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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Can Pregnancy Occur Even Taking The Birth Control Pill?

I took azithromycin for 3 days about 4 weeks ago and I am taking the brith control medicine Jolessa. I continued using it while I took the antiobiotic. About 7 days after finishing the azithromycin my husband and I had sex and the only birth control we used was the pull out method. It has been three weeks since that happened and I woke up this morning feeling nauseous. I don't have any other symptoms. Could I be pregnant. I took an over the counter test this morning and it came back negative but I know it may be way too soon to tell. I can't determine when I should take one since I don't get periods while on the pill.
Wed, 25 Oct 2017
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OBGYN,  's  Response
Hello,
Thanks for sharing your health concern with us. I have gone through your query and would like to offer some information. It is true that the contraceptive efficacy of hormone contraceptives is decreased while antibiotics are used and during this period, additional protection is needed, preferably a barrier method. Withdrawal method has high failure rate. Since you do not get regular menstrual cycles, the best way to confirm/exclude pregnancy in the current scenario is to go for the estimation of the serum beta-hCG titres two weeks after the intercourse. Further management can be planned accordingly. Hope this helps.
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Can Pregnancy Occur Even Taking The Birth Control Pill?

Hello, Thanks for sharing your health concern with us. I have gone through your query and would like to offer some information. It is true that the contraceptive efficacy of hormone contraceptives is decreased while antibiotics are used and during this period, additional protection is needed, preferably a barrier method. Withdrawal method has high failure rate. Since you do not get regular menstrual cycles, the best way to confirm/exclude pregnancy in the current scenario is to go for the estimation of the serum beta-hCG titres two weeks after the intercourse. Further management can be planned accordingly. Hope this helps.