Do I Need to Wait Seven Days for Birth Control After a Break?

Hello, doctor. I would like to ask about emergency contraception?

Hello doctor, I usually start taking the oral contraceptive pill on the fifth day of my period.
Last month, I just completed a year of use, so I took a break for one month.
However, this month I started taking it again on the fifth day of my period.
Do I still need to wait seven days before having unprotected sex, or is it not necessary this time? Thank you.

Miss Chen, 20~29 year old female. Ask Date: 2023/06/19

Dr. Cao Guotao reply Obstetrics and Gynecology

Hello, taking contraceptive pills is effective for birth control.
Wishing you good health.

Reply Date: 2023/06/19

More Info

When it comes to starting birth control pills, particularly after a break, it’s essential to understand how the timing affects their effectiveness. In your case, since you are resuming the use of birth control pills on the fifth day of your menstrual cycle, there are a few key points to consider.

First, it’s important to note that most combination birth control pills (which contain both estrogen and progestin) are designed to be taken consistently every day. If you start taking the pill during the first five days of your period, you are protected from pregnancy immediately. However, since you mentioned that you took a break for a month, the situation is slightly different.

If you have been off the pill for a month, your body may not be in the same hormonal state as it was when you were consistently taking the pills. In this case, it is generally recommended to wait seven days after starting the pill again before relying on it for contraceptive protection. This is because it takes about seven days for the hormones in the pill to build up in your system and effectively prevent ovulation.

If you started taking the pill on the fifth day of your period, you would need to use an alternative form of contraception, such as condoms, for the first seven days after resuming the pill. This ensures that you are adequately protected against unintended pregnancy during that initial period.

Additionally, if you have any concerns about the effectiveness of the pill or any side effects you may experience after resuming it, it’s always a good idea to consult with your healthcare provider. They can provide personalized advice based on your medical history and specific circumstances.

In summary, after taking a break from birth control pills, it is advisable to wait seven days after restarting the pills before relying on them for contraception. During this time, using a backup method, such as condoms, is recommended to ensure you are protected against pregnancy. Always consult with your healthcare provider for tailored advice and to address any concerns you may have regarding your birth control method.

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