What to Do If You Miss a Birth Control Pill: A Guide - Obstetrics and Gynecology

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Forgot to take oral contraceptive pills?


Hello, I forgot to take my oral contraceptive pill the day before yesterday and took one pill yesterday.
How should I take it today and tomorrow?

A A Dai, 20~29 year old female. Ask Date: 2016/02/19

Dr. Cao Guotao reply Obstetrics and Gynecology


Hello, if you forget to take your regular birth control pill, you should take the missed pill the next day along with your regular dose, which means you will take two pills that day.
It's advisable to continue taking your pills as usual and consider using condoms for added protection.
Wishing you good health!

Reply Date: 2016/02/19

More Info


Missing a birth control pill can be a common concern for many individuals using oral contraceptives. The approach to take after missing a pill can vary depending on the type of pill you are using (combination pills or progestin-only pills) and how many pills you have missed. Here’s a comprehensive guide on what to do if you miss a birth control pill, along with some additional insights into the importance of adherence to your birth control regimen.


What to Do If You Miss a Birth Control Pill
1. Identify the Type of Pill:
- Combination Pills: These contain both estrogen and progestin. If you miss one pill, take it as soon as you remember. If you remember the missed pill the same day, take it immediately and continue with your regular schedule. If you miss two or more pills, consult your healthcare provider for specific instructions, as you may need to use backup contraception.

- Progestin-Only Pills (Mini-Pills): These pills must be taken at the same time every day. If you miss a pill by more than three hours, take it as soon as you remember and use backup contraception for the next 48 hours.

2. What to Do After Missing a Pill:
- Since you mentioned that you missed a pill two days ago and took one the next day, you should take your next pill at your regular time today. If you are on combination pills, you can continue taking your pills as scheduled. If you missed two pills in a row, it’s advisable to use backup contraception (like condoms) for at least the next week.

3. Backup Contraception:
- If you miss more than one pill, especially in the first week of your pill pack, consider using a backup method of contraception, such as condoms, until you have taken your pills consistently for seven days.

4. Consult Your Healthcare Provider:
- If you have any doubts or if you missed multiple pills, it’s always best to consult your healthcare provider. They can provide personalized advice based on your specific situation.


Importance of Adherence to Birth Control
Adhering to your birth control regimen is crucial for its effectiveness. Missing pills can lead to unintended pregnancies, which can have significant implications for your health and lifestyle. Here are some tips to help you remember to take your pills:
- Set Reminders: Use your phone or a pill reminder app to alert you when it’s time to take your pill.

- Keep Pills Visible: Store your pill pack in a place where you will see it daily, such as next to your toothbrush or on your nightstand.

- Establish a Routine: Incorporate taking your pill into your daily routine, such as taking it with breakfast or before bed.


Conclusion
In summary, if you miss a birth control pill, take it as soon as you remember, and continue with your regular schedule. If you miss more than one pill, consult your healthcare provider for guidance and consider using backup contraception. Maintaining adherence to your birth control regimen is essential for preventing unintended pregnancies and ensuring your reproductive health. If you have any further questions or concerns, don’t hesitate to reach out to your healthcare provider for personalized advice.

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