What is the reason for not having a menstrual period after taking emergency contraception?

Patient's question:

I am very young and my boyfriend is also young. A few weeks ago, we had sex. My period has been unstable, and I am very afraid of getting pregnant. What should I do if I haven't had my period after taking emergency contraception?

Doctor's answer:

Emergency contraception pills can affect menstruation. The side effects of emergency contraception pills may lead to endocrine disorders, menstrual irregularities, amenorrhea, infertility, or gastrointestinal discomfort, headaches, weight gain, nervousness, low mood, skin hyperpigmentation, and acne, among others. Emergency contraception pills should not be used more than three times within a year, and only once per month.
When patients face gynecological and obstetric problems, we should actively adopt treatment measures and not avoid seeking medical attention. If gynecological and obstetric conditions do not improve with treatment, it is important to promptly adjust the treatment plan.

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