Can You Continue Birth Control After Taking Emergency Contraceptive? - Obstetrics and Gynecology

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Contraceptive pill issues


I have been taking oral contraceptives, but I forgot to take them for two consecutive days and had unprotected intercourse.
After realizing I missed the pills, I quickly took the two missed doses, but to be safe, I also bought emergency contraception.
I would like to know if I can continue taking my regular birth control pills after taking the emergency contraception, and if I need to use any additional contraceptive methods.
Thank you.

L, 20~29 year old female. Ask Date: 2021/07/18

Dr. Cao Guotao reply Obstetrics and Gynecology


Hello, continue taking your original medication; otherwise, your period may arrive early.
It's best to use condoms for added safety.
Wishing you good health.

Reply Date: 2021/07/18

More Info


When it comes to the use of emergency contraceptives (EC) in conjunction with ongoing birth control methods, it's important to understand how these medications interact and what steps you should take to ensure effective contraception.

Emergency contraceptive pills (ECPs) are designed to prevent pregnancy after unprotected intercourse or contraceptive failure, such as forgetting to take your regular birth control pills. If you have been taking a regular birth control pill and have missed doses, as you described, taking an emergency contraceptive can provide an additional layer of protection. However, the effectiveness of the emergency contraceptive can be influenced by the timing of your regular birth control usage and the specific type of emergency contraceptive you take.

In your case, since you have been on a regular birth control pill and have taken an emergency contraceptive after missing doses, you can indeed continue taking your regular birth control pills after using the emergency contraceptive. The emergency contraceptive will not interfere with the effectiveness of your ongoing birth control method. However, it is crucial to resume your regular birth control as soon as possible to maintain consistent hormone levels in your body.

Here are some key points to consider:
1. Continue Your Regular Birth Control: After taking the emergency contraceptive, you should continue taking your regular birth control pills as directed. This will help ensure that you maintain effective contraception moving forward.

2. Use Backup Contraception: Since you missed doses of your regular birth control, it is advisable to use a backup method, such as condoms, for at least the next seven days after resuming your regular pills. This is to ensure that your body has enough time to build up the hormone levels necessary for effective contraception.

3. Monitor Your Cycle: After taking the emergency contraceptive, you may experience changes in your menstrual cycle, such as earlier or later periods. Keep track of any changes and consult your healthcare provider if you have concerns about your menstrual cycle or if your period is significantly delayed.

4. Consult Your Healthcare Provider: If you have any doubts or specific concerns about your situation, it is always a good idea to consult with your healthcare provider. They can provide personalized advice based on your health history and current contraceptive method.

5. Understanding Emergency Contraceptive Options: It's also worth noting that there are different types of emergency contraceptives, such as ulipristal acetate (Ella) and levonorgestrel (Plan B). Each has different mechanisms of action and effectiveness windows, so understanding which one you took can also inform your next steps.

In summary, you can continue taking your regular birth control pills after using emergency contraception, but it's wise to use additional protection for a short period to ensure you are fully protected against unintended pregnancy. Always keep an open line of communication with your healthcare provider to navigate any uncertainties regarding your contraceptive methods.

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Hello, you too. Wishing you good health.

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