the Effects of Birth Control Pills After Two Weeks - Obstetrics and Gynecology

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Emergency contraceptive pills taken for two weeks?


Hello Dr.
Lu: I apologize for interrupting your valuable time.
I would like to ask some questions regarding birth control pills.
I started taking Yaz on the first day of my period, October 20, and I have been taking it for two weeks now (always around 11:40 PM).
On October 31, I caught a cold and went to see a doctor who prescribed medication.
I also asked about taking birth control pills, and the doctor said it was fine and would not affect anything.
On November 1, I had unprotected intercourse twice, both times with withdrawal.
However, I read that with Yaz, contraceptive effectiveness is achieved by the eighth day.

1.
Given that I have a cold, will it affect the contraceptive effectiveness?
2.
In my situation, I should not be pregnant, right?
3.
If I stop taking the pills now due to feeling unwell, will there be any side effects or negative impacts on my health?

Niming, 20~29 year old female. Ask Date: 2015/11/02

Dr. Lü Lizheng reply Obstetrics and Gynecology


1.
A cold will not affect the effectiveness of contraception.
2.
Pregnancy is unlikely.
3.
If you stop taking the medication now, you may experience irregular bleeding, similar to menstrual irregularities.
Sincerely, Dr.
Li-Cheng Lu, Taoyuan Hospital.

Reply Date: 2015/11/02

More Info


When it comes to understanding the effects of birth control pills, particularly after two weeks of consistent use, several factors come into play. You mentioned starting the Yuzhi birth control pill on the first day of your menstrual cycle (October 20) and that you have been taking it consistently at the same time every day. This is crucial because the effectiveness of birth control pills is significantly influenced by adherence to the regimen.

1. Effectiveness After Two Weeks: Generally, most combination oral contraceptives, including Yuzhi, reach their full contraceptive effectiveness after seven consecutive days of use. Since you have been taking the pill for two weeks, you are well within the timeframe where the pill is considered effective at preventing pregnancy. Therefore, the likelihood of becoming pregnant from unprotected intercourse (even if it was withdrawal method) is very low.

2. Impact of Illness on Effectiveness: You mentioned that you had a cold and consulted a doctor who assured you that the medications prescribed would not affect the efficacy of your birth control pill. This is an important point. Most common medications, including those for treating cold symptoms, do not interfere with the effectiveness of hormonal contraceptives. However, certain antibiotics (like rifampin) and medications that induce liver enzymes can reduce the effectiveness of birth control pills. Since your doctor confirmed that your medications were safe, you can be reassured that your birth control remains effective.

3. Concerns About Stopping the Pill: If you are considering stopping the pill due to feeling unwell, it is essential to understand that stopping hormonal contraceptives can lead to a return of your natural menstrual cycle and ovulation. While there are generally no severe side effects from stopping the pill, you may experience irregular bleeding or changes in your menstrual cycle as your body readjusts. If you stop taking the pill mid-pack, you may also experience breakthrough bleeding. It is advisable to consult with your healthcare provider before making any changes to your medication regimen, especially if you have concerns about your health or the potential for pregnancy.

In summary, based on the information provided, you should not be at risk of pregnancy after two weeks of consistent use of the Yuzhi birth control pill, even with the recent illness. If you have further concerns about your health or the medications you are taking, it is always best to consult with your healthcare provider for personalized advice. Remember that maintaining open communication with your doctor about any changes in your health or medication is crucial for your overall well-being.

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