Emergency contraceptive pill issues
Hello Doctor, I would like to ask about my first pack of oral contraceptives, which I have finished.
I was supposed to start the second pack on the 8th day after stopping (March 9), but I forgot to take it that day.
If I start the second pack on March 10, how should I take it? Do I need to use additional contraceptive measures (like condoms)?
Doli, 20~29 year old female. Ask Date: 2022/03/10
Dr. Cao Guotao reply Obstetrics and Gynecology
Hello, you can take two pills on March 10, and then continue with the original method.
There should be no need to use other contraceptive methods.
Wishing you good health.
Reply Date: 2022/03/10
More Info
When you miss a birth control pill, it can understandably cause concern about the effectiveness of your contraception and the potential risk of pregnancy. In your case, since you were supposed to start your second pack of pills on March 9 but forgot to take the first pill until March 10, here’s how to handle the situation based on medical guidelines.
First, if you remember to take the missed pill within 24 hours, you should take it as soon as you remember. Since you mentioned that you took the pill on March 10, you should continue taking the remaining pills in the pack as scheduled. This means you will take the second pill on March 11, the third on March 12, and so on, maintaining the regular schedule.
Regarding additional contraceptive measures, the general recommendation is as follows: if you miss a pill and take it within 12 hours of your usual time, your contraceptive protection remains intact. However, since you missed the first pill of the new pack, it is advisable to use a backup method of contraception, such as condoms, for at least the first seven days of taking the new pack. This is to ensure that you are fully protected against unintended pregnancy, especially if you engage in sexual intercourse during this time.
It’s also important to note that the effectiveness of birth control pills can be influenced by various factors, including the timing of missed doses and how consistently you have taken your pills in the previous month. If you have been taking your pills correctly for the previous month and only missed one pill, your risk of pregnancy remains low, especially if you use backup contraception as suggested.
In summary, here’s what you should do:
1. Take the missed pill as soon as you remember it.
2. Continue taking the remaining pills in the pack as scheduled.
3. Use a backup method of contraception, like condoms, for the first seven days of the new pack to ensure maximum protection.
If you have any further concerns or if you experience any unusual symptoms, such as a missed period or unexpected bleeding, it is advisable to consult with a healthcare provider. They can provide personalized advice and may suggest a pregnancy test if you have concerns about potential pregnancy.
In conclusion, while missing a birth control pill can be concerning, following the above steps can help you manage the situation effectively. Remember that consistent use of birth control pills is key to maintaining their effectiveness, and if you have any doubts or questions in the future, don’t hesitate to reach out to your healthcare provider for guidance.
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