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Query regarding i-pill excessive usage side-effects which might spark future pregnancy issues

Last Updated - Fri, Mar 16 2018

Detailed Question:

Hi doctor,
I have had i-pill 4 times within 8 months and I had one abortion too. I had my abortion in August and had pill 3 times after that and one before that. Today while having sex condom got leaked and we didn't realise that. 

Can having i pill again be a problem in future and I have already taken migrain pills sometimes in past 3 years? I had one accident in July in which I got csf leak but recovered from the injury. Also I have low blood pressure issues. Please help.

Category: Gynaecology

Dr. Garima Sawhney

M.S.- Obstetrics &Gynaecology
Bharati Vidyapeeth Medical College & Hospital, Pune

Consider reading - 
I-pill and Unwanted 72 - When should I take I-pill & what are the Side Effects of I pill?

I understand your concern. Single use of I pill does not affect the future pregnancy. I pill is actually high dose progesterone. Effect of it will last only for a month. But repeated use may cause menstrual irregularity and indirectly may affect the ovulation. There is no definitive study to prove its effect on future pregnancy. So use an alternative contraceptive measure instead of the repeated use of the pill. 

You can also consult a gynaecologist for the same who can prescribe the pills to you for protected intercourse. These pills, however, depend on the age at which to be taken. Hence a history of age will be required before I can prescribe them to you.

Ways to prevent unwanted pregnancy-

  1. Total Abstinence
  2. Use of contraceptives
Always use contraception if you are sexually active and do not want to get pregnant.

Methods of Contraception:

There is no method of contraception which gives 100% protection.
Also, birth control pills, Implant and IUDs do not protect against STD infections.

For the Woman
  • ORAL CONTRACEPTIVES protect against pregnancy by the combined actions of the hormones estrogens and progestin. The hormones prevent ovulation. The pills have to be taken every day as directed and do not work after vomiting or diarrhoea. Side effects of the pill can be nausea, headache, breast tenderness, weight gain, irregular bleeding, and depression. Eg. Regestrone

  • DIAPHRAGM is a rubber disk with a flexible rim that covers the cervix and must be used together with spermicide. It is available by prescription only and must be fitted for size by a health professional. The diaphragm protects for six hours and should be left in place for at least six hours after intercourse but not for longer than a total of 24 hours.

  • DEPO-PROVERA is a hormonal contraceptive injected into a muscle on the arm or buttock every three months. The injection must be repeated every 3 months. The menstruation can become irregular and sometimes even absent.

  • FEMALE STERILIZATION is done surgically. In the process, the tubes are ligated, preventing the egg-cells from encountering the sperm cells and preventing any future pregnancies. It is a permanent form of contraception.

  • IMPLANTS are made up of small rubber rods, which are surgically implanted under the skin of the upper arm, where they release the contraceptive steroid levonorgestrel. Their protection lasts from 3 to 5 years. Side effects include menstrual cycle changes, weight gain, breast tenderness and loss of bone mass.

  • IUD is a T-shaped device inserted into the uterus by a health-care professional. The IUD can remain in place for 5- 10 years. IUD’s have one of the lowest failure rates of contraceptive method. Sometimes the IUD can be expelled and a woman has to check each month after her period with her finger if she can still feel the threads of the IUD. Other side effects can include abnormal bleeding and cramps, but this usually only occurs during and immediately after insertion.

  • MORNING-AFTER IUD must be inserted within 5 days of unprotected intercourse. The IUD can stay for 5 to 10 years

  • EMERGENCY CONTRACEPTION must be taken within 72 hours of unprotected sex in order to prevent an unplanned pregnancy.

For the Man
  • CONDOMS are usually made from latex rubber and can be used only once. Some condoms also have spermicide added to kill sperm. They act as a mechanical barrier, preventing direct vaginal contact with semen, infectious genital discharges, and genital lesions. They are the most effective method for reducing the risk of infection from the viruses that cause AIDS and other sexually transmitted diseases (STD’s). It is important to put a condom on properly before intercourse.

  • MALE STERILIZATION also known as a vasectomy, is a quick operation performed under local anaesthesia with possible minor postsurgical complications, such as bleeding or infection. The ability to get an erection and an ejaculation does not disappear. The sperm cells are just a very small part (1%) of the fluid and a man will not notice any difference in ejaculation. The body will absorb the sperm cells.

Dr. Garima Sawhney

M.S.- Obstetrics &Gynaecology
Bharati Vidyapeeth Medical College & Hospital, Pune

Dr. Garima Sawhney is a Gynecologist in Gurgaon. Her expertise and utmost care and compassion for her patients makes her one of the most sought-after Gynecologists.

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The above medicine data is written by Dr. Garima Sawhney. It is edited, updated and maintained by JustDoc Quality Team. If you have any queries regarding the data, please email us at Read about our Medical Team here.

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Dr. Garima Sawhney

M.S.- Obstetrics &Gynaecology

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i-pill excessive usage side-effects of future pregnancy issues

I had 4 i-pills in 8 months and an abortion. During intercourse now the condom leaked. Can I take i-pill again?