Do I Need Emergency Contraception After Using Birth Control Pills? - Obstetrics and Gynecology

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Do you need to take emergency contraception?


This is my first time taking the oral contraceptive Family Planning No.
1.
I started taking it on the third day of my period and have now taken eight pills.
Last night, I had sexual intercourse while using a condom, but I discovered that the condom broke at the end, resulting in ejaculation inside.
Can you tell me if I have achieved contraceptive effectiveness after taking eight pills? Do I need to take emergency contraception? If I take the emergency pill, will the hormone concentration be too high?

Ru, 20~29 year old female. Ask Date: 2015/09/19

Dr. Lü Lizheng reply Obstetrics and Gynecology


The response is as follows: Since you are already taking pre-exposure contraceptive pills, you have contraceptive protection and do not need to take emergency contraception.
Sincerely, Dr.
Li-Cheng Lu, Taoyuan Hospital.

Reply Date: 2015/09/19

More Info


When it comes to the use of birth control pills and the need for emergency contraception, it's important to understand how these methods work and their effectiveness in preventing pregnancy.
You mentioned that you started taking the birth control pill (specifically, the Family Planning No. 1 pill) on the third day of your menstrual cycle and have taken eight pills so far. Generally, most combination birth control pills become effective after seven consecutive days of use. Since you have taken eight pills, you should be adequately protected against pregnancy, assuming you have taken them consistently and correctly.
However, the situation becomes more complex when considering the condom failure. While the birth control pill is effective, no contraceptive method is 100% foolproof. The fact that the condom broke during intercourse does introduce a risk of pregnancy, but since you are already on the pill and have taken it for more than seven days, your risk of pregnancy is significantly reduced.

Regarding the use of emergency contraception (EC), it is typically recommended in situations where there is a concern about contraceptive failure, such as a broken condom, especially if you are not on a reliable form of birth control. However, since you are already taking the pill and it has been more than seven days since you started, the need for emergency contraception may not be necessary in your case.
If you do decide to take emergency contraception, it is important to note that taking it while on the pill can lead to increased hormone levels in your body. While this is generally not harmful, it may cause some side effects such as nausea, changes in your menstrual cycle, or breast tenderness. The emergency contraceptive pill is designed to prevent ovulation and may not be as effective if you are already on hormonal birth control, but it can still provide an additional layer of protection if you are concerned.

In summary, based on the information you provided, you should be protected from pregnancy due to your consistent use of the birth control pill. However, if you feel anxious about the possibility of pregnancy due to the condom breaking, you can consider taking emergency contraception. Just be mindful of the potential side effects and consult with your healthcare provider for personalized advice. They can help you weigh the pros and cons based on your specific situation and health history.

Lastly, it’s always a good practice to have a follow-up appointment with your healthcare provider to discuss your contraceptive options and any concerns you may have about your reproductive health. They can provide you with the most accurate and tailored advice to ensure your peace of mind and well-being.

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