Forgotten pill and morning after pill

A pill is considered forgotten if it is taken more than 12 hours late. If you forget one pill, the chance of pregnancy is minimal, even if the pill is forgotten in the first week of the strip.
Anyone who uses the pill as contraception will forget to take it at some point. The pill leaflet always contains a schedule of what to do if you forget to take the pill. Here is a diagram of what to do if you forget to take the pill.

Forgot your pill schedule?

Forgot one pill less than 12 hours ago > take the pill anyway. There are no consequences for reliability.
Forgotten one pill more than 12 hours ago > take the pill again, you do not need to take any additional measures.

Forgotten two or more pills: in the first week;

Take the last forgotten pill and complete the strip. Please note that contraception is only reliable again if the pill has been taken again for seven days (use a condom or refrain from sexual intercourse). Use a morning-after pill if you have had sexual intercourse in the last 72 hours before forgetting to take the pill. If sexual intercourse took place more than 72 hours ago but less than 6 days ago, you can discuss with your doctor whether a morning-after IUD is useful.

Two or more pills forgotten in the second week:

Take the last forgotten pill and complete the strip. If you have missed two or three pills, no further measures are necessary. If the number of missed pills is four or more, keep in mind that contraception is only reliable again once the pill has been taken for another seven days. (use a condom or refrain from sexual intercourse). A morning-after pill is not necessary if you forget to take pills in the second week.

Two or more forgotten pills in week 3:

Take the last forgotten pill, finish the strip and continue with the new pill strip without a stopping period.
Alternative: take a pill break for a week. Start counting on the first day that the pill was forgotten. When continuing to take the pill without a stopping period, you should consider:

  • Strip with 28 pills: skip the last 6, these pills contain no active substance.
  • Multi-phase pills: continue with the last color of the new strip.

 

Morning after methods:

  • The morning-after pill (MAP) contains Levenogestrel. You should start this as soon as possible after sexual intercourse, this increases reliability. The MAP no longer works sufficiently if the unprotected sexual intercourse was less than 72 hours ago.
  • The MAP is now available from pharmacies without a prescription.
  • The morning-after IUD must be placed within a week after unprotected sexual intercourse and therefore still has an effect if sexual intercourse was more than 72 hours ago. This must be done by a GP.
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