HomeAnswersObstetrics and Gynecologycombined oral contraceptive pillAfter unprotected sex, I took only two tablets of combined OCP. Can I get pregnant?

I took only two active tablets of the combined OCP, and I had unprotected sex. Can I be pregnant?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

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Published At May 23, 2017
Reviewed AtJuly 14, 2023

Patient's Query

Hello doctor,

I had unprotected sex, but my husband did not ejaculate inside me. I am on the combined contraceptive pill, but I have taken only two tablets of the active pills. What are my chances of getting pregnant?

Answered by Dr. Balakrishnan R

Hi,

Welcome to icliniq.com.

Unprotected sex definitely has a chance of pregnancy. Even if he did not ejaculate inside you, even the pre-seminal fluid or precum, that is, the clear fluid that comes out of the penis before the semen, which is rich in young healthy sperm, comes in contact with the genitals or the thighs, sperms can swim up into the vagina and reach the egg. So, then there is a chance of pregnancy. If you started taking combined pills two days ago, then there is no hormonal suppression and there is a chance of pregnancy.

Mechanism of action of these pills is the same as estrogen and progesterone hormone produced in your body. They are given in high dose, so the body hormones are suppressed, so there will be no ovulation, so no pregnancy. But for such a suppression to occur, you should have been on the pills for at least two months and should have been taking the pills regularly without fail. If during such regular intake with good suppression of hormones, if you have sex during the period of the inactive pill, there is no problem. I had to explain as your history was quite incomplete and missing many details.

Hope I have clarified your doubt, do write back if any more queries. All the best.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Balakrishnan R
Dr. Balakrishnan R

Obstetrics and Gynecology

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