Is it possible to get pregnant if I forgot to take a pill. What to do in case of violation of the contraceptive regimen

Contraceptive methods are highly effective if used systematically. Follow your doctor's instructions on what to do if you miss your birth control pill. Basic instructions are listed below.

Combined (estrogen and progestin) birth control pills

The greatest risk of pregnancy occurs if you start taking combined (estrogen and progestin) pills late or stop taking them too early (that is, you did not finish monthly intake tablets). If you use a package containing 21 tablets, for 3 weeks you take hormonal pills and stop taking it for 1 week. If your pills come in a pack that contains 28 pills, the last 7 pills usually don't contain hormones.

If you missed taking just one hormonal pill, or if you started taking the pills from a new pack too late, use emergency contraception (a special hormonal pill). And then start taking your pills, according to the schedule, with next day. During the first week of taking the tablets, there is highest risk the release of an egg (ovulation) and the onset of pregnancy.

If you miss one tablet, follow these instructions:

If you miss 1 tablet within 2 or 3 weeks of taking it, take it as soon as possible. Take your next pill on time.

If you miss 2 tablets, take 1 missed tablet every 12 hours until you catch up, then continue as scheduled. Use additional contraception, such as a condom or diaphragm, for the next 7 days.

you have had sexual intercourse in the past 5 days use emergency contraception. From the next day, start taking the pills as scheduled. Use additional contraception, such as a condom or diaphragm, for the next 7 days. If you have had sex but decide not to use emergency contraception, take the tablets further on schedule, skipping the forgotten tablets. Use additional contraception, such as a condom or diaphragm, until the next menstrual period. Taking the remaining pills will not protect you from pregnancy, but it will regulate your cycle.

If you miss more than 2 tablets, and you have not had sexual intercourse in the last 5 days, take 2 tablets at once, and then continue as scheduled. Use additional contraception, such as a condom or diaphragm, for the next 7 days.

emergency contraception

If you had unprotected sex at the time you missed your pill, you can use emergency contraception to avoid pregnancy. you can buy emergency contraceptive Plan B (sometimes called "postcoital contraceptive") in most pharmacies.

If you are 18 or older, you can get Plan B from your pharmacist without a prescription. You must have proof of age.

If you are under 18, you can get Plan B with a doctor's prescription.

Diseases

Vomiting and diarrhea can reduce the effectiveness of birth control pills. It is recommended to use a different method of contraception for the next 7 days in case of influenza, even if you have not missed a pill.

Talk to your doctor if you are taking medication for epilepsy (phenytoin and barbiturates) or tuberculosis (rifampin). These medicines can interfere with the effectiveness of birth control pills.

Pills containing only progestin

Progestin-only pills to be taken daily at the same time. If the tablet is taken more than 3 hours later, another method of contraception must be used for the next 48 hours to avoid pregnancy. If you miss just one pill, you need to use another method of contraception until the next period, in order to avoid pregnancy. Can't be accepted extra pill, as in the case of combined birth control pills, to make up for a missed appointment.

The effectiveness of contraceptives depends on how timely and regularly they are taken. If a woman forgot to take a birth control pill, and remembered about it only after some time, this can have certain consequences. The result will depend on how much time has passed since the last dose, as well as on female cycle.

The sequence of actions when skipping hormonal contraceptives

If a woman notices that she has lost birth control pill and missed desired period acceptance, take the following steps:

Calm down and don't panic. The solution to the problem must be taken consciously and calmly, no matter how much time has passed since the moment when the woman did not drink the contraceptive pill on time.
Take the missed remedy as soon as possible.
Familiarize yourself with the instructions for the drug. It usually tells you exactly what to do if a woman forgets to take her last birth control pill.
If the instructions could not be found, then it is necessary to act depending on which type of contraceptive is used, combined with a placebo or the main one, as well as on the cycle and period since the last dose.

Duration of the pass and possible consequences

If a woman missed taking a birth control pill and no more than 8 hours have passed since the scheduled time of taking, then there is nothing to worry about, the effect will continue.

It happens that you forgot that you had already taken the pill and drank an extra birth control pill, and then found out that it turned out that you had already taken the medicine. This option does not threaten special consequences, and in most cases any side effects do not arise. However, it must be remembered that the subsequent dose should take place at the appointed time, regardless of the fact that a double dose of the drug was taken the day before. In this case, the package of the drug will simply end a day earlier than planned. But such experiments on the body are extremely dangerous, and you can’t abuse it; use an additional calendar (electronic or regular) to remember. In any case, if a woman has forgotten to take a birth control pill, then she should do this immediately after she remembers this, since time plays a key role here.

If a woman missed one pill of birth control, then after the next dose, the course can be continued as usual. If a woman missed 2 birth control pills or more, then by the time the next cycle begins, other types of contraceptives (condoms, spermicides) should be used in parallel, since the reliability of this option is significantly reduced. The tool gives high score only if taken for at least 7 days.

It should also take into account the fact that the body reacts sharply to the untimely intake of the drug, while reducing the level of hormones. That is why many are interested in the question of what to do if you missed the birth control pill and menstruation began. In this case, the drug should be taken further, despite the presence of bleeding. If the period has not come, but it is necessary to check for the possibility of pregnancy.

emergency measures

If a missed contraceptive was detected and sexual intercourse took place without any other means of protection, then additional protective measures may be necessary. If a woman forgot to take a birth control pill and less than 12 hours have passed since that moment, then the remedy should be taken immediately, and the next pill should be taken at the appointed time. In this case, it may happen that in one day it will need to be done twice.

If you missed two birth control pills, then within 72 hours you need to use special by emergency means which can be purchased at a pharmacy. Similar drugs in most cases, they have certain side effects, which is quite normal, given the loading dose of hormones. With a list possible consequences can be found through the instructions for the drug.

If a woman missed 3 birth control pills, then no matter what period of the cycle she is now in, it is necessary to take the remedy emergency contraception. The risk of getting pregnant in this case is quite high, and the drug will need to be started from the very beginning - with the onset of the next menstruation.

It should also be taken into account the fact that if the missed contraceptive pill is repeated repeatedly, then it is better to make a choice in the direction of another contraceptive, since this option is clearly not suitable. If a woman did not take a birth control pill on time, then following the above instructions will avoid unwanted pregnancy. The nature of the action depends on the amount of time that has passed since the last dose of the drug, as well as on the female cycle. In any case, the remedy should be taken immediately after the failure has been detected. If you miss taking the birth control pill only once and for a short time, then this will not have consequences. If such situations occur frequently, then it makes sense to choose another contraceptive, because no matter how effective the drug is, it gives the result only if it is taken consistently and regularly.

Duphaston is a hormonal pill that women take if they have problems in the reproductive system. The drug is a synthetic analogue of progesterone. It should be drunk only after confirmation by the doctor of hormone deficiency. Self-medication can adversely affect a woman's health and only aggravate her illness.

Reception features

Sometimes girls take medicine according to the schemes written on the forums, or do not adhere to the rules at all. They may miss taking Duphaston one or more times, which is why they will not achieve the effect at all.

Today various variations courses of treatment are described in the instructions for the drug. However, if you drink pills exactly according to these schemes, there is no guarantee of success. For each patient, the doctor individually describes the cycle of therapy. And he tells the woman what to do after missing Duphaston.

Approximate schemes for the use of tablets depend on the diagnosis and are as follows:

For endometriosis treatment drink one tablet three times a day, starting from the 5th day of the cycle to the 25th.
Infertility treatment continue from 3 months to six months. Drink one capsule twice a day. The dose may vary depending on the degree of hormonal deficiency.
Supportive care during pregnancy, it is carried out in the same dosages as before its onset. However, if you skip a Duphaston tablet, the risk of fetal rejection increases.
If a woman has threatened abortion, then you should take 4 tablets once. After 8 hours, another dose is taken, after which they continue to drink one tablet per day for a week.
When staging a habitual abortion(several miscarriages in a row), a woman is prescribed one tablet per day from 11 to 25 days menstrual cycle 3-6 months before pregnancy.
To equalize menstruation the patient is prescribed 2 capsules a day in the morning and evening in the second phase of the cycle (from 11 to 25 days) for several months.

Skipping a tablet during any of the above regimens may not have any consequences, and may lead to unexpected reactions. Therefore, Duphaston should be used carefully, strictly adhering to the course.

What to do after a missed appointment

There are many cases and unforeseen situations due to which you can forget to take Duphaston. Hormonal drugs are drunk on certain days, and some even on set time. Usually, skipping at least one dose does not affect a woman’s health very well, but in the case of Duphaston, everything is not so scary.

The patient, if she missed a Duphaston tablet, should drink it within 6 hours. In this case, there will be no consequences.

Delays of more than 6 hours may adversely affect reproductive function. However, it is no longer necessary to take the medicine, and the course should be continued according to the scheme prescribed by the doctor.

Missing Duphaston during pregnancy increases the risk of spontaneous abortion. Especially if this happened in the first few weeks of the term in girls prone to miscarriages. A woman should set herself reminders to take pills so as not to undermine the health of her baby.

Consequences of skipping

It is strictly forbidden to abruptly stop taking Duphaston. female body due to a sharp cessation of hormone intake, it reacts inadequately. Therefore, if a girl missed taking Duphaston, she may be disturbed by:

sudden uterine bleeding;
heavy menstruation, uncharacteristic for the phase of the cycle;
retention of secretions;
appearance side effects drug.

As a rule, these conditions are eliminated by themselves if you continue to drink the medicine without gaps. And in order to take Duphaston during pregnancy and before it as safe as possible, you should carefully adhere to the developed scheme.

Contraceptive pills are oral contraceptives preventing unwanted pregnancy. To achieve the effect, it is necessary to take the drug regularly at the same time, without gaps.

A break in taking birth control pills up to 7 days is allowed. During this period, the mucous layer of the uterus is rejected, and a menstrual-like reaction develops.

The contraceptive effect of the drug is maintained for the duration of the break - provided that the tablets were previously taken correctly.

Instructions for skipping birth control pills

The course of action depends on the drug chosen and the day of the cycle in which the woman forgot to take contraceptive.

COC based on ethinyl estradiol

If a break in taking the drug was less than 12 hours, you need to take the missed pill as soon as the woman remembers about it. Contraceptive effect persists, no additional protection against unwanted pregnancy is required.

If a break in reception COC amounted to more than 12 hours, you should follow the instructions for skipping the tablet attached to the drug. contraceptive effect decreases, an unplanned pregnancy is possible.

Action plan:

First week. You need to take the missed pill as soon as possible, even if you have to take two pills. The next tablet should be taken at the usual time according to the instructions. Additionally, it is recommended to use a condom or other means of barrier contraception within the next 7 days.
Second week. You need to take the missed pill as soon as the woman remembers about it. Additional contraception is not indicated, but only on the condition that up to this point the woman has taken the drug correctly and without gaps. If there were errors, you should use a condom for 7 days.
Third week. There are two options: 1) take the missed pill, use a condom for 7 days, start new packaging without a 7-day break; 2) take a 7-day break and after it start taking pills from a new pack. In any of these situations, intermenstrual bloody issues from the genital tract.

Important aspects:

It takes at least 7 days to achieve a contraceptive effect.
The interval between taking the tablets should not be more than 7 days.
The closer the missed tablet is to the 7-day break in taking the drug, the higher the likelihood of an unwanted pregnancy.
With vomiting or diarrhea within 4 hours after taking the tablet, the absorption of the drug will be incomplete. You should be guided by the scheme proposed when skipping the pill.

COCs based on natural estrogens

Actions when skipping a tablet are considered using the example of Qlaira. It contains estradiol valerate -. If a woman is taking another contraceptive based on active ingredient, she is advised to follow the instructions enclosed in the package to the drug.

If the gap in taking the drug was less than 12 hours, its effect is not reduced. Additional measures not shown.

If the pass was more than 12 hours, you need to act according to the scheme:

1-17th day. Missing dark yellow, pink or pale yellow tablets. It is recommended to take forgotten pill As soon as possible. Then use additional means of contraception (condom) for 9 days.
18-24th day. Missing pale yellow tablets. You should throw away the current package of the drug and start taking pills from a new pack without gaps. Do not forget about additional contraception for the next 9 days.
25-26th day. Missing red pills. Take the missed tablet as soon as possible. Additional funds medications are not indicated.
27-28th day. Missing white pills - placebo. It is recommended to throw away the forgotten pill and continue taking the drug according to the usual scheme. Barrier contraception not required.

mini pili

The contraceptive effect of purely gestagenic drugs lasts up to 36 hours.

Action plan:

If one tablet was missed for no more than 12 hours, you should take the next dose of the drug. The contraceptive effect is preserved, additional protection is not required.
If the break in taking the pills was more than 12 hours, you need to use barrier contraceptives for the next 7 days.
If the tablet was missed in the first week of taking the contraceptive, pregnancy should be excluded.

Rules for canceling birth control pills

Indications for the abolition of a contraceptive:

Planning for pregnancy.
Treatment incompatible with (surgery, immobilization, etc.).
Changing the form of contraceptives.
The unwillingness of the woman to continue taking the drug.
The appearance of unwanted side effects that are dangerous to health and life.
The onset of pregnancy while taking the drug.

In all situations, except for the last two, the cancellation of the contraceptive occurs only after the completion of taking all the pills from the package. You can't interrupt the course. It is recommended to take all the tablets from the package according to the instructions, without skipping. Abrupt withdrawal of the drug threatens hormonal failure and development uterine bleeding .

Emergency withdrawal of the drug is allowed if there are unwanted side effects that are dangerous to the woman's health. You should stop taking contraceptives and consult a doctor immediately.

When pregnancy occurs while taking the drug, you must first get a consultation with a gynecologist and only then stop taking the drug. The doctor may prescribe other hormonal agents to maintain pregnancy.

During gestation, contraceptives are not used, however, accidental use of the drug is not dangerous for the fetus, does not lead to malformations and is not an indication for abortion.

Breaks in taking medications are not recommended. A healthy woman can take the drug for as long as she needs it. There is no need to take a break for 1-3 months every year or every five years. For such short span can only get hormonal disbalance and unplanned pregnancy.

Ovulation after stopping birth control pills

After stopping the drug, a menstrual-like reaction develops. The contraceptive effect lasts up to 7 days. If, after a break, a woman does not resume taking the drug, its effect on the body is reduced. Develop hormonal changes leading to the maturation of follicles and the start of ovulation. On average, the release of the egg from the ovary occurs 14-18 days after the drug is discontinued.

Most women manage to conceive a child within 1-6 months after stopping the contraceptive. The older the woman, the less often ovulation occurs in the ovaries, and the longer period recovery. If for a year of sexual life without using contraceptive pregnancy does not occur, it is necessary to consult a doctor.

Contraceptive Pill Withdrawal Syndrome

After stopping taking birth control pills, certain changes occur in a woman's body:

Recovering hormonal background.
The maturation of follicles starts.
Ovulation occurs.
The endometrium prepares for possible implantation gestational sac.
The viscosity of the cervical mucus decreases.

Possible problems:

Delayed menses. It is noted for up to 35-40 days, less often up to 2-3 months.
Return premenstrual syndrome.
Deterioration of the skin and hair.
Mood change.

All these symptoms are temporary, and usually the woman's condition stabilizes within 3-6 months. special treatment not required. With amenorrhea for more than 2 months, a consultation with a gynecologist is indicated.

On average, it takes 1-3 months to restore the menstrual cycle. During this period, the likelihood of conceiving a child increases significantly. In medicine, this phenomenon is called the rebound effect. Superovulation occurs, and often there is a maturation of two or more eggs at once. Possible multiple pregnancy.

The rebound effect is used in gynecology to treat some forms of endocrine infertility. The appointment of COCs for 3 months, followed by the withdrawal of the drug, contributes to the onset of pregnancy. Majority healthy women are able to conceive a child already in the first spontaneous cycle after stopping the use of COCs. If pregnancy is undesirable, care should be taken.

Your risk of getting pregnant after missing a birth control pill depends on how much you forgot to take birth control pills in a row, and on what cycle day you have now. Usually, manufacturers in the instructions describe the likelihood of pregnancy in case of missing pills, so read the instructions carefully.

If you forgot to start taking the pills from the new pack on time, then just one a day as soon as you remember them, and use additional contraception (diaphragm or condoms) for the first seven days.

If you miss one tablet, take it as soon as you remember. Then accept next pill usual appointment time. This means that you will have to take two tablets on the same day (or even at the same time). After such shock dose hormones, you may feel a little nauseous - don't worry, this normal reaction body, and it passes quickly. You, as in the previous case, will have to use condoms in the coming week.

If you miss two pills in a row during the first two weeks after your period, take two pills as soon as you remember them and take two more pills the next day. After that, take the tablets as usual. Use condoms for the next seven days. You may notice slight spotting after such a failure in taking the pills.

If you miss two pills in the third week of your menstrual cycle, or if you miss three or more pills during any of the first three weeks after taking the first pill, then you should start a new pack of pills as soon as you realize that you forgot to take birth control pills, and discard the partially used packaging. Take one tablet daily and use condoms for seven days. Be aware that if you start a new pack before you have finished the previous one, you risk not having your period because your hormones will not return to normal (you will not have a "cancellation" week). But you may well have breakthrough bleeding, which usually occur after missing a few tablets.

You do not need to do anything if you miss a pill during the fourth week of the 28-day package combined tablets. These are just “dummy” pills that are needed only in order to support your habit daily intake tablets. The main thing - do not forget to start next package in time!

If you start a new pack late or miss one or more pills and have had unprotected sex, then you should use emergency contraception to reduce your risk of getting pregnant. These drugs include the drugs "Postinor", "Zhenale", "Ginepriston" and "Escapel". They can be used within the first 24-96 hours (up to 4 days) after unprotected intercourse, but they are most effective if used within the first 12 hours. Therefore, it is better for you to contact your gynecologist as soon as possible.

If you have any doubts about your further action After you forgot to take the birth control pill, do not postpone a visit to the gynecologist - thereby you will reduce the likelihood of an unwanted pregnancy. If at this time you enter into sexual intercourse Don't forget to use condoms!