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Is it possible to be pregnant while taking contraceptive pills?

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Published At March 18, 2024
Reviewed AtMarch 18, 2024

Patient's Query

Hello doctor,

I am worried about being pregnant on the contraceptive pill. I am on the combined pill and had my seven-day break. I then had sex two days after being on the pill. Am I pregnant?

Please help.

Hello,

Welcome to icliniq.com.

I went through your query.

The combined oral contraceptive pill (COC) is a highly effective method of birth control when used correctly and consistently. Here is some information that may help alleviate your concerns:

1. Pregnancy risk during COC use: The COC works by preventing ovulation, thickening cervical mucus to prevent sperm from reaching the egg, and thinning the uterine lining to prevent implantation. When taken correctly and consistently, the COC is over 99 percent effective at preventing pregnancy.

2. Breakthrough bleeding: It is common to experience breakthrough bleeding or spotting during the first few cycles of COC use, especially during the initial adjustment period. This can be due to changes in hormone levels or other factors and typically resolves within a few months.

3. Timing of sexual activity: If you had sex two days after your last active pill, this should still be covered by the COC as long as you've been taking it consistently and correctly. The COC provides continuous hormonal protection throughout the active pill phase, so as long as you've been taking it at the same time every day, you should be protected against pregnancy.

4. Emergency contraception: If you are concerned about potential pregnancy risk or have had unprotected sex, emergency contraception (EC) can be used as a backup method of birth control. EC works by delaying or preventing ovulation and preventing fertilization or implantation, but it should be used as soon as possible after unprotected sex for maximum effectiveness.

5. Consult with a healthcare provider: If you have concerns about your COC use or pregnancy risk, it is always best to consult with a healthcare provider who is experienced in managing contraception and reproductive health issues for personalized recommendations based on your circumstances. They can also help address any questions or concerns you may have about COC use or pregnancy risk.

I suggest you do a urine pregnancy test.

Hope it helps.

Thanks and regards.

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

Dr. Vandana Andrews
Dr. Vandana Andrews

General Practitioner

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