What is the reason for bleeding after taking emergency contraception?

Patient's question:

I took emergency contraception on the 20th, and for the next five days, I experienced frequent vaginal bleeding. Every time, it happens when I touch cold things or eat cold food. Is there a connection with this, or is it a side effect of the medication? Is it necessary to see a doctor?
Past treatment history and effectiveness: I have never received treatment. Today, after washing clothes with cold water, it broke again.
What kind of help do you need: What is going on? Do I need treatment?

Doctor's answer:

Hello, your condition is considered to be withdrawal bleeding caused by birth control pills. Birth control pills may temporarily lower hormone levels in the blood due to temporary use, leading to a subsequent rise and then withdrawal bleeding, which manifests as early menstruation. Withdrawal bleeding caused by birth control pills generally improves within 2-5 days without treatment. However, if the bleeding duration is prolonged or the amount of bleeding is significant, it is recommended to seek medical attention for a thorough examination and medication treatment.

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