Hello doctor I want to ask you whether I have prevented pregnancy or not I had unprotected sex on the second day of my period that's on 26.6.25 i have taken ipill within 48 hours and withdrawal bleeding occurred after 6 days only a few drops and lasted only a day my period expected day was 22.6.25 now it's 24.6.25 I haven't got my period please explain me what happened and by when I can expect my period and sometimes thick white discharge happened sometimes period like pain happen but no period.

Professional Assessment: The patient's symptoms and timeline suggest possible menstrual cycle disruption due to emergency contraception (iPill/levonorgestrel), which commonly causes irregular bleeding patterns and can delay normal menstruation by 1-2 weeks. The reported symptoms (white discharge, cramping, delayed period) could be related to hormonal fluctuations from emergency contraception use, though pregnancy cannot be completely ruled out without testing, particularly given the timing of unprotected intercourse. While emergency contraception is generally effective when taken within 48 hours (reducing pregnancy risk by approximately 85%), a pregnancy test is recommended if menstruation doesn't occur within 3 weeks of taking emergency contraception, especially given the patient's age and fertility status. Additional testing indicated: 1. Urine pregnancy test (recommended after 3 weeks from sexual encounter) 2. Serum β-hCG if unclear results 3. Pelvic examination if symptoms persist Risk factors specific to age 20: - High fertility period of life - Higher risk of irregular menstrual cycles - Increased susceptibility to hormonal fluctuations

Treatment Recommendation: Take a pregnancy test immediately to confirm pregnancy status since emergency contraception can affect menstrual timing. To regulate your menstrual cycle and address the delayed period, consider taking a combined oral contraceptive pill after confirming you're not pregnant. For the white discharge and cramping symptoms, maintain good hygiene and you can safely use over-the-counter pain relievers like ibuprofen for temporary relief. For additional treatment recommendations, ask in the chat.