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How should a woman schedule PCOS/PMOS pills after taking EllaOne?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I have been on my pills because of PCOS/PMOS, and recently I had to take the EllaOne and took a five-day break from my medicines. When can I restart my pills? And how should the schedule go?

Kindly suggest.

Answered by Dr. Reetika

Hello,

Welcome to icliniq.com.

  1. Did you experience any bleeding post-EllaOne (Ulipristal acetate)? Also, please tell me what date you took EllaOne?
  2. What date was the unprotected intercourse?
  3. Which pills are you taking for PCOS (polycystic ovary syndrome)/PMOS (polyendocrine metabolic ovarian syndrome)?

Although you can generally take birth control pills anytime as per the previous schedule, I will request you to please tell me the complete details for early treatment or action. Do not worry.

Regards.

Patient's Query

Hello doctor,

I started bleeding the following day after taking EllaOne. The bleeding is abundant (period-like), and I am still bleeding. I took EllaOne six days back. I had unprotected intercourse one day before and one day after taking EllaOne. I am on an estrogen or progestin pill (Yasmin 0.03 mg or 3 mg), 21 pills with a seven-day break.

When I took EllaOne, it was supposed to be the 13th day of my pill, but I did not take it. So basically, I only took 12 of my 21 pills, and on the 13th day, I took EllaOne instead. So, currently, it is my fifth day of not taking the pill because of EllaOne.

Please help.

Answered by Dr. Reetika

Hello,

Welcome back to icliniq.com.

Thanks for the update.

Ideally, if you were taking pills for PCOS/PMOS, they also help with birth control, as you must already be aware. If you were taking them as per schedule, there was no requirement to take EllaOne (Ulipristal acetate). Further, since it is five days, you can start with Yasmin (Drospirenone-Ethinyl Estradiol) right away, as you have already experienced bleeding.

I request you to put on some weight, as you are underweight. There is nothing to worry about. Feel free to ask any questions or to share any additional information.

Take care.

Patient's Query

Hello doctor,

I understood from your answer that I should start a new pack, but to see that I understood well, I wanted to ask you -

  1. Should I start a new pack of Yasmin or continue with the remaining?
  2. These five days of not taking the pills are considered a seven-day break, so another two days will not be necessary, right? Meaning these five days were enough because there was bleeding.

And I took the EllaOne because I would always mess up my pill schedule by 30-60 minutes, so I was afraid I might get pregnant.

I thank you for reassuring me.

Answered by Dr. Reetika

Hello,

Welcome back to icliniq.com.

I am grateful to God that I am able to help you.

It is good that you took EllaOne (Ulipristal acetate) if you had not taken the Yasmin (Drospirenone-Ethinyl Estradiol) pills at the same time every day. That is the right and intelligent thing to do. Further, you now need to start a new pack of Yasmin afresh.

One more question you have not asked, but I must guide you, is if you cannot take medicine at the same time every day and you are sexually active, then you can consider other birth control options like an implant, which may help you achieve menstrual flow control as well as birth control.

If you are married and want a baby in the next two to four months, then continue with the pills and ask your partner to use a condom.

Do not worry.

Take care.

Answered byDr. Reetika

Medically reviewed byiCliniq medical review team

Published At May 6, 2022
Reviewed AtMay 27, 2026

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

Dr. Reetika
Dr. Reetika

Obstetrics and Gynecology

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