Skip to content

What are the side effects of Postinor 2?

4 min read

Emergency contraception like Postinor 2 contains a high dose of levonorgestrel, and this can lead to temporary, mild side effects in many users. A recent review found that changes to the menstrual cycle are among the most frequently experienced symptoms after taking the pill.

Quick Summary

Postinor 2 is an emergency contraceptive that can cause temporary side effects such as nausea, fatigue, and menstrual irregularities. This article outlines the range of possible symptoms, their expected duration, and when professional medical advice is necessary.

Key Points

  • Common and Temporary Effects: Most side effects, such as nausea, headaches, and fatigue, are mild and resolve within a few days.

  • Menstrual Changes are Normal: Expect potential changes to your next period, including timing, flow, and duration. Spotting is also possible.

  • When to See a Doctor: Seek immediate medical help for severe abdominal pain, very heavy bleeding, or symptoms of an allergic reaction.

  • Not for Regular Use: Postinor 2 is an emergency measure and should not be used as a routine form of contraception due to its high hormonal content and potential side effects.

  • Vomiting within Two Hours: If you vomit within two hours of taking the pill, contact a healthcare provider for advice as a repeat dose may be needed.

  • Pregnancy Test for Delay: If your next period is delayed by more than a week, take a pregnancy test to confirm the pill's effectiveness.

In This Article

Emergency contraception provides a vital option after unprotected intercourse, but like all medicines, Postinor 2 is associated with a range of potential side effects. These are typically temporary, resolving within a few days, but it is important for users to be aware of what to expect and when to seek medical attention.

Common Side Effects of Postinor 2

The most frequently reported side effects of Postinor 2 are caused by the high dose of hormones and usually resolve within 24 to 72 hours. Users may experience one or more of the following:

  • Nausea: This is one of the most common side effects. Taking the tablets with food can help to minimize this feeling. If vomiting occurs within two hours of taking a tablet, a healthcare provider should be consulted as another dose may be needed.
  • Fatigue and Dizziness: A feeling of unusual tiredness or lightheadedness is a common response to the hormonal changes. Avoiding driving or operating heavy machinery until these feelings pass is recommended.
  • Headache: Mild headaches are frequently reported and can be managed with over-the-counter pain medication if necessary.
  • Breast Tenderness: The hormonal shift can lead to temporary breast pain or increased sensitivity.
  • Abdominal Pain: Stomach or pelvic cramping is another common side effect.

Menstrual Cycle Changes

The high dose of levonorgestrel in Postinor 2 can disrupt the body's normal hormonal cycle, leading to temporary changes in menstruation.

How Your Next Period May Be Affected

Your next menstrual cycle after taking Postinor 2 may be different from your usual pattern. These changes are typically transient and should return to normal within one or two cycles.

  • Timing: Your next period might start a few days earlier or later than expected. If your period is delayed by more than a week, a pregnancy test is recommended.
  • Flow: The period may be lighter or heavier than your typical flow.
  • Duration: The period may last for a longer or shorter time than usual.
  • Spotting: Irregular vaginal bleeding or spotting between your period and the next one is also possible.

Less Common and Serious Side Effects

While most effects are mild, some less common side effects can occur. Users should also be aware of the signs of rare but serious complications.

Less Common Effects

  • Diarrhea: Some users may experience gastrointestinal upset.
  • Mood Changes: Emotional side effects such as mood swings, decreased libido, or nervousness are sometimes reported.
  • Skin Reactions: Mild allergic reactions like skin rash, itching, or hives can occur.

Serious but Rare Effects

If you experience any of the following, seek immediate medical attention:

  • Severe Lower Abdominal Pain: Intense pain, especially on one side, could be a sign of an ectopic pregnancy. This is a rare but life-threatening condition where a fertilized egg implants outside the uterus.
  • Heavy or Prolonged Bleeding: Experiencing bleeding that is significantly heavier or lasts much longer than a typical period warrants medical evaluation.
  • Allergic Reaction: Signs of a severe allergic reaction (anaphylaxis) include swelling of the face or throat, difficulty breathing, or severe rash.

Comparison of Emergency Contraception Side Effects

It can be helpful to compare Postinor 2 (levonorgestrel) with other emergency contraceptive options. For example, Ella (ulipristal acetate) has a different side effect profile and duration of effectiveness.

Feature Postinor 2 (Levonorgestrel) Ella (Ulipristal Acetate)
Active Ingredient Levonorgestrel Ulipristal Acetate
Effective Window Most effective within 72 hours, with effectiveness decreasing over time Effective up to 120 hours (5 days), with consistent effectiveness throughout the period
Effectiveness with Weight Decreased effectiveness in individuals weighing more than 165 lbs Maintains effectiveness in individuals with a higher BMI, up to 35
Common Side Effects Nausea, fatigue, headache, breast tenderness, menstrual changes Headache, nausea, abdominal pain, fatigue, menstrual changes
Interaction with Birth Control Not recommended for frequent use; can disrupt hormonal balance Should not be used with hormonal birth control methods; it can reduce their effectiveness
Frequency of Use Not for routine contraception; for emergency use only Not for routine contraception; for emergency use only

What to Do for Side Effects

  • For Nausea and Vomiting: Take the tablet with food to reduce nausea. If vomiting occurs within two hours, a doctor or pharmacist should be consulted.
  • For Headaches: Over-the-counter pain relievers can provide relief.
  • For Fatigue and Dizziness: Resting and avoiding activities requiring focus, like driving, can help.
  • For Menstrual Irregularities: Understand that changes are normal and temporary. Keep track of your cycle and take a pregnancy test if your period is more than a week late.

Conclusion

While Postinor 2 is a safe and effective emergency contraceptive for most women, it is important to be aware of its potential side effects. The most common symptoms, including nausea, fatigue, and menstrual irregularities, are typically mild and temporary. By understanding these potential effects and knowing when to seek medical advice for more serious symptoms, users can navigate the experience with confidence and peace of mind. For more information, please consult the World Health Organization's guidance on emergency contraception.

For more detailed guidance and resources, you can consult sources such as Healthline on managing emergency contraception side effects: Emergency Contraception: Possible Side Effects.

Frequently Asked Questions

The side effects of Postinor 2 are typically temporary and usually subside within a few days to a week. Menstrual cycle changes, however, may last until your next period is complete.

Yes, it is very common for Postinor 2 to affect your next menstrual period. It may arrive a few days earlier or later than expected, and the flow and duration might also differ from your normal cycle.

If you vomit within two hours of taking a Postinor 2 tablet, it may not have been fully absorbed. You should contact a doctor, pharmacist, or family planning clinic immediately to ask if you need to take another dose.

No, severe lower abdominal pain is not a normal or common side effect. It can be a rare but serious sign of an ectopic pregnancy and requires immediate medical attention.

Some users have reported emotional side effects, such as mood swings, decreased libido, or feelings of nervousness, due to the hormonal changes caused by the pill.

Postinor 2 is not intended for regular, long-term use. Frequent use can cause hormonal imbalances and is not as effective as other forms of contraception. It should only be used in emergencies.

Taking the Postinor 2 tablet with a meal or a small amount of food can help to reduce the feeling of nausea. Some find that taking it before bed can also help.

References

  1. 1
  2. 2
  3. 3
  4. 4
  5. 5
  6. 6
  7. 7
  8. 8
  9. 9
  10. 10

Medical Disclaimer

This content is for informational purposes only and should not replace professional medical advice.