Is it possible to get pregnant after having sexual intercourse while taking a safe period dose of MPA tablets?

Patient's question:

Last month, my period arrived on August 26th. It was supposed to come around September 23rd this month, but due to some reason, I started taking Mifepristone tablets on September 19th to delay my period. On the evening of September 21st (which should have been my safe period), I had sexual intercourse without using any contraception. Could I be pregnant? Can I take emergency contraception? Will there be an interaction between the progesterone tablets and the birth control pills?

Doctor's answer:

Mifepristone is a progestogen medication that has clinical effects of delaying menstruation or inducing menstruation to come earlier. However, when used alone in small doses to regulate menstruation, this medication does not provide contraception. If sexual intercourse occurs during this period, effective contraceptive measures must be taken. In fact, under normal circumstances, practicing any form of contraception can have certain harms to the patient. Therefore, patients should pay attention to their own diet. Contraceptive patients should pay attention to self-care, such as dietary regulation, keeping warm to avoid catching a cold.

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