Missed Birth Control Pills: What to Do After 3 Days Without Medication?

After my period ended, I forgot to take my birth control pills for 3 days, and on February 17, I took 3 pills thinking it would help?

Hello Dr.
Chang, I had been taking my medication regularly and my menstrual cycles were normal.
This time, my period started on February 10 and ended on February 14.
I was supposed to start my first pack of pills on February 15, but I forgot and didn't remember until February 17, when I quickly took 3 pills.
I finished the last pack on March 5.
During this time, I had intercourse on February 16 and 17.
I took a pregnancy test on March 1, which showed only one line.
Should I continue taking the pills from March 6 to March 8, or should I stop taking them and wait for my period to start before beginning a new pack? Also, is the contraceptive effect still valid for the pills I missed?

Lai Xiaojie, 20~29 year old female. Ask Date: 2024/03/07

Dr. Zhang Kunmin reply Obstetrics and Gynecology

Hello, if you miss taking your birth control pill for more than 24 hours, you should stop taking the current pack of pills and refrain from taking them for seven days (including the days you missed).
After that, you can continue with the next cycle.
If you miss a pill and do not experience expected withdrawal bleeding during the placebo period, you should consider the possibility of pregnancy.
In the situation you described, it is advisable to stop taking the pills, and if you do not get your period, you should take a pregnancy test.
If you do get your regular period, you can then proceed with the next pack.
Thank you! Wishing you peace and health.
Dr.
Chang

Reply Date: 2024/03/07

More Info

When it comes to missed birth control pills, it's important to understand the implications and the necessary steps to take. Based on your situation, you missed starting your new pack of pills on February 15 and instead took three pills on February 17. You also had unprotected intercourse on February 16 and 17.
Firstly, it's crucial to recognize that the effectiveness of birth control pills can be compromised if you miss doses. Since you missed the start of your new pack, your contraceptive protection was likely reduced during the days you were not taking the pills. The general guideline for combination birth control pills is that if you miss one pill, you should take it as soon as you remember. If you miss two or more pills, the guidance can vary based on the type of pill you are using (combined or progestin-only).

In your case, since you missed starting the new pack and had unprotected intercourse, there is a possibility of pregnancy. The negative pregnancy test on March 1 is a good sign, but since you had unprotected intercourse after missing pills, it is advisable to take another test if your period does not arrive as expected.

Regarding whether to continue taking the pills or to stop until your next period, it is generally recommended to continue taking the pills as directed to maintain a consistent hormone level in your body. However, since you missed the start of the pack and had unprotected intercourse, you should also consider using a backup method of contraception, such as condoms, until you have taken the pills consistently for seven days.

If you do not get your period after finishing the pack, it would be wise to take a pregnancy test to confirm whether or not you are pregnant. If the test is negative and you still do not get your period, consult with your healthcare provider for further evaluation.

In summary, here are the steps you should consider:
1. Continue taking the pills: Finish the pack as directed, even if you missed the start date.

2. Use backup contraception: Consider using condoms or another form of contraception until you have taken the pills consistently for at least seven days.

3. Monitor for your period: If your period does not arrive after finishing the pack, take a pregnancy test.

4. Consult your healthcare provider: If you have any concerns or if your period is late, it’s always a good idea to reach out to your healthcare provider for personalized advice.

Remember, maintaining open communication with your healthcare provider about your contraceptive methods and any missed doses is key to managing your reproductive health effectively.

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