How to Properly Use Birth Control Pills After Intercourse? - Obstetrics and Gynecology

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Are birth control pills effective?


Hello doctor, if I have sexual intercourse during the danger period at night and then again in the morning, should I take the contraceptive pill after the night intercourse or after the morning intercourse?

An Bei, 10~19 year old female. Ask Date: 2019/07/19

Dr. Zhang Kunmin reply Obstetrics and Gynecology


Hello, the emergency contraceptive pill should be taken within 72 hours after sexual intercourse, and the sooner it is taken, the higher the success rate.
The emergency contraceptive pill remains effective after one or multiple instances of sexual intercourse, provided that all sexual acts occurred within 72 hours prior to taking the medication.
Thank you! Wishing you peace and health, Dr.
Zhang.

Reply Date: 2019/07/19

More Info


When it comes to the proper use of birth control pills, especially after engaging in sexual intercourse, it's essential to understand how these medications work and the best practices for their effectiveness. Birth control pills are designed to prevent ovulation, thicken cervical mucus, and thin the uterine lining, thereby reducing the chances of pregnancy. However, timing and adherence to the regimen are crucial for maximizing their effectiveness.

In your scenario, if you have had unprotected intercourse during your fertile window (often referred to as the "danger zone"), it's important to take the birth control pill as soon as possible. The effectiveness of the pill in preventing pregnancy is contingent upon taking it consistently and correctly. If you are on a regular birth control pill regimen, you should continue taking your pills at the same time each day, regardless of when you have intercourse.

If you have already taken your birth control pill for the day and then engage in sexual activity, there is no need to take an additional pill immediately after intercourse. The key is to ensure that you have taken your pill consistently leading up to this point. If you missed a pill before the intercourse, you should follow the instructions provided with your specific pill brand, which often includes taking the missed pill as soon as you remember and using backup contraception if you had unprotected sex.

In the case where you have not been on the pill consistently or are starting a new pack, it is advisable to use a backup method of contraception, such as condoms, for at least the first seven days of taking the pill. This is particularly important if you are starting the pill after your last menstrual period or if you have missed any doses.

For those who are considering emergency contraception due to unprotected intercourse during the fertile period, options such as Plan B (levonorgestrel) or Ella (ulipristal acetate) can be effective if taken within a specific timeframe after intercourse. However, these should not be used as a regular form of birth control and are intended for occasional use.

In summary, if you are already taking your birth control pills as prescribed, continue with your regimen without making any changes based on sexual activity. If you have concerns about missed pills or the timing of your doses, consult with your healthcare provider for personalized advice. They can provide guidance tailored to your specific situation and help you understand the best practices for using birth control effectively. Always remember that consistency is key when it comes to oral contraceptives, and using additional protection during the initial days of starting a new pack or after missed doses is crucial for preventing unintended pregnancies.

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