Concerns About Pregnancy Risk After Missed Birth Control Pills

I'm afraid I might get pregnant >__
Hello, Doctor.
I've been taking Yaz for about three months, but I missed two doses within one week.
The first time was on Tuesday night after taking my medication at 6 PM; I didn't take it on Wednesday night and then took it on Thursday night at 10 PM (a total of two pills, with more than 24 hours since the missed dose of the active pill).
The second time was on Thursday night after taking my medication at 6 PM; I didn't take it on Friday night and then took one pill on Saturday at both 4 PM and 6 PM (less than 24 hours since the missed dose of the active pill).
After that, I had unprotected intercourse for a week.
I would like to know if there is a chance of pregnancy or if the risk is high (there are still two weeks until my next period).
Thank you, Doctor, for your response.
^^
aa, 20~29 year old female. Ask Date: 2019/12/21

Dr. Cao Guotao reply Obstetrics and Gynecology

Hello, if you have taken supplements, the chances of pregnancy are likely low.
However, if you are still concerned next time, it is advisable to use condoms for added protection.
Wishing you good health.

Reply Date: 2019/12/21

More Info

When it comes to missed birth control pills and the potential risk of pregnancy, it's important to understand how hormonal contraceptives work and the implications of missing doses. Birth control pills, such as the one you mentioned (Yasmin), are designed to maintain consistent hormone levels in the body to prevent ovulation. Missing doses can disrupt this hormonal balance, leading to a potential risk of ovulation and, consequently, pregnancy.

In your case, you mentioned missing two pills within a week. The first instance involved missing a pill for over 24 hours before taking two pills together, while the second instance involved missing a pill for less than 24 hours before taking two pills. According to guidelines from health organizations, if you miss a pill and it has been more than 24 hours since the last active pill was taken, you should take the missed pill as soon as you remember and continue taking the rest of the pills as scheduled. However, it is recommended to use a backup method of contraception, such as condoms, for at least seven days after missing a pill to ensure protection against pregnancy.

Given that you had unprotected intercourse during this time, there is a possibility of pregnancy, especially after the first missed pill incident. The risk of pregnancy increases if you have missed pills and have unprotected sex, particularly during the days leading up to ovulation. Since you mentioned that your period is still two weeks away, it is difficult to determine your pregnancy status at this moment.

If you are concerned about the possibility of being pregnant, consider taking a home pregnancy test after your expected period date. This will provide a more accurate indication of whether you are pregnant. Additionally, if you find yourself frequently missing pills, it may be worth discussing with your healthcare provider about alternative contraceptive methods that may be more suitable for your lifestyle, such as an IUD or implant, which do not require daily attention.

In summary, while there is a risk of pregnancy due to missed pills, the exact likelihood depends on various factors, including the timing of ovulation and the specific days you had unprotected intercourse. It is advisable to monitor your body for any signs of pregnancy and consult with your healthcare provider for personalized advice and potential next steps.

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