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DrSugar: Missed Birth Control Pill! Now What?

DrSugar is in the house!

DrSugar is in the house! This week she's offering advice on when you've missed a dose, or two, or three, of birth control pills.

We receive countless questions from women who have inadvertently skipped a birth control pill, so I will be giving a general overview on what to do when you realize you have missed a dose. While this week's column will have general information on oral contraceptives and how to manage missing doses, I stress that it is best to talk with your health care provider who prescribed the pills about what to do. Different brands of pills have varying hormonal formulations and thus different potential effects when pills are missed. In some cases, you may be able to simply resume taking pills at your regular time the day after missing a pill and move on with life. In other cases, skipping even one pill (or extending the placebo week) could result in a serious threat to effective pregnancy prevention; it really depends on the type of pill you take. An additional factor to be aware of is that some brands of pills are multiphasic, meaning that pills in a single pack of birth control have differing levels of hormones. Depending on which pill you missed (or which "phase" pill it was), your health care provider may have different recommendations about how to proceed. This column will provide information from Planned Parenthood on the most common type of birth control pills, the combination pill.

Keep on reading to learn what to do if you miss a pill.

Love and Sex

I Forgot to Take my Birth Control Pill, What Should I Do?

One of the complaints I hear from women about the Pill is that they have a hard time remembering to take it everyday.

One of the complaints I hear from women about the Pill is that they have a hard time remembering to take it everyday. So what happens if you forget?

Being even 12 hours late taking your birth control pill could increase your chances of getting pregnant. If you miss any of the first 21 pills in your pack, you need to use a backup method of birth control (condoms) until you have taken 7 consecutive days of pills.

  • If you miss 1 pill, take it as soon as you remember. Take your next pill at the regular time.
  • If you realize when taking your pill that you skipped 1, take the pill you skipped AND the new 1 together. It's okay to take 2 pills at once.
  • If you miss 2 pills, take 2 pills each day for the next two days, and then go back to 1 pill each day at your usual time. You could get pregnant if you have unprotected sex for the next 7 days, so make sure to use a backup method.
  • If you forgot to take 1 pill during the 3rd week of your pill pack, finish the pills for that week, skip the last week (inactive pills) and begin a new pack. Understand that you probably won't have another period until the 4th week of this new pill pack. Use a backup method of birth control until you have taken 7 consecutive days of pills.

What if you forgot 3 or more pills in a row? To find out read more