Patient's Query
Hello doctor,
I have been on my birth control Yaz for 10 to 11 months. Last month, I went on a holiday that coincided with my placebo pill days and period days. So I started the second pack, skipping the placebo pills from the previous pack to skip the period. However, ever since I started the second pack, I have been having spotting and later breakthrough bleeding.
So I decided to stop my second pack at the 11th pill to have my period (so together with the previous pill pack, I took 34 active pills before I stopped taking them for a period). I took a four-day break as instructed by the pill pack instructions and started a new pack afterward as usual. It has been seven days since then in this new pack, and I had sex with my partner without extra contraception (condom).
Is it safe?
Please help.
Thank you.
Hello,
Welcome to icliniq.com.
As you were on the pill regularly, ovulation did not occur. This means you are safe, most probably, but 100 percent accuracy is not there. But for practical purposes, it is almost safe. Take a urine pregnancy test after two to three weeks, and that will confirm it.
I hope it helps.
Thank you.
Patient's Query
Hello doctor,
Thank you for your reply.
But, since I stopped taking the pills midway through the second pack (to have my period), is it safe or recommended to do so?
I read the pill pack instructions; it did mention that if I want to have my period earlier during the second pill pack, I can take a break for a maximum of four days (like how the pill pack is typically four placebo pill days), but I am not sure if I got the right idea or the proper understanding of it.
Please help.
Thank you.
Hello,
Welcome back to icliniq.com.
Yes, it is correct. You can stop taking the pill at any time as you wish, and there is no problem with that.
You get it correct, so do not worry.
I hope it helps.
Thank you.
Patient's Query
Hello doctor,
Thank you for your reply,
So, if I take the right amount of break days and start a new pack afterward, as it usually should, it would not or should not affect the birth control in my body, right?
Please help.
Thank you.
Hello,
Welcome back to icliniq.com.
Yes, it is true that if you take it as you mentioned, it will prevent pregnancy. Whenever you want to have a pregnancy, stop it. These are quite a safe pill and do not have long-term effects on your body, i.e. your fertility returns to normal.
I hope this clarifies your concern.
Thank you.
Patient's Query
Hello doctor,
Thank you for your reply.
But I am not trying to stop my pills. I have stopped taking active pills to get a four-day break to release my withdrawal blood, and right after the four-day break, I will start with another pack of birth control pills.
So are the steps still correct, or are there other ways to do it?
Please help.
Thank you.
Hello,
Welcome back to icliniq.com.
As you have taken a new pill for seven consecutive days and then had unprotected sex, so this will keep you safe from pregnancy. If the duration of taking effective medicine is less than seven days, then it may not be useful. You have correctly started a new pill after a four-day gap. You can continue this as it will protect you from unwanted pregnancy. It is right to start a new pill after a gap of four days, regardless of whether you had withdrawal bleeding or not. So you have it correctly.
I hope it helps.
Thank you.
Patient's Query
Hello doctor,
Thank you for your reply,
I had unprotected sex on my sixth pill day, but before that, I had been on pills regularly and only took a four-day break.
Please help.
Thank you.
Hello,
Welcome back to icliniq.com.
You are right. I mentioned that if the gap is larger and you start a new pill, then at least seven days should pass so that you are protected adequately. This was for general information and not necessarily for the woman who took the pill regularly and started a new pack after a gap of four days. But in your case, you were on pills prior and had only a four-day gap, so you are protected.
And that is why I mentioned that you are protected and do not worry excessively. For general information, if a woman misses two or more pills other than those four days, then the efficacy is in doubt. And in that situation, one needs to start a new pill and wait for seven days to be protected adequately. The efficacy of these pills is 91 percent, and with regard to your concern, you are protected by this figure of 91 percent. As of now, you need to relax and not worry. You can do a urine pregnancy test after two or three weeks to be sure.
I hope it helps.
Thank you.
Was this conversation helpful?
Answered byDr. Ramchandra Lamba
Medically reviewed byDr. Nithila. A
Same symptoms don't mean you have the same problem. Consult a doctor now!
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