Is it normal for menstruation to be delayed by 10 days after taking emergency contraception?

Patient's question:

Having sex with your boyfriend, you took emergency contraception, but you noticed that your period hasn't arrived yet and it's been delayed by 10 days. Is that normal?

Doctor's answer:

After taking emergency contraceptive pills, abnormal vaginal bleeding may occur. However, since emergency contraceptive pills need to take effect immediately and have a relatively high hormone content, the side effects of menstrual disorders and endocrine disorders after taking emergency contraceptive pills are speculated as follows. Under normal circumstances, emergency contraceptive pills can significantly disrupt the menstrual cycle, causing delayed menstruation and reduced menstrual volume. The estrogen level in emergency breastfeeding is very high. The dosage of one emergency breastfeeding is equivalent to the dose of regular short-term oral contraceptives within 8 days.

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