Common Questions About Birth Control Pills: What You Need to Know - Obstetrics and Gynecology

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One series of issues related to emergency contraceptive pills?


1.
If you start taking oral contraceptives and finish one month, do you still need to take them if you don't have intercourse the following month?
2.
Can you have unprotected intercourse while taking the pills?
3.
What is the likelihood of pregnancy?
4.
Can you skip taking emergency contraception if you don't have intercourse?

Xiao Kui, 10~19 year old female. Ask Date: 2020/11/02

Dr. Huang Yiwen reply Obstetrics and Gynecology


Hello, Miss Xiao Kui: 1.
If you do not engage in sexual activity for the entire second month, then there is no need to take the pill.
2.
The contraceptive effect of the pre-exposure contraceptive pill lasts throughout the entire cycle, so there is no need to worry about pregnancy.
Intercourse can be performed without concern.
3.
If you have not missed any doses of the contraceptive pill throughout the entire cycle, you should not be worried about becoming pregnant.
4.
If the purpose of taking the pre-exposure contraceptive pill is solely for contraception, then there is no need to take it if there is no sexual activity.

Reply Date: 2020/11/02

More Info


When it comes to birth control pills, there are several important considerations and common questions that arise. Here’s a comprehensive overview addressing your queries:
1. If I start taking birth control pills and finish one month, but do not have intercourse the following month, should I continue taking them?
Yes, it is advisable to continue taking your birth control pills as prescribed, even if you do not plan to have intercourse in the following month. Birth control pills work best when taken consistently and at the same time every day. This helps maintain hormone levels in your body, ensuring that you are protected against unintended pregnancy when you do decide to have intercourse. If you stop taking the pills, you may not only lose the contraceptive benefits but also disrupt your menstrual cycle.

2. Can I have unprotected intercourse while on the pill?
Yes, you can have unprotected intercourse while taking birth control pills, provided you are taking them correctly and consistently. Birth control pills are designed to prevent ovulation, thicken cervical mucus, and thin the uterine lining, all of which contribute to preventing pregnancy. However, it is crucial to take the pills as directed—missing doses can increase the risk of pregnancy. If you have missed a pill, refer to the instructions provided with your medication or consult your healthcare provider for guidance on what to do next.

3. What is the likelihood of getting pregnant while on the pill?
When taken correctly, birth control pills are over 99% effective at preventing pregnancy. However, typical use, which accounts for missed pills or taking them at irregular times, reduces their effectiveness to about 91%. Factors that can affect the effectiveness of the pill include certain medications (like antibiotics), gastrointestinal issues (like vomiting or diarrhea), and not taking the pill at the same time every day. If you have concerns about the effectiveness of your birth control method, it’s best to consult with your healthcare provider.

4. Can I skip taking the pill if I do not plan to have intercourse?
While you technically can skip taking the pill if you do not plan to have intercourse, it is not recommended. Consistency is key to maintaining the effectiveness of the pill and regulating your menstrual cycle. If you are considering not having intercourse for an extended period, discuss alternative contraceptive methods with your healthcare provider. They can help you find a solution that fits your lifestyle and reproductive health needs.


Additional Considerations:
- Side Effects: Be aware that birth control pills can have side effects, including nausea, weight gain, mood changes, and breast tenderness. If you experience severe side effects or have concerns, consult your healthcare provider.

- Regular Check-ups: Regular check-ups with your healthcare provider are essential while on birth control pills. They can monitor your health, discuss any side effects, and ensure that the method remains suitable for you.

- Alternative Methods: If you find that taking the pill is not convenient or suitable for you, there are various other contraceptive methods available, including IUDs, implants, patches, and injections. Each method has its own benefits and considerations, so discussing these options with your healthcare provider can help you make an informed decision.

In conclusion, birth control pills are a reliable method of contraception when taken correctly. It’s important to maintain a consistent routine, communicate with your healthcare provider, and stay informed about your options and any potential side effects. If you have any further questions or concerns, don’t hesitate to reach out to a healthcare professional for personalized advice.

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