Can You Drink Alcohol While Taking Birth Control Pills? - Obstetrics and Gynecology

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Can I drink alcohol while taking emergency contraception?


Hello, I started taking the fourth pack of oral contraceptive pills on the fifth day of my menstrual period, November 12.
I consistently take them at 9 PM.
On December 13, after taking the second pill, I experienced gastritis and vomited four hours later at 1 AM.
On December 14, I vomited one hour after taking the pill and did not take a replacement dose.
I have been taking the pills regularly since then.
Q1: Will this affect the contraceptive effectiveness, especially since my gastrointestinal discomfort could impact the absorption of the pills?
Q2: In the future, should I take a replacement dose in such situations? Does taking extra pills have any consequences?
Q3: What is the likelihood of pregnancy from sexual intercourse on November 12 and November 26? I have been experiencing breast tenderness and abdominal discomfort, which I did not have when I previously took contraceptive pills.
Q4: How long does it take for the contraceptive pills to be absorbed? If I take the pill at 6:30 PM and drink alcohol at 9 PM, will it affect the efficacy of the medication? Would it be better to take the pill in the morning instead?
Q5: If I take the pill two to three hours late (or early), will it have any impact? Is the main purpose of taking the pill at the same time each day to avoid forgetting to take it?

Emma, 20~29 year old female. Ask Date: 2016/11/30

Dr. Cao Guotao reply Obstetrics and Gynecology


Hello, you can start taking the birth control pill on the fifth day of your menstrual period.
It doesn't have to be taken at the exact same time, as taking it around the same time is sufficient.
As long as you take it regularly, it will be effective for contraception.
If you vomit, it may affect absorption, but you generally do not need to take an extra dose.
Wishing you good health!

Reply Date: 2016/11/30

More Info


When it comes to the interaction between alcohol consumption and birth control pills, there are several important factors to consider. Let's break down your questions and provide a comprehensive understanding of the topic.

Q1: Will vomiting after taking birth control pills affect their effectiveness?
Vomiting can indeed affect the absorption of birth control pills. If you vomit within two hours of taking the pill, it is generally recommended to take another pill as soon as possible. Since you mentioned that you vomited four hours after taking the pill, the medication would likely have been absorbed by that time, so it should still be effective. However, if you experience ongoing gastrointestinal issues, it could potentially interfere with the absorption of the medication over time.

Q2: Should you take a backup pill if you vomit?
If you vomit within two hours of taking your birth control pill, you should take another pill as soon as you can. If it’s been longer than two hours, the pill is likely absorbed, and you do not need to take an additional one. If you frequently experience vomiting after taking the pill, it might be worth discussing with your healthcare provider to explore alternative forms of contraception that may be easier for you to manage.

Q3: What is the likelihood of pregnancy if you had unprotected sex on the days you mentioned?
The effectiveness of birth control pills is very high when taken correctly, but if you have missed doses or experienced vomiting, the risk of pregnancy can increase. If you had unprotected sex on the days you mentioned and your pill-taking was inconsistent, there is a possibility of pregnancy. Symptoms like breast tenderness and abdominal discomfort can be related to hormonal changes, but they can also be early signs of pregnancy. If you are concerned, consider taking a home pregnancy test or consulting your healthcare provider.

Q4: How long does it take for birth control pills to be absorbed, and does drinking alcohol affect their effectiveness?
Birth control pills typically take about 7 days to reach their full effectiveness if you are starting a new pack. If you have been taking your pills consistently for at least seven days, drinking alcohol in moderation should not affect the effectiveness of the pills. However, heavy drinking can lead to vomiting, which could impact absorption, as previously discussed. It’s generally advisable to wait a few hours after taking your pill before consuming alcohol to ensure maximum absorption.

Q5: What happens if you take your pill a few hours late?
Taking your birth control pill a few hours late occasionally is usually not a cause for concern, especially if you take it within 12 hours of your usual time. However, if you are consistently late or miss doses, it can reduce the effectiveness of the pill. The primary reason for taking the pill at the same time each day is to maintain consistent hormone levels in your body, which helps prevent ovulation.

In summary, while moderate alcohol consumption does not directly affect the efficacy of birth control pills, it is essential to be mindful of your overall health and any gastrointestinal issues that may arise. If you have concerns about your birth control method or experience side effects, it is always best to consult with your healthcare provider for personalized advice and potential alternatives.

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