cycle. But after the 6th day from your period there are chances to conceive because ovulation is the release of an egg from an ovary it almost instant and sudden burst of egg is propelled very quickly into the tube. That's why nobody can tell your safe period time until you have thorough check from your gynecologist. Don't consume any un-prescribed medicines which is available in the market, which you have already done. Always those don't go with every body. If your having any uneasiness symptoms then immediately consult your doctor and take proper medication. Any type of medicines cannot be prescribed unless your examination. I would suggest you that if your not willing to be pregnant then its better you have safe sex.

  • #148266
    Taking medicines on your own without consulting a qualified doctor is not at all advisable. Generally, after periods 12th to 16th day is the best period for conceiving. Of course, we can't rule out this anytime. If you don't want to get pregnant you might have taken the precautions. Instead of that, you have gone for a medicine which is not advisable and you even don't know whether it is required are not. The best thing to do now is to wait for two days and you have become normal no problem. Otherwise please consult a Gynaecologist and take the course of action as per the suggestion of the doctor.
    drrao
    always confident

  • #148268
    The supply of eggs from the ovary to the uterus is a cyclic phenomenon of the body and will be prominent during the 5-6 mid days between the periods. So chances of conceiving during that time is much more than the other occasions.

    These are just the general guidelines and deviations from this normal trend are also possible.

    The best course will be to see a gyneachologist who can guide in the matter in the better way. Many people take pills to get rid of unwanted pregnancies. There are many like i-pill and unwanted 72 etc which are available in the market and are to be taken within 72 hours. Still, it is better to consult the doctor to avoid any possible side effect or other consequences of taking such drugs.

    Knowledge is power.

  • #148269
    I had sinus and UTI before the act. Inspite of the condoms I was too scared and I didn't wanted to pregnant. I know it was a rush decision to make. I'd be more careful. I did show to doctor yesterday he give me meds for sinus and UTI. thank you so much for guiding.

  • #148278
    Please contact your family doctor or a gynecologist and avoid self medicating in such situations.
    You have taken unwanted 72 that can be taken upto 3 days after unprotected sex.
    If your cycles are regular, the period from day 1 to day 7 and day 21 to onset of the next cycle is considered as safe to aviod a pergnancy.
    Both are not fool proof. The chances of failure are around 5-10%.
    You have also taken medications for UTI/sinus problem. If these are antibiotics, then you need to be careful.

    Headache, dizziness and nausea can be caused by the medications itself. Once you see your gynecologist, he/she will monitor you to look for early signs/symptoms of pregnancy. The accepted tests would be blood serum B-HCG (pregnancy hormone) and an Ultrasound by a qualified, registered gynaecologist/sonologist who will decide on the timing of both the tests.

  • #148286
    Before I suggest you whether it is safe for sex during or after your periods and also about the emergency contraceptive pills, I will explain briefly the monthly phases of menstrual cycle so that you will have an idea. On average menstrual cycle is explained by considering it as a 28-day cycle which is the average for most of the women around the world. Day 1 is considered as the day where bleeding starts and from this day on, the menstrual cycle is divided into 4 stages:

    1. Menstrual phase
    This phase lasts for 5 days i.e. from day 1 to 5. The uterus will expel the inner lining of itself along with minor blood vessels in the form of menstrual fluid. This fluid along with blood comes out and this bleeding will last for 5 days. On average 10-80 ml of blood loss will occur. This phase will also induce abdominal pain, back pain etc. This is caused when the abdominal muscles and uterus induce a series of contractions to expel the menstrual fluid.
    2. Follicular phase
    During this phase, the ovarian germ cells will grow. This phase starts along with menstrual phase but lasts until 12 to 13 days. The ovarian germ cells will produce egg cells under the influence of the hormone called Follicle Stimulating Hormone (FSH – Released by pituitary), Gonadotropin-releasing Hormone (Gn-RH – Released by Hypothalamus of the brain) and Luteinizing hormone (LH – Released by Pituitary). During this phase, egg cells develop inside a sac-like tissue called follicle. The uterus will develop a lining around the follicle called as the endometrium. The endometrium is formed under the stimulation of hormones (usually steroid hormones such as estrogen, progesterone, and androgens) released by the follicle itself.
    3. Ovulation Phase
    This phase starts from the 14th day of every menstrual cycle. During this phase, the follicle increases the levels of estrogen. With the increased estrogen levels, hypothalamus of the brain will release Gn-Rh and also stimulate the pituitary to secrete Luteinizing hormone (LH). Increased LH will initiate ovulation and the ovum is released into the peritoneal cavity from the ovaries. The ovum is collected by fallopian tube. The ovum stays in the fallopian tube for a period of 24 hours if it is not fertilized. If not fertilized, it will perish. So your chances of getting pregnant are very high in your ovulation phase. If you have an idea about the ovulation phase, you can understand your fertility window.
    4. Luteal Phase
    When the ovum from the ovary bursts out of the follicle during the ovulation phase, it releases a scar on the ovary which develops into Corpus Luteum. This will secrete hormones such as progesterone to maintain the thickness of the uterine wall if the ovum gets fertilized. If fertilization does not occur corpus luteum will wither away around 22nd to 28th day of the menstrual cycle.

    As you stated, your menstrual cycle began at 14th January and the intercourse happened on 19th to 21st. This does not have any fertility chances and is considered as safe. It is safe only if you understand your fertility window and according to the data given by you, your fertility window will be on 26th January. But remember the human sperm will survive for 5 days inside the female body and that is why emergency contraceptive pills are advised to be taken before 72 hours of the sexual intercourse. But you took the pill on 23rd and the sexual intercourse happened until 21st. Considering 21st as the last of intercourse, the sperm can survive until 26th which coincides with your ovulation phase. But you took the pill within 72 hours of the intercourse, it is fair to assume that conceiving chances are zero. But make sure to keep a track of the next menstrual cycle.
    Using of emergency oral contraceptives without proper advice can lead to many side effects. Some of those side effects include headaches, dizziness, nausea, increased vaginal bleeding (inter-menstrual spotting), weight gain (most common) etc. Even Urinary Tract Infection (UTI) is also induced by excessive use of these pills. Sinusitis, on the other hand, made you more uneasy with its symptoms along with the side effects of the pills.

    Avoid having unprotected sex. Always use condoms and I would suggest you refrain from having sex until marriage, if not married. Do not use contraceptive pills without a proper prescription or a physician's advice. Make notes of your menstrual cycle and try having an idea about the fertility window for your future reference.

    Thank You
    Dr. V. Shashikanth

  • #148431
    You performed unprotected sex, and then took medicines without the prescription of a physician. And now you are feeling worried!

    Factually speaking, if you take the medicine within 72 hours of intercourse, the chance of conceiving is minimum. The symptoms which you have witnessed (headache and dizziness ) are common side-effects.

    I think you don't have to worry regarding conceiving. However, you should consult a gynaecologist for proper guidance. Try to avoid unprotected sex, if you are not willing to conceive at this stage.

    Caution: Explosive. Handle with care.


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