What should I do if I take birth control pills and don't get my period?

Patient's question:

Five days ago, after sexual intercourse, I took emergency contraception. Then, my period never came. Four days later, some black substance flowed from my vagina, and I feel a bit uncomfortable in my stomach. What could be the reason? Could I be pregnant?

Doctor's answer:

Hello, this situation is considered hormonal withdrawal bleeding. It usually improves within three to five days, so there is no need to worry. Just pay attention to hygiene in the perineal area. If the bleeding is heavy, it can be counted as one menstrual period, and the next period can be calculated from this day. In fact, under normal circumstances, practicing any form of contraception can cause some harm to women. Therefore, patients should pay attention to their diet. Contraceptive users should take care of themselves, such as adjusting their diet, paying attention to warmth, and avoiding getting cold.

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