Emergency Contraceptive Pills: Vomiting and Dosage Concerns Explained

Emergency contraceptive pill vomiting taken for 20 days?

If I took a pre-exposure contraceptive pill and vomited about 2 minutes later without seeing the pill in the vomit, but I took another pill to make up for it, does that mean I have missed a day's dose (taking it for 20 days)? Do I need to get another pack to complete 21 days, or is taking it for 20 days sufficient? What impact would taking two pills in one day have on my body? Additionally, should I use condoms to increase contraceptive measures in this situation? Thank you for your response.

Chen, 10~19 year old female. Ask Date: 2019/04/22

Dr. Zhang Kunmin reply Obstetrics and Gynecology

Hello, the first time you take birth control pills, it is recommended to start on the first day of your menstrual cycle.
If you begin taking the pills after the second day of your period, it is advised to use additional contraceptive measures for the first seven days of taking the pills.
Based on your situation, it is recommended to finish all 20 pills and then take a seven-day break before starting the next pack.
Thank you! Wishing you safety and health, Dr.
Zhang.

Reply Date: 2019/04/22

More Info

When it comes to emergency contraceptive pills (ECPs), understanding the implications of vomiting shortly after ingestion and the appropriate dosage is crucial for effective use. ECPs are designed to prevent pregnancy after unprotected intercourse or contraceptive failure, and they are most effective when taken as soon as possible after the event.

In your case, if you vomited approximately two minutes after taking the ECP, there is a possibility that the medication did not have enough time to be absorbed into your system. Generally, if vomiting occurs within two hours of taking the pill, it is advisable to take another dose. Since you mentioned that you did not see the pill in your vomit, it is reasonable to assume that it may not have been absorbed. Therefore, taking an additional pill was a prudent decision.

Regarding your question about whether you need to continue taking the ECP for a full 21 days, it is important to clarify that ECPs are not intended for regular use as a contraceptive method. They are designed for emergency situations. If you are on a regular contraceptive regimen, you should continue with that as prescribed. If you were taking a combined oral contraceptive pill (like the one you mentioned, which contains gestodene and ethinylestradiol), you should follow the instructions provided by your healthcare provider regarding the continuation of your regular birth control method.

Taking two pills in one day, as you did, is generally not harmful, but it is essential to follow the specific guidelines for the medication you are using. Most ECPs are safe to take in higher doses if necessary, but it is always best to consult with a healthcare professional for personalized advice.

As for using condoms as an additional contraceptive measure, it is always a good practice to use condoms, especially if there is any uncertainty about the effectiveness of your contraceptive method. Condoms not only provide an additional layer of protection against pregnancy but also protect against sexually transmitted infections (STIs). If you are concerned about the effectiveness of your current contraceptive method due to vomiting or any other issues, using condoms can help mitigate the risk of unintended pregnancy.

In summary, if you vomited shortly after taking the ECP, taking an additional dose was appropriate. You do not need to take a full 21-day course of ECPs; instead, continue with your regular contraceptive method as directed. Using condoms as a backup is a wise choice, especially in situations where there may be concerns about the efficacy of your primary contraceptive method. Always consult with your healthcare provider for personalized advice and to address any specific concerns you may have about your contraceptive regimen.

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