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Emergency contraception question

By May 25, 2016 - 8:48pm
 
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I take my oral contraceptive pill diligently at 10:00pm every night. Last week, my boyfriend and I had sex (Wednesday 9:00am) and we also used withdrawal method. For some reason, I decided to take a backup pill a few hours later.

Later that night, I vomited before taking my pill at the scheduled time of 10pm. This delayed me from taking my pill to about 12:30am, when I finally took it. I woke up again at 5:30am and vomited again.
Fearing that I would not be protected, I took another pill from my backup pack around 9:00 am that next morning.

In addition, later that afternoon, I took plan B.
My question is: I am really intent on preventing pregnancy- and I am wondering if the measures I took may prevent pregnancy? I am wondering if vomiting could have severely impacted the effectiveness of my pill. I am also wondering if all these steps are necessary as well. I am highly considering switching to implanon, and would like some feedback. Thank you.

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Hello cheerfultrumpet527,

Welcome to the EmpowHER community. Thank you for coming to us with your concern.

I am confused by what you say in the first paragraph. Did you take the second dose because you vomited or what was the "for some reason".

There was no concern in decreased protection against pregnancy by vomiting before the dose and the delay in taking your pill 2 1/2 hours later.

Vomiting 5 1/2 hours later may or may not have eliminated the oral contraceptive from your body.

Taking an emergency contraceptive later in the day may have been too much. Oral contraceptives and emergency contraceptives contain hormones, higher amounts in ECP, prevent pregnancy by suppressing your pituitary gland, which stops the development and ovulation.

Please speak with your gynecologist about what has happened. My concern is the effect of the additional doses of hormones on your menstrual cycle.

Regards,
Maryann

May 26, 2016 - 8:29am
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