Patient's question:
Detailed medical condition and consultation purpose: I took one levonorgestrel tablet during the second trimester. However, I am pregnant this month. Can I keep this child?Duration and onset of the current illness: 8 days of missed menstruation
Current general condition: Generally well
Medical history: None
Previous diagnoses and treatment history and effectiveness:
Auxiliary tests: Ultrasound
Doctor's answer:
Because birth control pills contain estrogen and progestogen hormones and a small amount of androgen, birth control pills with very strong progestogen will rapidly change your endometrium, making it difficult for the embryo to implant, so it is an emergency contraceptive. This medication is not 100% effective in preventing embryonic arrest, so some children may still continue the pregnancy. In the manual of this birth control pill, or the instructions for this medication, it is stated that you should not carry this child because the medication has a relatively strong androgenic effect. In fact, although it is just one pill, its androgen can actually make the child masculinized if it is a girl? In fact, the dose is very small. The World Health Organization conducted a study on the effects of oral contraceptives on pregnancy, whether long-acting or short-acting, during pregnancy, immediately after stopping the medication, or in the early stages of pregnancy, taking these birth control pills has almost no teratogenic effects on the child. Therefore, it is completely safe to carry this child.