YOUNG-WOMEN Messages for June, 2002: Re: birth control and pregnancy

Re: birth control and pregnancy

From: William McIntosh, MD (anonymous@obgyn.net)
Tue, 4 Jun 2002 20:54:53 -0500 (CDT)

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At Tue, 4 Jun 2002, mcr wrote: >
>Hi,
>This is my first month on Alesse 28. I'm at the end of the pack. I
>have, however, had unprotected sex during this time, on days 14, 16, 19,
>21 and 22. According to the pack, after 7 days it is safe to have sex,
>but I have been reading that doctors recommend backup protection for the
>entire month (my doctor did not tell me about this). I have missed only
>one pill (the second-to-last active pill) but still took it within 8
>hours of the usual time. I did not take the pill at EXACTLY the same
>time every day, however, but usually within a 2 hour range. I am now on
>the 3rd inactive pill but there is not yet any bleeding, and now I'm
>extremely worried about being pregnant. I have tender breasts (but it
>has been this way all through the month) and lower back pain. It feels
>like PMS but I know that the symptoms of pregnancy and PMS are very
>similar. What are the chances that I am pregnant? What should I do if I
>miss my period?
>
>Also, does worry and stress affect bleeding while on the Pill as it does
>to a regular period?

It depends on when you started taking them. If you were within 7 days of the onset of a normal period, you are fine. If not, then there is a small chance that you could be pregnant, though it is pretty unlikely. Most women don't start their pill periods until the 3rd or 4th day of the placebo pills anyway. A 2 hour range for taking your pill is just fine.

-- William D. McIntosh, MD, FACOG

This is for educational purposes only, and is not a substitute for consultation and examination by a licensed medical professional.

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