had unprotected sex on the 23rd of January and am freaking out that I could be pregnant.
I have been on the pill for 4 years and I take the pill every day, but not at the same time (usually between 7am-11 AM) and hadn't missed a
pill for at least a week before having sex. When I came home after having sex I
freaked out and took a pill, but I’m pretty sure I had taken one that morning.
I have never had sex without a condom and I went to the pharmacy and asked
about the morning-after pill, but the pharmacist said there was no need. But I
am freaking out!Will that in any way
give me a chance of being pregnant?
You really do not need morning-after
contraception.Pills can be taken late
or you can even miss a pill and still be protected.
You are remarkable!You are doing just great!!!
is some very important information from the World Health Organization on
missing and late pills:
What can a woman do if she
misses combined oral contraceptives (COCs)?
Missed 1 or 2 active (hormonal) pills or if she starts a pack 1
or 2 days late
She should take an active (hormonal) pill as
soon as possible * and then continue taking pills daily, 1 each day.
She does not need any additional contraceptive
Missed 3 or more active (hormonal) pills
or if she starts a pack 3 or more days late
She should take an active (hormonal) pill as
soon as possible* and then continue taking pills daily, 1 each day.
She should also use condoms or abstain from sex
until she has taken active (hormonal) pills for 7 days in a row.
If she missed the pills in the third week, she
should finish the active (hormonal) pills in her current pack and start a
new pack the next day.She should
not take the 7 inactive pills.
If she missed the pills in the first week and
had unprotected sex, she may wish to consider the use of emergency
For 20 µg or less ethinylestradiol pills:
If the woman misses 1 active (hormonal) pill or
starts a pack 1 day late, she should follow the guidance above for “Missed
1 or 2 active (hormonal) pills or if she starts a pack 1 or 2 days late.”
If the woman misses 2 or more active (hormonal)
pills or if she starts a pack 2 or more days late, she should follow the
guidance above for “Missed 3 or more active (hormonal) pills or if she
starts a pack 3 or more days late.”
For both 30-35 µg and 20 µg or less
Missed any inactive
She should discard the missed inactive
(nonhormonal) pill(s) and then continue taking pills daily, 1 each day.
*If a woman misses more than 1 active
(hormonal) pill, she can take the first missed pill and then either continue
taking the rest of the missed pills or discard them to stay on schedule.
Depending on when she remembers that she
missed a pill(s), she may take 2 pills on the same day (one at the moment of
remembering, and the other at the regular time) or even at the same time.
From the World Health Organization’s Selected
Practice guidelines - 2005
Email received on 1-29: “Thank you for your
reply.I am just getting really worried.I have been feeling quite tired and have a
sore stomach at the moment (I don’t think it is because I am constipated) and
the other day I had some spotting on my undies.There weren’t really very many spots, just a couple of noticeable
ones.They looked like the usual ones
you get sometimes when you skip your period too much on the pill and you need
to take a forced bleed, but I do know that you can get spotting a week or so
after conception.Just little things like
that are really starting to cause me to worry.Any feedback and/or advice would really be great.
A negative urine
pregnancy test might be reassuring to you.A serum pregnancy test definitely is not indicated.
Email reply on 1-30: “Great!How soon can I take one?”
You can take the pregnancy test today.
To learn more about the
advantages and disadvantages of the birth control pills, go to our website: www.managingcontraception.com
and click on Choices.You can also order this wonderful new
educational book from our website or by calling 404-875-5001.Do you have your copy yet?
sex, pregnant, birth control pills, late pill, morning-after pill, protected, World Health Organization, missing
pills message, tired, sore stomach, constipation, spotting, forced period,
urine pregnancy test, serum pregnancy test, negative
Robert A. Hatcher MD, MPH
Professor of Gynecology and Obstetrics
Emory University School of Medicine
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