Contraception- when you need barrier protection etc Flashcards
If you’ve missed one pill anywhere in the pack or started a new pack one day late, you’re still protected against pregnancy. What should you do about the missed pill?
take the last pill you missed now, even if this means taking two pills in one day carry on taking the rest of the pack as normal
If you’ve missed two or more pills anywhere in the pack or started a new pack two or more days late (48 hours or more), your protection against pregnancy may be affected What should you you do now?
Take her forgotten pill now and the next one at the usual time and use additonal contraception eg barrier method or abstain from sexual interocurse for 7 days
If you’re taking a 3-hour progestogen-only pill and are less than 3 hours late taking it, or if you’re taking the 12-hour progestogen-only pill and are less than 12 hours late: take the late pill as soon as you remember, and take the remaining pills as normal, even if that means taking 2 pills on the same day
If you’re taking a 3-hour progestogen-only pill and are more than 3 hours late taking it, or you’re taking the 12-hour progestogen-only pill and are more than 12 hours late, what should you do?
If more than 3 hours late when on the 3hour progestogen only pill or more than 12 when on the 12 hour progestogen only pill, take a pill as soon as you remember – only take 1, even if you’ve missed more than 1 pill
take the next pill at the usual time – this may mean taking 2 pills on the same day (1 when you remember and 1 at the usual time)
carry on taking your remaining pills each day at the usual time
use extra contraception such as condoms for the next 2 days (48 hours) after you remember to take your missed pill, or don’t have sex
Why must additional contraception be in use for only 2 days? if you have unprotected sex from the time that you miss your pill until 2 days after you start taking it reliably again, what may be required?
Additional contraception only in use for 2 days because it takes the progesterone only pill 2 days to thicken the cervical mucus to prevent sperm from entering
If you have unportetected sex in the time between missing the pill and the 2 day reliable period -may require emergency contraception (ie 3 hour progeterone only pill taken more than 3 hours late and then having sex)
