Accidentally Taking Extra Birth Control Pill: What to Do Next? - Obstetrics and Gynecology

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Taking an extra birth control pill?


Hello, I am currently taking Kylian for menstrual regulation and contraception.
I have completed one cycle (21 days), but today (the 22nd day) I forgot to stop taking the medication, so I took an extra pill.
How should I continue taking it to ensure its effectiveness?

Lai Xiaojie, 10~19 year old female. Ask Date: 2019/04/08

Dr. Huang Jianzhong reply Obstetrics and Gynecology


You are taking Kylian for menstrual regulation and contraception.
After completing one cycle (21 days), you forgot to stop on the 22nd day and took an extra pill.
What should you do next for it to be effective? Answer: Start taking it again when your period arrives.

Reply Date: 2019/04/08

More Info


If you accidentally take an extra birth control pill, it’s important to remain calm and understand the next steps to ensure continued effectiveness of your contraceptive method. In your case, since you are taking a combined oral contraceptive pill (like Qlaira), here’s what you should do:
1. Take the Extra Pill: Since you have already taken the extra pill, there is no need to induce vomiting or take any drastic measures. Just continue with your regular schedule.

2. Continue with Your Regular Dosing Schedule: After taking the extra pill, you should continue taking your pills as scheduled. If you are on a 21-day pill regimen, you will typically have a 7-day break after completing the 21 pills. Since you mentioned that you are on day 22, you should stop taking the pills after the 21st pill and take your break as planned.

3. Monitor for Side Effects: Taking an extra pill may lead to some side effects such as nausea, breast tenderness, or spotting. These are generally not harmful but can be uncomfortable. If you experience severe side effects or have concerns, consult your healthcare provider.

4. Effectiveness of the Pill: Taking an extra pill does not significantly affect the overall effectiveness of your birth control. The primary concern with missing pills is the risk of ovulation, but since you took the extra pill, you are still protected against pregnancy for that cycle.

5. Next Cycle: When you start your next cycle after the 7-day break, continue taking your pills as directed. Consistency is key in maintaining the effectiveness of birth control pills.
6. Consult Your Healthcare Provider: If you have any lingering concerns or if this is not the first time you have accidentally taken an extra pill, it may be beneficial to discuss this with your healthcare provider. They can provide personalized advice and reassurance.

7. Emergency Contraception: If you are concerned about the possibility of pregnancy due to missed pills or other contraceptive failures, you may want to discuss emergency contraception options with your healthcare provider. However, since you took the extra pill and are continuing your regimen, this is likely not necessary.

In summary, taking an extra birth control pill is usually not a cause for alarm. Just continue with your regular schedule, monitor for any side effects, and consult your healthcare provider if you have any concerns. It’s always a good practice to keep track of your pill-taking schedule and set reminders if necessary to avoid future mishaps.

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