Pearl Emergency Contraceptive Does Not Induce a Period

The Pearl pill (levonorgestrel 1.5 mg) is an emergency contraceptive (EC), not an abortifacient or period inducer. It prevents/delays ovulation if taken before the LH surge. It does not cause withdrawal bleeding or "bring on" a late period.

If Period Is Late

  • Take a pregnancy test.
  • If negative and period still absent >7 days, repeat test or see clinician.
  • Causes: stress, weight change, PCOS, thyroid, perimenopause, new medications.

EC is for post-coital backup; not a substitute for regular contraception or cycle regulation.

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