What are the side effects of taking emergency contraceptive pills?

Mar 09, 2025 Source: Cainiu Health
Dr. Zhang Lu
Introduction
In general, taking emergency contraceptive pills may cause side effects such as nausea, vomiting, withdrawal bleeding, changes in the menstrual cycle, and breast tenderness. It is recommended to consult a healthcare provider before using emergency contraception to understand your health status and potential risks, and to make decisions based on medical advice. At the same time, emergency contraception is not a regular contraceptive method, as it has more side effects and a certain failure rate.

Generally, common emergency contraceptive pills include desogestrel ethinylestradiol tablets, compound levonorgestrel tablets, and compound medroxyprogesterone tablets. Taking emergency contraceptive pills may cause side effects such as gastrointestinal reactions, dizziness and fatigue, endocrine disorders, changes in the menstrual cycle, and breast tenderness. If discomfort occurs, timely medical attention is recommended. Detailed explanations are as follows:

1. Gastrointestinal Reactions

The hormonal components in the medication can directly irritate the gastrointestinal mucosa, possibly causing symptoms such as nausea, vomiting, and loss of appetite. If vomiting occurs within one hour after taking the pill, another dose should be taken to ensure contraceptive effectiveness.

2. Dizziness and Fatigue

The hormones in emergency contraceptive pills can affect the nervous system to some extent, disrupting the balance of neurotransmitters and normal neural regulatory functions, thereby causing symptoms such as dizziness and fatigue.

3. Endocrine Disorders

Emergency contraceptive pills work by inhibiting ovulation and interfering with fertilized egg implantation. However, their potent hormonal effects can disrupt the balance of estrogen and progesterone in the body, leading to hormonal fluctuations. Long-term use may trigger acne, mood swings, and even ovarian function suppression.

4. Menstrual Cycle Changes

The human menstrual cycle is precisely regulated by the hypothalamic-pituitary-ovarian axis. The hormonal components in emergency contraceptive pills can interfere with this endocrine regulatory system, affecting follicular development, maturation, ovulation, and the cyclical changes of the endometrium, thus causing menstrual cycle disorders.

5. Breast Tenderness

The hormonal components in the medication can stimulate breast tissue, promoting the proliferation and expansion of breast ducts and alveoli. They can also cause fluid and sodium retention in the breast tissue, leading to physiological changes and a sensation of breast tenderness.

Before using emergency contraceptive pills, it is recommended to consult a doctor to understand your health status and risks, and make decisions according to medical advice. Additionally, emergency contraceptive pills are not a routine contraceptive method. They have numerous side effects and a certain failure rate, so frequent use should be avoided as much as possible.

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