Do I need emergency pills after missing contraceptives?

Question

Hello doctor,

I need your advice regarding my pill use during this cycle.

My period started, and I began taking Krimson-35 for two days. I then missed the pills for four consecutive days. After that, I restarted the pill and have taken it daily without missing for about 16 consecutive days.

I had unprotected intercourse one day ago. I currently have four to five pills remaining in the pack, and my gynecologist has advised taking a seven-day break after finishing the pack.

Could you please advise whether emergency contraception is still recommended and how I should continue my pills for the rest of this cycle?

Thank you.

Answer 1

Hello,

Welcome to icliniq.com.

I understand your concern, and I will explain this clearly so you can feel confident about the next steps.

Because Krimson-35 (Cyproterone acetate and Ethinyl estradiol) was missed for four consecutive days early in the cycle, contraceptive protection was temporarily reduced at that time. However, after restarting the pill, it has been taken correctly for more than 14 consecutive days before the unprotected intercourse.

When combined oral contraceptive pills are taken continuously and correctly for at least seven consecutive days, ovulation suppression is restored. Since more than two weeks of correct pill use had already been completed before intercourse, the chance of pregnancy from that exposure is very low. Emergency contraception is generally effective only within 72 to 120 hours after intercourse, depending on the method. At this point, it is no longer useful or indicated.

Regarding how to continue:

Finish the remaining pills in the current pack.
Take the advised seven-day pill-free break.
Expect a withdrawal bleed during the break.
Start the next pack on time, even if bleeding is light or delayed.

No additional action is required at this stage. If withdrawal bleeding does not occur during the pill-free interval, a urine pregnancy test may be done for confirmation; however, the overall pregnancy risk remains low.

I hope this helps clarify things.

Take care.