How Soon Can You Have Unprotected Sex After Starting Birth Control? - Obstetrics and Gynecology

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Emergency contraceptive pill


If your girlfriend started taking the combined oral contraceptive pill (specifically, Qlaira) on July 27, she should ideally wait at least 7 days after starting the pill before engaging in unprotected intercourse to ensure adequate contraceptive effectiveness.
After this initial period, the pill should provide reliable protection against pregnancy as long as it is taken consistently and correctly.

W, 20~29 year old female. Ask Date: 2020/07/30

Dr. Wu Xianghui reply Obstetrics and Gynecology


In theory, emergency contraceptive pills must be taken continuously for at least seven days to achieve contraceptive effectiveness.

Reply Date: 2020/07/30

More Info


When it comes to starting birth control pills, understanding the timeline for effective contraception is crucial for couples looking to avoid unintended pregnancies. In your case, your girlfriend began taking the birth control pill on July 27, and you are inquiring about how soon you can have unprotected sex after starting the pill.

Generally, the effectiveness of birth control pills can vary depending on when they are started in relation to the menstrual cycle. For combination pills like the one you mentioned (祈麗安), here are some important points to consider:
1. Starting the Pill: If your girlfriend starts taking the pill during the first five days of her menstrual cycle, she is protected from pregnancy immediately. However, if she starts taking the pill at any other time in her cycle, it typically takes about seven days for the pill to become fully effective. Therefore, if she started on July 27 and it was not during her period, you should wait at least seven days, which would mean waiting until around August 3 before having unprotected sex.

2. Consistency is Key: For the pill to be effective, it must be taken consistently at the same time every day. Missing doses can decrease its effectiveness and increase the risk of pregnancy.

3. Backup Methods: During the first week of starting the pill, it is advisable to use a backup method of contraception, such as condoms, to ensure protection against pregnancy. This is especially important if the pill was not started during the first five days of the menstrual cycle.

4. Consulting Healthcare Providers: It is always a good idea for couples to consult with a healthcare provider for personalized advice. They can provide guidance based on your girlfriend's health history and specific circumstances.

5. Understanding Side Effects: While birth control pills are generally safe, they can have side effects, including nausea, headaches, and mood changes. It’s important for your girlfriend to monitor how she feels after starting the pill and to communicate with her healthcare provider if she experiences any concerning symptoms.

6. Regular Check-ups: Regular follow-ups with a healthcare provider are recommended to ensure that the chosen method of contraception is working effectively and to discuss any potential changes in health or lifestyle that may affect contraceptive needs.

In summary, if your girlfriend started taking the birth control pill on July 27 and it was not during her menstrual period, you should wait at least seven days (until around August 3) before having unprotected sex to ensure that she is adequately protected against pregnancy. Always prioritize open communication with your partner and healthcare provider regarding contraceptive methods and sexual health.

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