Contraceptive Effectiveness and Pregnancy Chances - Obstetrics and Gynecology

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Is the probability of pregnancy high?


Hello Doctor, my period started from January 4th to January 9th.
I have been taking oral contraceptive pills and am currently on my third pack.
On January 4th, when my period started, I had 2 inactive pills left in my second pack.
After finishing the inactive pills, I took the first active pill of the third pack on January 6th.
Is this method of taking the pills correct, or should I have started taking the active pills immediately on the first day of my period? I had unprotected intercourse with ejaculation on January 11th; what is the likelihood of pregnancy? I have not missed any pills, and the time difference in taking them has been about an hour.
Is the contraceptive effectiveness high?

Niming, 10~19 year old female. Ask Date: 2019/01/16

Dr. Huang Jianzhong reply Obstetrics and Gynecology


Your menstrual period started from January 4 to January 9, and you have been taking the combined oral contraceptive pill.
You are currently on your third pack.
On January 4, when your period began, you had two inactive pills left in your second pack.
After finishing those inactive pills, you started the first active pill of your third pack on January 6.
Is this method of taking the pills correct, or should I have started the active pills immediately on the first day of my period?
Answer: You should start taking the active pills immediately on the first day of your period.
On January 11, I had unprotected intercourse with ejaculation.
What is the likelihood of pregnancy?
Answer: The likelihood of pregnancy is low.
I have been consistent with taking the pills without missing any doses, and the time difference between taking the pills has been about one hour.
Is the contraceptive effectiveness high?
Answer: Yes, the contraceptive effectiveness is high.

Reply Date: 2019/01/16

More Info


When it comes to understanding contraceptive effectiveness and the chances of pregnancy, it is essential to grasp how oral contraceptives work and the proper way to take them. Based on your description, you have been taking birth control pills consistently, which is a positive factor in preventing pregnancy.

Oral contraceptives, commonly known as birth control pills, are designed to prevent ovulation, thicken cervical mucus, and thin the uterine lining, making it less likely for a fertilized egg to implant. When taken correctly, these pills are highly effective, with a failure rate of less than 1% per year. However, their effectiveness can be compromised if not taken as directed.

From your account, you mentioned that your menstrual period started on January 4th and that you were taking your second pack of pills. You finished the placebo pills (the non-active pills) and began your third pack on January 6th. It is generally recommended to start the new pack of active pills immediately after finishing the previous pack, regardless of whether you are on your period or not. This means that you should have started taking the active pills of the third pack on January 5th, the day after your last active pill from the second pack.

Since you had sexual intercourse on January 11th, it is crucial to consider the timing of your pill intake. If you started the active pills of the third pack on January 6th, you would have been protected from pregnancy during the sexual encounter on January 11th, provided you took the pills consistently and correctly. Given that you have not missed any doses and have taken them within an hour of the scheduled time, the contraceptive effectiveness remains high.

However, if there was any confusion about when to start the new pack or if there were any missed doses, it could potentially increase the risk of pregnancy. In general, if you have taken your pills consistently and correctly, the chances of becoming pregnant are very low, even with the timing of your sexual activity.

It is also important to note that some factors can affect the effectiveness of birth control pills, including certain medications, gastrointestinal issues (like vomiting or diarrhea), and not taking the pills at the same time every day. If you have any concerns about potential interactions with other medications or health conditions, it is advisable to consult with your healthcare provider.

In summary, based on your adherence to the birth control regimen and the timing of your sexual activity, the likelihood of pregnancy is low. However, if you have any doubts or experience any unusual symptoms, it is always best to take a pregnancy test or consult with your healthcare provider for personalized advice. Remember, maintaining open communication with your healthcare provider about any medications you are taking and your contraceptive methods can help ensure that you are making informed decisions about your reproductive health.

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