Do You Need Backup Contraception After Restarting Birth Control Pills? - Obstetrics and Gynecology

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Emergency contraceptive pill


Hello, doctor.
I regularly take oral contraceptives, but I missed a dose last month.
I have started taking them again this month.
Do I need to use an additional method of contraception for the first seven days after resuming the pills this month?

Ying Ying, 20~29 year old female. Ask Date: 2022/10/26

Dr. Zhang Kunmin reply Obstetrics and Gynecology


Hello, based on your description, it is still recommended to take additional contraceptive precautions during the first seven days after starting the medication.
Thank you! Wishing you safety and health.
Dr.
Chang

Reply Date: 2022/10/26

More Info


When restarting birth control pills after a break, it is essential to understand how the timing of the pills affects their effectiveness in preventing pregnancy. Generally, when you restart birth control pills, especially if you have missed a dose or taken a break, it is recommended to use backup contraception for at least the first seven days of taking the pills again. This is because it takes time for the hormones in the pills to build up in your system and effectively suppress ovulation.

Birth control pills work primarily by preventing ovulation, thickening cervical mucus to block sperm, and thinning the uterine lining to prevent implantation. When you stop taking the pills, your body can quickly return to its natural cycle, which means that ovulation can occur. If you restart the pills, it may take a week or longer for the hormones to stabilize and effectively prevent ovulation again.

The Centers for Disease Control and Prevention (CDC) and other health organizations recommend that if you restart your birth control pills after a break of more than seven days, you should use a backup method, such as condoms, for at least the first seven days of taking the pills. This precaution helps ensure that you are protected against unintended pregnancy during the time it takes for the pills to become fully effective again.

In your case, since you mentioned that you have a regular habit of taking birth control pills but had a break last month, it is advisable to use backup contraception for the first seven days after you restart the pills this month. This will provide an additional layer of protection while your body readjusts to the hormones in the pills.

Additionally, if you have any concerns about the effectiveness of your birth control method or if you experience any irregularities in your menstrual cycle after restarting the pills, it is a good idea to consult with your healthcare provider. They can provide personalized advice based on your health history and any other medications you may be taking.

In summary, when restarting birth control pills after a break, using backup contraception for the first seven days is a prudent approach to ensure effective pregnancy prevention. Always consult with your healthcare provider for tailored advice and to address any specific concerns you may have regarding your contraceptive method.

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