Pregnancy Chances After Contraceptive Use and Antibiotics - Obstetrics and Gynecology

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Probability of Pregnancy


I started taking the contraceptive pill on the first day of my period on July 10.
However, on July 16, I developed a stye and was prescribed a three-day course of medication containing cephalexin (while continuing to take the contraceptive pill).
Then, on July 22, I had unprotected intercourse (withdrawal method).
What is the likelihood of becoming pregnant in this situation?

Youyou, 20~29 year old female. Ask Date: 2020/08/02

Dr. Cao Guotao reply Obstetrics and Gynecology


Hello, continuing to take contraceptive pills will provide contraceptive effectiveness.
Wishing you good health.

Reply Date: 2020/08/02

More Info


When considering the chances of pregnancy after using contraceptives and antibiotics, it is essential to understand how these factors interact. In your case, you began taking the contraceptive pill (Yaz) on July 10, and while continuing to take it, you were prescribed cephalexin for a stye on July 16. You then had unprotected intercourse on July 22.
First, it's important to note that most hormonal contraceptives, like Yaz, are highly effective when taken correctly. The effectiveness of these pills is around 91-99% with typical use, meaning that while there is still a small chance of pregnancy, it is significantly reduced when the pills are taken consistently and correctly.
Regarding the use of antibiotics, there is a common concern that certain antibiotics can interfere with the effectiveness of hormonal contraceptives. However, cephalexin is generally not known to significantly affect the efficacy of birth control pills. The only antibiotics that have been shown to potentially reduce the effectiveness of hormonal contraceptives are rifampin and rifabutin, which are used to treat tuberculosis and certain other infections. Therefore, taking cephalexin while on Yaz should not have compromised your contraceptive protection.

Given that you were actively taking your contraceptive pill during the time you were prescribed cephalexin and continued to take it correctly, the likelihood of pregnancy from the unprotected intercourse on July 22 is low. However, no contraceptive method is 100% effective, and there is always a small risk of pregnancy with any method of contraception.

If you are concerned about the possibility of pregnancy, the best course of action is to wait until your next expected period. If your period is late, you should take a home pregnancy test for confirmation. If you have any further concerns or experience any unusual symptoms, it would be advisable to consult with your healthcare provider for personalized advice and guidance.

In summary, while there is always a small chance of pregnancy with any contraceptive method, the combination of taking Yaz correctly and the use of cephalexin should not significantly increase your risk. If you have further questions or concerns about your contraceptive method or the use of antibiotics, discussing them with your healthcare provider can provide you with the most accurate and tailored information.

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