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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Unprotected Sex, Forgot To Take Marvelon, Took High Dose Later. Any Side Effects?

hi I ve been taking marvelon 21 for more than a year now. yesterday I forgot to take the pill and had unprotected sex where my partner ejaculated inside of me. I had four pills (including the missed one) left on my packet. being paranoid I took three four pills this morning and am about to take the next dose from a new package as emergency contraceptives. may I know how soon will I get my periods and how to start my new pack after? also of any side effects . thank u
Fri, 14 Dec 2012
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OBGYN 's  Response
Hello
I appreciate your query.
Firstly, after one missed pill, you should take two on the next day.
And use barrier method as a back up method, while finishing your pack for the rest of the month.
However, in your panic, you have already taken too many pills, excessive dose in fact.
I am surprised you didnt have any nausea / side effects.
You have already taken sufficient dose to act as emergency contraception also.
Please do not take any more pills all together
Finish the rest of this month's pills normally ( one daily ), and use barrier ( condoms ) method for the rest of your cycle.
Wait for your next period, as consuming more pills mindlessly will not help you now.
Also, with such a high dose of pills, you could have your period earlier than usual.
If you miss your period, perform a pregnancy test at the earliest, and opt for medical abortion, if you do not want a pregnancy.
Take care.
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  User's Response
Hello,
if I understand you correctly, you only had four marvelon pills left in your blister and after missing one you took the rest all at once. This wasn`t such a good idea - you mustn`t take that many all at once. You`ll most likely get quite a bit of breast pain and maybe side-effects like headaches due to the surge of high hormones now. You should now take a 7 day pill-free break and then start with the new blister. Your period should start about 2 -3 days after today.
What you could have done is the following: if you miss one of the last 4 pills just stop taking the pills , start your 7 day break straight away and start the new blistr on day 8 - that way you will still be protected. But never take less than 17 pills of your blister.
Should you have ay side effects after taking so many pills all at once I would suggest seeing a doctor.

kind regards,
JR
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Unprotected Sex, Forgot To Take Marvelon, Took High Dose Later. Any Side Effects?

Hello I appreciate your query. Firstly, after one missed pill, you should take two on the next day. And use barrier method as a back up method, while finishing your pack for the rest of the month. However, in your panic, you have already taken too many pills, excessive dose in fact. I am surprised you didnt have any nausea / side effects. You have already taken sufficient dose to act as emergency contraception also. Please do not take any more pills all together Finish the rest of this month s pills normally ( one daily ), and use barrier ( condoms ) method for the rest of your cycle. Wait for your next period, as consuming more pills mindlessly will not help you now. Also, with such a high dose of pills, you could have your period earlier than usual. If you miss your period, perform a pregnancy test at the earliest, and opt for medical abortion, if you do not want a pregnancy. Take care.