Emergency contraceptive pill
Hello doctor, I started taking birth control pills last month and have been taking them daily without missing any doses.
I finished my last pill on Thursday, but to delay my period, I took an extra pill.
I had sexual intercourse with a condom during that time, but on Friday and Saturday, I had unprotected intercourse.
Is there a possibility that I could be pregnant? On Saturday night, I experienced noticeable lower abdominal pain, which has been a persistent dull ache for the past few days.
Recently, I've also been experiencing random burping and an increased appetite.
Could these be signs of pregnancy?
Alliy, 10~19 year old female. Ask Date: 2018/03/25
Dr. Huang Jianzhong reply Obstetrics and Gynecology
Last month, I started taking birth control pills and have been taking them daily without missing any doses.
I finished the last pill on Thursday, but to delay my period, I took an extra pill.
I had sexual intercourse with a condom during that time, but on Friday and Saturday, I had unprotected sex.
Is there a possibility of getting pregnant?
Answer: Since you finished the last pill on Thursday and had unprotected sex on Friday and Saturday, it is unlikely that you would become pregnant.
Additionally, on Saturday night, I experienced noticeable lower abdominal pain that is different from the usual cramping I've had for the past few days.
I've also been burping for no apparent reason and my appetite has increased.
Could these be signs of pregnancy?
Answer: The noticeable lower abdominal pain, persistent cramping from previous days, random burping, and increased appetite are not signs of pregnancy.
Reply Date: 2018/03/25
More Info
When it comes to the question of whether you can get pregnant while taking birth control pills, the answer is generally no, provided that the pills are taken correctly and consistently. Birth control pills are designed to prevent ovulation, and when taken as directed—meaning every day at the same time without missing any doses—they are highly effective in preventing pregnancy. However, there are several factors that can influence their effectiveness, including missed doses, interactions with other medications, and gastrointestinal issues such as vomiting or diarrhea.
In your case, you mentioned that you started taking birth control pills last month and did not miss any doses until you took an extra pill to delay your period. This is a common practice known as "stacking" or "continuous use," and it is generally safe as long as you are following the guidelines provided by your healthcare provider. However, it's important to note that taking an extra pill does not increase the effectiveness of the birth control method; it simply alters your menstrual cycle.
You also mentioned that you had unprotected sex on Friday and Saturday after taking the last pill. If you have been taking your birth control pills consistently and correctly, the risk of pregnancy from unprotected intercourse during the active pill phase is very low. However, if you had missed any doses earlier in the cycle or if you are taking medications that interact with the pill, the risk could increase.
Regarding the symptoms you are experiencing—lower abdominal pain, increased appetite, and frequent burping—these can be signs of various conditions, not just pregnancy. Lower abdominal pain can be related to ovulation, menstrual cramps, or even gastrointestinal issues. Increased appetite and burping could be related to hormonal changes, stress, or dietary factors. While these symptoms can be associated with early pregnancy, they are not definitive indicators.
If you are concerned about the possibility of pregnancy, the best course of action is to take a home pregnancy test after a missed period or consult with your healthcare provider for further evaluation. They can provide you with more personalized advice based on your medical history and current situation.
In summary, while the chances of getting pregnant while taking birth control pills correctly are low, there are several factors to consider. If you have any doubts or experience unusual symptoms, it's always best to consult with a healthcare professional for guidance. They can help you understand your symptoms better and provide reassurance or further testing if necessary.
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