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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Can Missing One Contraceptive Pill Followed By Intercourse Cause Pregnancy?

hi. i have been taking the combined contraceptive pill (norimin) for 6 weeks (im usually take active pills for 9 weeks) and missed one this morning. my husband and i had sex around 16 hrs after i usually take the pill and i took the next pill around 16.5 hours later. am i protected against pregnancy?
Tue, 14 Jul 2015
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General & Family Physician 's  Response
HI,
I understand your concern.
I feel there is some confusion Norimin is a combined contraceptive having 28 pills. First 21 pills are active pills & following 7 pills (orange pills )are inactive pills For best results you have to start active pill On 1st day of menses/ after finishing previous pack..The pill is to be taken without break at same time of day at a stretch for 28 days ( 21 active pills followed by 7 inactive pills ) usually there is withdrawal bleeding while you take inactive pills .
Now as per your query ,
- If you take active pills for 9 weeks at a stretch.. & have missed one pill after taking it for 6 weeks.. ( This is unusual ) after taking such a high dose of hormones . You had nearly a gap of 32 hours in the pills... In such a prolonged use of hormones there is less chance of conception with the gap you had.
Still I would advise for consulting your gynecologist & get proper advise about schedule of the pills.
- in case you are taking pills as per advise regularly & have missed 1 pill..which was resumed after 32 hours.. I would advise you to continue with your pack.. & use additional non hormonal contraceptive ( barrier method) for a week.
In case you get delay in period, test for pregnancy after 8 days delay by HPT & if pregnancy is +ve, get pregnancy terminated .
Thanks.
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Can Missing One Contraceptive Pill Followed By Intercourse Cause Pregnancy?

HI, I understand your concern. I feel there is some confusion Norimin is a combined contraceptive having 28 pills. First 21 pills are active pills & following 7 pills (orange pills )are inactive pills For best results you have to start active pill On 1st day of menses/ after finishing previous pack..The pill is to be taken without break at same time of day at a stretch for 28 days ( 21 active pills followed by 7 inactive pills ) usually there is withdrawal bleeding while you take inactive pills . Now as per your query , - If you take active pills for 9 weeks at a stretch.. & have missed one pill after taking it for 6 weeks.. ( This is unusual ) after taking such a high dose of hormones . You had nearly a gap of 32 hours in the pills... In such a prolonged use of hormones there is less chance of conception with the gap you had. Still I would advise for consulting your gynecologist & get proper advise about schedule of the pills. - in case you are taking pills as per advise regularly & have missed 1 pill..which was resumed after 32 hours.. I would advise you to continue with your pack.. & use additional non hormonal contraceptive ( barrier method) for a week. In case you get delay in period, test for pregnancy after 8 days delay by HPT & if pregnancy is +ve, get pregnancy terminated . Thanks.