Can You Get Pregnant After 17 Days on Birth Control Pills? - Obstetrics and Gynecology

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Took medication for 17 days without using protection during intercourse?


Hello doctor, I have been experiencing irregular menstrual cycles, so I started taking birth control pills to regulate my cycle.
I first went to the gynecology department and took medication to induce my period.
On February 11, during the fifth day of my period, I started taking the birth control pill Alesse at a fixed time every night at 11 PM without missing a dose.
However, on the morning of February 28, I had unprotected intercourse.
Could you please let me know if there is a chance of pregnancy? Thank you for your help.

Niming, 20~29 year old female. Ask Date: 2023/03/01

Dr. Cao Guotao reply Obstetrics and Gynecology


Hello, taking medication can provide contraceptive effects.
Wishing you good health.

Reply Date: 2023/03/01

More Info


When it comes to the effectiveness of birth control pills, timing and adherence to the regimen are crucial factors. In your case, you began taking the birth control pill (specifically, the brand "Alesse") on the fifth day of your menstrual cycle, which is generally considered an appropriate time to start taking the pill. However, it is important to understand how long it takes for the pill to become fully effective in preventing pregnancy.

Typically, birth control pills take about 7 days to become effective if you start taking them at a time other than the first day of your period. Since you started on the fifth day of your cycle, you would need to wait for a full week before relying on the pill for contraception. This means that if you had unprotected intercourse on February 28, which is 17 days after starting the pill, you would have been adequately protected from pregnancy, assuming you took the pills consistently and correctly every day.

It is also important to note that the effectiveness of birth control pills can be compromised by certain factors, such as missing a dose, taking medications that interact with the pill, or experiencing gastrointestinal issues (like vomiting or diarrhea) shortly after taking the pill. If you have adhered to your regimen without any missed doses or other complications, the likelihood of becoming pregnant is very low.

In terms of your specific situation, since you started taking the pill on February 11 and had unprotected intercourse on February 28, you were likely protected against pregnancy. However, if you have any concerns or experience any unusual symptoms, it is always a good idea to consult with your healthcare provider for personalized advice and reassurance.

In addition to understanding the effectiveness of birth control pills, it's also beneficial to consider other aspects of reproductive health. If you are using birth control to regulate your menstrual cycle, it may take a few months for your body to adjust to the hormones in the pill. Regular follow-ups with your healthcare provider can help monitor your menstrual cycle and overall reproductive health.

Lastly, if you are ever in doubt about your contraceptive method or if you suspect you might be pregnant, consider taking a home pregnancy test or consulting your healthcare provider for further evaluation. They can provide you with the most accurate information based on your specific circumstances and help you make informed decisions regarding your reproductive health.

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