Does Drinking Alcohol Affect the Effectiveness of Birth Control Pills? - Obstetrics and Gynecology

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Pre-medication and alcohol?


Hello doctor, I have been taking the pre-exposure prophylaxis (PrEP) for 21 days and I'm currently on my third pack.
I would like to ask if drinking alcohol a few days before taking the PrEP, but taking the medication with water and not experiencing any vomiting afterward, would affect its contraceptive effectiveness.
I do not drink alcohol regularly, only 1 to 3 times a month.

Mi, 20~29 year old female. Ask Date: 2017/12/09

Dr. Huang Jianzhong reply Obstetrics and Gynecology


I have been taking the third pack of the contraceptive pill for 21 days.
I would like to ask if drinking alcohol a few days before starting the pill, while taking the medication with water and without experiencing any vomiting afterwards, would affect its contraceptive effectiveness.
I do not drink alcohol regularly, only 1 to 3 times a month.
Answer: This will not affect the contraceptive effectiveness.

Reply Date: 2017/12/09

More Info


Drinking alcohol while on birth control pills is a common concern among women who are trying to ensure the effectiveness of their contraceptive methods. The good news is that moderate alcohol consumption does not significantly affect the effectiveness of birth control pills. However, there are a few important considerations to keep in mind.

First, it’s essential to understand how birth control pills work. They primarily prevent ovulation, thicken cervical mucus to block sperm, and thin the uterine lining to prevent implantation. The hormones in these pills are designed to maintain a consistent level in the bloodstream. Alcohol, when consumed in moderation, does not interfere with the hormonal mechanism of the pills.

In your case, since you mentioned that you have been taking the pills consistently for 21 days and have not experienced any vomiting after drinking alcohol, it is unlikely that your alcohol consumption has affected the effectiveness of your birth control. Vomiting or severe diarrhea can reduce the absorption of the hormones in the pill, which is when you would need to be concerned about its effectiveness. Since you took the pill with water and did not experience any adverse effects, you should feel reassured.

However, it is important to note that excessive alcohol consumption can lead to risky behaviors, including forgetting to take your birth control pill on time. This is particularly relevant if you consume alcohol in larger quantities or more frequently, as it may impair your judgment and lead to missed doses. Consistency is key with birth control pills, so maintaining a routine is crucial for their effectiveness.

Moreover, while moderate drinking is generally considered safe, it is advisable to be cautious about alcohol consumption, especially if you are taking other medications or have underlying health conditions. Alcohol can interact with various medications, potentially leading to adverse effects. Therefore, if you have any concerns about your health or the medications you are taking, it is always best to consult with your healthcare provider.

In summary, moderate alcohol consumption does not significantly impact the effectiveness of birth control pills, especially if you are taking them as prescribed and have not experienced any side effects like vomiting. However, it is essential to maintain a consistent routine with your medication and be mindful of your alcohol intake to avoid any potential risks associated with excessive drinking. If you have further concerns or experience any unusual symptoms, do not hesitate to reach out to your healthcare provider for personalized advice.

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