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What to Do If You Miss a Birth Control Pill


Understanding Birth Control Pills
The pill comes in two forms: the combination pill and the minipill. Most people take the combination pill, which includes the hormones estrogen and progestin. If you buy your pill over the counter, it's the minipill. It contains only progestin.

What Happens If You Miss a Pill?
Missing a pill can increase your chances of getting pregnant, especially if multiple pills are missed in a row. You'll need to use a backup form of birth control.

Steps If You Miss a Minipill
You should take the pill as soon as you remember. It's OK to take two pills in one day. If you forgot two or more pills in a row, take two pills on the day you remember. Then you'll take two pills again the next day. After that, take your pills as normal. Use another form of birth control.

Steps if You Miss a Combination Pill
If you're late to take a pill or forgot one day's pill, take it as soon as you can. Then take the rest of your pills like normal. You may end up taking two pills in one day, and that's OK. Use another form of birth control for 7 days.

What to Do If You Miss Two or More Pills
Take the pill you most recently missed right away. You should get rid of the other pills you forgot to take. Then take the rest of the other pills like normal. Again, you may take two pills in one day. Use backup birth control for 7 days.


Alternatives to the Pill
If you often forget to take the pill, ask your doctor about alternative forms of birth control, such as an IUD or implant that you won't have to think about every day.
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SOURCES:
CDC: “Combined Hormonal Contraceptives.”
University of California, Davis, Student Health and Counseling Services: “Missed Birth Control Pill Guidelines.”
UF Health: “Ask the Nurse: Women’s Health.”
The European Journal of Contraception & Reproductive Health Care: “Missed pills: frequency, reasons, consequences and solutions.”
Mayo Clinic: “Headaches and hormones: What's the connection?”
UpToDate: “Combined estrogen-progestin oral contraceptives: Patient selection, counseling, and use.”
Cornell Health: “Progesterone-Only Oral Contraceptives (Minipills).”
Counseling and Psychological Services at the University of Pennsylvania: “What to do if you miss any of the 21 hormonal pills.”
Mayo Clinic Proceedings: “Migraine Throughout the Female Reproductive Life Cycle.”
Bedsider: “Late, late, for a very important pill?” “The Pill.”