First Time Taking Birth Control: Is It Effective After Unprotected Sex? - Obstetrics and Gynecology

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It has been six days since I started taking the oral contraceptive pill for the first time, and I had unprotected intercourse?


Hello doctor, I took my first oral contraceptive pill on October 5th and finished the pack on October 10th.
That evening, I had sexual intercourse with my boyfriend and he ejaculated inside me.
Is this effective for contraception? Do I need to take an emergency contraceptive pill?

Lin, 20~29 year old female. Ask Date: 2020/10/10

Dr. Cao Guotao reply Obstetrics and Gynecology


Hello, you should not be pregnant.
Wishing you good health.

Reply Date: 2020/10/10

More Info


When it comes to birth control pills, understanding their effectiveness and the timing of their use is crucial for preventing unintended pregnancies. Based on your question, you started taking a birth control pill (presumably a combined oral contraceptive) on October 5th and had unprotected intercourse on the evening of October 10th.
Generally, most combined oral contraceptives take about 7 days of consistent use to become fully effective. If you started taking the pill on the first day of your menstrual cycle, you would have immediate protection. However, since you mentioned that you began taking the pill on October 5th and had intercourse on October 10th, you would not yet have reached the 7-day mark for full contraceptive effectiveness. Therefore, it is advisable to use an additional form of contraception, such as condoms, during this initial week.

In your case, since you had unprotected sex on October 10th, and if you are concerned about the possibility of pregnancy, taking an emergency contraceptive pill (often referred to as the "morning-after pill") could be a prudent choice. Emergency contraceptive pills are most effective when taken as soon as possible after unprotected intercourse, ideally within 72 hours, but some types can be effective up to 5 days after.
Regarding your question about whether you should take an emergency contraceptive pill after having unprotected sex while on the birth control pill, it is generally recommended if you are unsure about the effectiveness of your birth control method at that time. Since you were still within the first week of starting the pill, it would be wise to take the emergency contraceptive to reduce the risk of pregnancy.

Additionally, it's important to note that while hormonal contraceptives are highly effective when taken correctly, they do not protect against sexually transmitted infections (STIs). Therefore, using condoms is also advisable for protection against STIs, especially if you or your partner have not been tested.

Lastly, if you experience any unusual symptoms or side effects after taking the birth control pill or emergency contraception, such as severe abdominal pain, heavy bleeding, or persistent nausea, it is essential to consult with a healthcare provider. They can provide guidance and support tailored to your specific situation.

In summary, since you are still within the first week of taking the birth control pill, it is advisable to consider taking an emergency contraceptive pill to reduce the risk of pregnancy after unprotected intercourse. Always consult with a healthcare professional for personalized advice and to discuss any concerns you may have regarding your contraceptive methods.

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