instruction: hello doctor I am concerned about my reproductive health due to poor planning I ended up taking the next choice generic plan pill three times within two weeks period after the third time I have had mild cramping and spotting every day for two weeks straight now I am very concerned that I did some permanent damage by taking so much progesterone I took a pregnancy test so I know I am not pregnant I have also been taking my normal birth control progesterone only liza pill normally since taking the last dose of plan any suggestions on what is happening to me
output: hi plan is emergency pills and there are only study about once in a month there is no study about its effectiveness more than that and three times in a week is high number so you cannot say whether it is working or not and you are taking progesterone only pills after that now these tablets you can take but have to start after the period and these bleeding is actually not your period it is breakthrough bleeding due to high progesterone drink more water cramps is one of the side effects of progesterone stop every medication and wait for your menses and if you are still bleeding then consult a nearby gynecologist she has to see the amount of bleeding do urine pregnancy test after four to five days according to the bleeding amount you may have to take combined pills for a month emergency pills can irregularize your period do not use this many tablets next time without any consultation and consult a nearby gynecologist and do have one session about what to use and when to use contraception options available to you