Is abdominal pain caused by birth control pills?

Patient's question:

Took emergency contraception pill. 13 days later, got menstrual cramps. Are they caused by the contraception pill?

Doctor's answer:

After taking emergency oral contraceptives, if withdrawal bleeding occurs again 3-7 days after stopping the medication, breastfeeding can still be successful. If the endometrium is thin, it may not be possible to have normal vaginal bleeding. Currently, it could be that menstruation has started, or it could be related to the contraceptive medication. If there are no discomforts, it is recommended to wait and see for now, as no action is needed. If the bleeding does not stop within less than a week, you can take Fucoidan orally to treat it. If you do not plan to get pregnant, it is necessary to use other measures for breastfeeding. Emergency contraceptives should not be taken casually, as they can easily disrupt the menstrual cycle.

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