Vomiting After Birth Control Pills: What You Need to Know - Obstetrics and Gynecology

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Vomiting after taking birth control pills?


Hello, doctor.
I have been taking the oral contraceptive pill continuously for six months without missing a dose.
A few days ago, after taking the pill at 11:00 PM, I felt very unwell due to a cold and headache, and I vomited an hour and a half later at 12:30 AM.
I vomited again around 3 AM.
Since I was feeling unwell, I did not take a make-up dose, but I continued to take the pill at the regular time every night afterward.

I have a few questions:
1.
Since I vomited an hour and a half after taking the pill, do I need to take a make-up dose as if I missed a dose?
2.
If I do not take a make-up dose after vomiting, will it affect the contraceptive effectiveness? Is my contraceptive protection still complete?
3.
A few days later, my boyfriend and I engaged in mutual oral sex, during which he ejaculated in my mouth.
I am unsure if he touched his own fluids before touching me, and we also had intercourse with a condom.
What is the likelihood of pregnancy in this situation? Thank you.

Niming, 20~29 year old female. Ask Date: 2024/02/28

Dr. Cao Guotao reply Obstetrics and Gynecology


Hello, you probably don't need to take any supplements; the chances of pregnancy should be low.
Wishing you good health.

Reply Date: 2024/02/28

More Info


When it comes to understanding the implications of vomiting after taking birth control pills, it’s essential to consider how the medication works and how vomiting can affect its efficacy. Birth control pills, particularly combined oral contraceptives, are designed to prevent ovulation and create an environment in the uterus that is not conducive to implantation. However, their effectiveness can be compromised under certain circumstances, such as vomiting shortly after ingestion.

1. Vomiting After Taking Birth Control Pills: If you vomit within two hours of taking your birth control pill, it is generally recommended to take another pill as soon as possible. This is because the body may not have had enough time to absorb the hormones from the pill, which can lead to reduced effectiveness. In your case, since you vomited about an hour and a half after taking the pill, it would have been prudent to take another pill to ensure that you maintain contraceptive coverage.

2. Impact on Contraceptive Effectiveness: If you did not take another pill after vomiting, there is a possibility that your contraceptive effectiveness could be compromised for that cycle. The general guideline is that if you miss a dose or if the pill is not fully absorbed due to vomiting, you should follow the instructions provided with your medication. This often includes using backup contraception, such as condoms, for at least seven days after the incident to ensure you are protected against unintended pregnancy.

3. Engaging in Sexual Activity: Regarding your sexual activity after the vomiting incident, if you did not take an additional pill and had unprotected intercourse (even if it was oral sex followed by intercourse with a condom), there is a slight risk of pregnancy. While the risk is lower if the condom was used correctly, the concern arises from the potential transfer of sperm from your partner’s hands to your genital area, especially if he had touched his own genital area after ejaculation.
In summary, if you vomited shortly after taking your birth control pill and did not take a replacement pill, it is advisable to consider the possibility of reduced contraceptive effectiveness. Engaging in sexual activity without additional precautions could pose a risk of pregnancy. It is always best to consult with your healthcare provider for personalized advice, especially if you have concerns about your contraceptive method or if you experience any unusual symptoms.
Additionally, if vomiting persists or if you have other symptoms, it’s important to seek medical attention to rule out any underlying conditions. Remember, maintaining open communication with your healthcare provider about any concerns regarding birth control and sexual health is key to ensuring effective management and peace of mind.

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