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Is Pregnancy Possible While Missing Contraceptive Dosages?

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Posted on Wed, 9 Nov 2016
Question: Hi, I use contraceptives for 2 years. My last period started on September 28. I started a new pack of pills on October 4th.
On October 13th I forgot to take a pill (I'm taking at nights at 24 pm) and took it next morning (after 9 hours). To be on a safe side, I took an emergency pill on 15th October (I know I probably should'nt have taken it, but I was afraid and I didn't feel any side effects and there was no bleeding). I continued to take regular pills every day as usual afterwards and was told to use extra protection for this cycle. I abstained from sex from 13th October and had sex only today, on October 18th, with a condom.
But at the end the condom slipped off and I am not sure if something happened (my partner tells that he did not finish inside me but I'm still afraid).
It is the beginnng of a third week of pills (expected next period is on 25th October).
I know I messed up. What should I do now? Should I use an emergency pill once again? Or am I protected at this point?
Thank you do much for the advice!

doctor
Answered by Dr. Sameer Kumar (22 minutes later)
Brief Answer:
no need for ecp, just continue your birth control, you are safe.

Detailed Answer:
Hello,
Thanks for the query to HCM,
As you have been taking your contraceptive pills regularly and on time you are still protected and unlikely that you would have ovulated during this cycle. Ideally after taking an emergency contraceptive pill, the withdrawal bleeding is expected in next 5-7 days, so there is a possibility that you may experience some spotting after 2-3 days , simply because the concentration of progesterones in ECP is higher than the birth control pills. So still there is no need to worry, just continue on your contraceptive pills regularly as you have been taken even though you experience spotting and you shall be protected. Once you finish your pack, in next 5-7 days you would experience your withdrawal bleed.
There is no need to take another ecp, its not recommended at present.
Regards
Above answer was peer-reviewed by : Dr. Veerisetty Shyamkumar
doctor
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Follow up: Dr. Sameer Kumar (1 hour later)
Thank you very much! A few follow-up questions for my better understanding: 1) Could the fact that I took an emergency pill somehow reduce effectiveness of regular pills that I took afterwards? Since missing the pill, I've taken the emergency pill, and then 3 more pills in a row until I had sex again. 2) Do I understand correctly that I am now on a non-fertile time of my cycle? (3rd week of taking pills) ?(maybe this fact would also help me to calm down....). Thank you once again for your help!

Looking forward to your reply, many thanks!
doctor
Answered by Dr. Sameer Kumar (11 hours later)
Brief Answer:
answered

Detailed Answer:
The ecp will not reduce the effectiveness of your birth control pills.
As you have taken 3 pills after ecp again , thats like double protection anyhow and you would not get pregnant .
Yes, being on birth control at present doesn't make you infertile per se, but yes prevents ovulation and technically made infertile.
Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Sameer Kumar

OB and GYN Specialist

Practicing since :2002

Answered : 1782 Questions

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Is Pregnancy Possible While Missing Contraceptive Dosages?

Brief Answer: no need for ecp, just continue your birth control, you are safe. Detailed Answer: Hello, Thanks for the query to HCM, As you have been taking your contraceptive pills regularly and on time you are still protected and unlikely that you would have ovulated during this cycle. Ideally after taking an emergency contraceptive pill, the withdrawal bleeding is expected in next 5-7 days, so there is a possibility that you may experience some spotting after 2-3 days , simply because the concentration of progesterones in ECP is higher than the birth control pills. So still there is no need to worry, just continue on your contraceptive pills regularly as you have been taken even though you experience spotting and you shall be protected. Once you finish your pack, in next 5-7 days you would experience your withdrawal bleed. There is no need to take another ecp, its not recommended at present. Regards