[20F] With chest pain, missed period, and headache post-emergency contraception

What might be happening

Based on the symptoms and history you've provided, here are some possible explanations:

Potential Pregnancy

• Emergency Contraception: You took the morning-after pill (Plan B) and started a new birth control method. These actions significantly reduce the risk of pregnancy, but no method is 100% effective. It's too early to detect pregnancy symptoms, but stress and hormonal changes can affect your menstrual cycle.

Chest Pain (Nipples and Underarms)

• Hormonal Changes: The pain in your nipples and underarms, along with tissue build-up in your armpits, could be related to hormonal fluctuations, especially since you mentioned it usually occurs around your period.
• Side Effects of Plan B: Emergency contraception can cause side effects like breast tenderness, headaches, and changes in your menstrual cycle.

Headaches and Dizziness

• Side Effects of Plan B: Headaches, dizziness, and feeling hot can be side effects of taking emergency contraception.
• Stress and Anxiety: Worrying about potential pregnancy and other health concerns can contribute to headaches and dizziness.

Depression

• Major Depressive Disorder (MDD): You mentioned having MDD, and it's not uncommon for stress and hormonal changes to exacerbate symptoms like lack of interest and numbness.

What you can do

Potential Pregnancy

• Take a Pregnancy Test: If your period is late by more than a week, consider taking a pregnancy test for peace of mind.
• Consult a Healthcare Provider: If you're still concerned, consult a healthcare provider for further advice and possibly a blood test to confirm pregnancy.

Chest Pain (Nipples and Underarms)

• Monitor Symptoms: Keep track of your symptoms. If the pain persists or worsens, consult a healthcare provider.
• Over-the-Counter Pain Relief: Consider using over-the-counter pain relievers like ibuprofen or acetaminophen to manage the pain.
• Warm Compress: Applying a warm compress to the affected areas may help alleviate discomfort.

Headaches and Dizziness

• Stay Hydrated: Drink plenty of water to stay hydrated, which can help reduce headaches and dizziness.
• Rest: Ensure you get enough rest and avoid strenuous activities that could exacerbate your symptoms.
• Consult a Healthcare Provider: If the headaches and dizziness persist, consult a healthcare provider for further evaluation.

Depression

• Reach Out for Support: Talk to a mental health professional or counselor at your university's health center. They can provide support and resources to help manage your symptoms.
• Self-Care: Engage in activities that you enjoy and that help you relax. Regular exercise, a balanced diet, and adequate sleep can also improve your mood.
• Use MDandMe: Consider using MDandMe to journal your symptoms, track your progress, get insights, and share longitudinal medical notes with your provider.

What you should look out for

Given the range of your symptoms, it's important to seek medical care if you experience any of the following:

• Severe or Persistent Chest Pain: If the pain in your nipples and underarms becomes severe or doesn't go away, seek medical attention.
• Severe Headaches or Neurological Symptoms: If you experience severe headaches, vision changes, or neurological symptoms like weakness or numbness, seek immediate medical care.
• Worsening Depression: If you have thoughts of self-harm or suicide, seek immediate help from a mental health professional or call a crisis hotline.

Remember, while I can provide guidance, it's important to consult with real healthcare professionals for a formal diagnosis and treatment plan.