How to Properly Take Emergency Contraceptive Pills: A Guide - Obstetrics and Gynecology

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When it comes to emergency contraceptive pills (ECPs), it's important to understand how they work and the proper way to take them. ECPs are designed to prevent pregnancy after unprotected intercourse or contraceptive failure, such as a broken condom. They are most effective when taken as soon as possible after the incident, ideally within 72 hours, but some types can be effective up to 5 days later.

In your case, it seems you are asking about the use of regular contraceptive pills rather than emergency contraceptive pills. If you have purchased a 21-day pack of birth control pills, these are typically taken daily for 21 days, followed by a 7-day break during which you will have your menstrual period.
To clarify your question: If you started taking the first pill on the third day of your menstrual cycle, you should continue taking one pill daily for the next 20 days. After completing the 21 pills, you will take a break for 7 days. During this break, you will likely experience withdrawal bleeding, which is similar to a menstrual period.
Here’s a step-by-step guide on how to take your contraceptive pills properly:
1. Start on the Right Day: If you started on the third day of your period, continue taking one pill each day at the same time. Consistency is key to maintaining effective contraception.

2. Daily Intake: Take one pill every day for 21 days. You can set a daily reminder on your phone or use a pill organizer to help you remember.

3. 7-Day Break: After taking the last pill of the 21-day pack, do not take any pills for the next 7 days. This is when you will have your withdrawal bleed.

4. Restarting the Cycle: After the 7-day break, you will start a new pack of pills, regardless of whether your period has finished or not.

5. Missed Pills: If you miss a pill, take it as soon as you remember. If you miss more than one pill, follow the instructions provided with your pill pack, as the guidance can vary depending on the type of pill you are using.

6. Emergency Contraceptive Pills: If you are looking for emergency contraception specifically, remember that these are different from regular birth control pills. ECPs should be taken as soon as possible after unprotected intercourse and are not intended for regular use as a contraceptive method.

7. Consultation: If you have any doubts or experience side effects, consult your healthcare provider for personalized advice. They can provide guidance based on your health history and needs.

In summary, if you are using a 21-day contraceptive pill pack, take one pill daily for 21 days, then take a 7-day break before starting a new pack. If you are looking for emergency contraception, ensure you take those pills as soon as possible after unprotected intercourse. Always consult with a healthcare professional for tailored advice and to address any concerns you may have regarding your contraceptive method.