instruction: hello doctor the first day of my last period was on the and of march it lasted till ith of march I had unprotected sex on the 10th of march but he did not ejaculate inside me but there is a chance that pre cum may have gotten in so for safety I took contraceptive pills postinor on the 1th on the 16th I noticed light bleeding and it lasted till 19th I am yet to see my period for this month although I usually experience irregular menstrual cycles is it possible I am pregnant or has it worsened my case of irregular menstrual cycle
output: hello welcome to icliniq com I have gone through the details and the sequence of events you mentioned and totally understand your anxiousness see the emergency contraceptive pills are high doses of progesterone hormone so at times there can be withdrawal and some times there can be a delayed period too the effects vary from a person to person as you already had a history of irregular periods it is difficult to predict just based on the sequence of events whether you could be pregnant or not so a definitive test would be to check for a urine pregnancy test preferably with an early morning urine sample if that is negative then you can rest assured that you are not pregnant and you can take the medications mentioned below to get your periods and get yourself evaluated for the cause for your irregular periods regarding your irregular periods I see that you are slightly overweight for your height so mostly this could be due to cos polycystic ovary syndrome too that you have your irregular periods which need to be evaluated or maybe some hormonal changes in thyearoid or prolactin hormones ultrasound abdomen and pelvis complete hemogram lipid profile let liver function test rat renal function test 75 glucose tolerance test fasting hour hba1c glycated hemoglobin level serum calcium vitamin and b12 levels serum fasting and post prandial insulin levels serum fish follicle stimulating hormone oh leutenizing hormone free testosterone estradiol prolactin levels thyearoid profile to ash anti tpo on second or third day of the next menstrual period cos tablet meprate or devilry 10 my twice daily for five days and then stop to wait for withdrawal bleed within next 10 days to get blood tests done on second or third day of periods reduce weight maintain menstrual diary regular exercises at least one hour daily lifestyle and dietary modifications