Does Taking Other Medications Affect the Effectiveness of Birth Control Pills? - Obstetrics and Gynecology

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Will taking Yaz affect the effectiveness of other medications?


Hello Doctor, I would like to ask about my situation.
I started taking my first pack of Yaz birth control pills on August 24.
However, during this time, I developed a urinary tract infection and took three medications: "Urofloxacin capsules," "Debridat tablets," and "Rovral." Will these medications affect the effectiveness of the birth control? After taking the medications, I had unprotected sex but did not ejaculate inside.
Could this lead to pregnancy? Additionally, on September 16, I had unprotected sex, and I ejaculated right after withdrawal, but I am unsure if a little bit might have been inside.
I am worried about the possibility of pregnancy.
Should I take emergency contraception? Thank you!

Niming, 20~29 year old female. Ask Date: 2018/09/16

Dr. Cao Guotao reply Obstetrics and Gynecology


Hello, if you start taking birth control pills on the fifth day of your menstrual cycle and take them consistently, they will be effective for contraception.
Other medications will not affect the efficacy of the birth control pills, and there is no need to take emergency contraception.
Wishing you good health.

Reply Date: 2018/09/16

More Info


When considering the effectiveness of birth control pills, it is essential to understand how various medications can interact with hormonal contraceptives. In your case, you mentioned taking "優復捷黴素膠囊" (likely a form of antibiotic), "得百利寧錠" (possibly a pain reliever or anti-inflammatory), and "柔瓦拉欣" (which may refer to a different medication).
Generally, the concern about antibiotics affecting the efficacy of birth control pills primarily revolves around specific antibiotics, such as rifampin, which is known to significantly reduce the effectiveness of hormonal contraceptives. However, most commonly prescribed antibiotics, including amoxicillin and others, do not have a clinically significant impact on the effectiveness of birth control pills.
In your case, the medications you mentioned do not typically interfere with the action of birth control pills. Therefore, if you have been taking your birth control pills consistently and correctly, the likelihood of reduced effectiveness due to these medications is low.
Regarding your concern about potential pregnancy from unprotected intercourse, it is important to note that the timing of your pill intake and adherence to the regimen plays a crucial role in preventing pregnancy. If you have been taking your birth control pills as directed, the risk of pregnancy is significantly reduced, even if there was a brief moment of ejaculation near the vaginal opening.
However, if you are still feeling anxious about the possibility of pregnancy, especially after the incident on 9/16, you might consider taking emergency contraception (the "morning-after pill"). Emergency contraception is most effective when taken as soon as possible after unprotected intercourse, ideally within 72 hours, but some forms can be effective up to 5 days after.
In summary, based on the information provided, the medications you have taken should not affect the effectiveness of your birth control pills. If you have been diligent in taking your pills, the risk of pregnancy is minimal. However, if you have concerns about the potential for pregnancy, especially after unprotected intercourse, it may be prudent to consult with a healthcare provider about the option of emergency contraception. Always remember that maintaining open communication with your healthcare provider about any medications you are taking is crucial for managing your reproductive health effectively.

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