Does the Morning After Pill Affect Your Period? Everything You Need to Know

A close-up of a morning after pill blister pack, representing emergency contraception.

The morning after pill is a form of emergency contraception that many people rely on after unprotected sex or contraceptive failure. While it is highly effective at preventing pregnancy, many people wonder how it affects their period and menstrual cycle. In this blog, we’ll explore how the morning after pill works, its potential side effects, and specifically how it might influence your period. We’ll also discuss when to seek medical advice and what your next steps should be if you're concerned about any changes.

How Does the Morning After Pill Work?

The morning after pill, often referred to by brand names like Plan B or EllaOne, works by preventing or delaying ovulation. Depending on where you are in your menstrual cycle, it may also prevent sperm from fertilizing an egg or stop a fertilized egg from implanting in the womb. It’s most effective when taken as soon as possible after unprotected sex, ideally within 72 hours.

According to the NHS (NHS UK), the morning after pill can reduce the risk of pregnancy by up to 85%. However, it's important to note that this is emergency contraception, not a regular method of birth control.

Possible Side Effects of the Morning After Pill

Like any medication, the morning after pill can cause side effects. The most common ones include:

  • Nausea
  • Fatigue
  • Headache
  • Breast tenderness
  • Dizziness
  • Abdominal pain or cramps
  • Changes in your period

While these side effects are typically short-lived and mild, they can be uncomfortable for some people.

Does the Morning After Pill Affect Your Period?

One of the biggest concerns people have after taking the morning after pill is how it will impact their period. It’s completely normal to notice some changes to your menstrual cycle after taking emergency contraception, but these changes are usually temporary.

Here are some possible ways the morning after pill can affect your period:

Early or Late Period

The most common impact on your period is a shift in timing. You may notice that your period arrives earlier or later than expected. If you’re wondering "Can Plan B delay your period?", the answer is yes, it can. The hormonal dose in the morning after pill may disrupt your regular cycle, and your period could come up to a week later than usual. However, this delay is typically nothing to worry about.

Heavier or Lighter Flow

After taking the morning after pill, some people experience a heavier period than normal, while others might find that their period is lighter. These changes are due to the high dose of hormones and should normalize by the next cycle. If your period is exceptionally heavy or lasts much longer than usual, it’s a good idea to consult a doctor.

Spotting or Bleeding Between Periods

One common question is, "Why am I experiencing morning after pill bleeding one week later?" Some people experience light bleeding or spotting a few days after taking the morning after pill. This isn't your actual period but rather a side effect of the hormone surge. It’s usually nothing to worry about, but if the bleeding is heavy or prolonged, it’s worth checking in with a healthcare provider.

Missed Period

Although the morning after pill is effective, it’s not 100%. If your period is more than a week late after taking the pill, it’s important to take a pregnancy test to rule out pregnancy. The morning after pill can delay your period, but it shouldn't stop it altogether.

When to Seek Medical Advice

In most cases, the morning after pill does not cause serious side effects, and any changes to your period should resolve themselves within a month. However, there are times when you should seek medical advice:

Your period is more than a week late: This could indicate pregnancy, so it’s important to take a test.

Heavy bleeding: If you need to change your pad or tampon every hour, or if the bleeding lasts longer than a week, seek medical advice.

Severe pain: While mild cramping is common, severe abdominal pain is not. This could indicate an underlying issue such as an ectopic pregnancy, which requires immediate attention.

Persistent side effects: If symptoms like nausea, dizziness, or headaches persist for more than a few days, it’s a good idea to check in with your doctor.

Other Forms of Contraception

While the morning after pill is a great backup option, it’s important to remember that it shouldn’t be relied on as your primary method of contraception. There are many other forms of contraception that are more reliable and suitable for regular use. Some options include:

Condoms: A barrier method that protects against both pregnancy and STIs.

The Pill: A daily pill that regulates your hormones to prevent pregnancy.

IUD (Intrauterine Device): A small device inserted into the uterus, which can prevent pregnancy for up to 10 years.

The Implant: A small rod inserted under the skin, providing contraception for up to 3 years.

The Patch: A small adhesive patch that delivers hormones through the skin to prevent pregnancy.

If you’re unsure which method is right for you, talking to a healthcare provider or visiting a sexual health clinic can help you make an informed decision. If you want to explore different forms of contraception, Brook provides an excellent guide to help you choose a method that suits your lifestyle and needs.

Reassurance and Next Steps

Taking the morning after pill can be a stressful experience, but it’s important to remember that it’s highly effective at preventing pregnancy when taken correctly. If you’re worried about how it might affect your period or if you’ve noticed changes in your cycle, keep in mind that these are usually temporary.

Here’s what to do next:

Track Your Period

If you’ve taken the morning after pill, track your period to see if it arrives earlier or later than expected. Apps like Clue or Flo can help you monitor any changes to your cycle and make it easier to spot patterns. If your period is more than a week late, take a pregnancy test to be sure. 

Talk to a Healthcare Provider

If you’re concerned about any changes to your period or side effects, don’t hesitate to talk to your doctor. They can provide reassurance and help you understand what’s normal and what isn’t.

Consider Regular Contraception

While the morning after pill is a great emergency option, regular contraception is more effective and easier on your body. To help you decide on a reliable, long-term contraceptive method, Sexwise offers in-depth information on the available options.

Final Thoughts on How the Morning After Pill Affects Your Period

The morning after pill is a safe and effective form of emergency contraception, but it can cause temporary changes to your menstrual cycle. These changes, such as delayed periods, spotting, or heavier flow, are generally nothing to worry about and should normalize in the following month. If you’re ever unsure or concerned about how the morning after pill has affected your period, consult a healthcare provider for guidance.

For more information on how emergency contraception can affect your menstrual cycle, check out trusted sources like the NHS or the Family Planning Association (FPA UK).