Advice regarding missed pills depends on the preparation the woman is taking. It varies depending on whether she is taking the combined or progestogen-only pill.
She will need to know what to do with the rest of her packet, whether she needs to use additional contraceptive precautions and for how long, and whether she needs emergency contraception. Patient information leaflets within the packet should give this information. It contains estradiol valerate and dienogest in 26 active tablets with sequential dose changes, followed by just two inactive tablets.
The manufacturer's missed pill advice is as follows:. Has anyone heard of a woman getting pregnant after having her fallopian tubes removed? Take the pill you most recently missed as soon as you remember. Then continue taking the rest of your pills like normal. Use back up birth control or avoid sex until you have taken seven days of hormonal pills in a row. If you had unprotected sex in the last five days, consider using emergency contraception. If pills were missed in the last week of hormonal pills like days 15 to 21 in a day pack , ignore the hormone-free interval by finishing the hormone pills in the current pack and starting a new pack the next day.
Progestin-only pills are very time sensitive. Progestin-only pills work by thickening the cervical mucus, making it difficult for sperm to get through to the uterus. Brant says the general rule of thumb for the combination pill is to consider the 24 to 48 hour safe window. In general, birth control pills are very effective at preventing pregnancy when used correctly.
But when you miss a pill or multiple pills , your chances of protection significantly decrease. Where in your pack you missed a pill can make a difference in pregnancy risk. With the combination pill, missing a pill in the first week of your pack increases your chance of pregnancy more than missing a pill in the middle of the pack. Missing multiple pills and having unprotected sex equals a higher chance of pregnancy, especially during the last half of your pack or in the very beginning of a new one.
The manufacturer's advice may be more cautious and say there's a risk of pregnancy if you have missed 1 pill or a pill is taken more than 12 hours after the usual time. Find sexual health services near you including contraception clinics. Page last reviewed: 14 February Next review due: 14 February What should I do if I miss a pill combined pill?
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