Will I get pregnant if I take birth control pills and have unprotected sex again?

Patient's question:

Since October 8th, after taking birth control pills, I experienced irregular spotting. On the 15th, I had irregular spotting again. Then on the 25th, I had my period. Since taking the birth control pills, I have been having my period twice a month. Last month, on November 15th, I had my period again. On the 19th, I had intercourse with internal ejaculation and did not use any contraception. Then on the 25th, my period did not come. My areolas have spread, and recently I have been experiencing frequent dizziness and nausea. Am I pregnant? I am very worried. What is going on?

Doctor's answer:

If you are taking emergency contraception, taking the pill can lead to endocrine disorders. Due to the endocrine imbalance caused by the pill, it may result in irregular menopause. Subsequently, if no contraceptive measures are taken during sexual activity, there is a possibility of an unexpected pregnancy. Therefore, if your menstrual period has not arrived normally, and sexual activity has occurred for more than ten days, blood tests can be conducted to diagnose the pregnancy hormone (hCG) to determine how you became pregnant.
Long-acting contraceptives are only effective for the last sexual act. Thus, if a woman has sexual activity after taking long-acting contraception, there is a high risk of pregnancy.

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