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Contraceptive mishaps and the morning-after pill

Condom broken? Forgotten the pill? Didn't use contraception at all?

There are many situations and a thousand reasons why contraception sometimes doesn't work.  Here's some important info:

Info for teenagers - also applies to adults, of course

It is not so easy to always remember to take the pill. If you forget to take it, there are a few things you can do to ensure that you are still protected. These instructions are intended to help you. They only apply to pills that contain 21 identical (i.e. not different colored) tablets and for which you take a 7-day break every month. If you take a pill that does not contain 21 identical tablets, you should check with your gynecologist or with us.

If you take the missed pill within 12 hours, you are still fully protected; you take the rest of the pack as usual. If it is more than 12 hours, it is as if you forgot the tablet altogether:

You forgot to take a tablet in the first week of the pack.

If you are a day late starting your pack or forget another pill in the first week, take the forgotten pill as soon as possible! After that, continue taking your pills as normal.

Caution:

  • Use a condom until your next period!
  • If you had sex in the 7 days before you forgot your pill, you can become pregnant.

To prevent pregnancy, you can take the morning-after pill. The earlier you take it, the better it works. It is best to take it in the first 24 hours after sex.

You forgot to take a pill in the second week of the package.

Take the missed pill as soon as possible. After that, continue taking your pills as usual. If you have always taken your pills regularly in the 7 days before, nothing can happen. If you are unsure, use a condom for the next 7 days.

You forgot to take one or more pills in a row in the third week of the pack.

You have two options:

  • 1. take the pills that are still in the pack at the usual time. Skip the break and start immediately with the new pack of pills. You will probably not experience any menstrual bleeding until the next break.

Or

  • 2. do not take any more pills from your current pack, but take a pill break immediately. If you haven't taken a pill for 7 days, start with the new pack. Count exactly: the day on which you forgot to take the first pill must be counted!

If you miss several pills in one month, call your gynecologist or pro familia and ask what you can do.

The sooner you take the morning-after pill, the  more effective it is. All "morning-after pills" have the highest effect if taken within the first 24 hours.

The names of the preparations are:

  • PiDaNa, Unofem, Levonoraristo, Postinor, Levonorgestrel Stada (1 tablet).
  • ellaOne (1 tablet)

PiDaNa, Unofem, Levonoraristo, and Postinor are effective for up to 72 hours after a contraceptive failure.

ella One works up to 5 days after a contraceptive failure.

For teenagers and young women under the age of 22!

Teenagers can also buy the morning-after pill at the pharmacy.

However, without a prescription from your doctor, you will have to pay for it. It costs between 14 € and 30 €.

If you cannot or do not want to pay for the morning-after pill, girls and young women up to the age of 22 can go to a doctor and get a prescription.

During the week you can get the prescription in Munich

  • from your gynecologist or general practitioner

In the evening, on weekends or holidays

  • contact the emergency pharmacies

Intake - as soon as possible with a sip of water.

Nausea - eat a snack beforehand to prevent it.

Vomiting within the first 3 hours may limit the effect. In this case, please contact your gynecologist or pharmacy

After intake, you must refrain from sexual intercourse or use a condom until your next period.

Side effects are experienced by one in 5 women. Nausea, headache, abdominal pain, and breast tenderness usually go away after a few hours. In the days afterward, many women have light bleeding.

You are taking the "pill"! Continue to take it as usual. But use an additional condom during sexual intercourse until the end of the pill pack.

Pregnancy despite "morning after pill"! This can happen in rare cases. If you have not had a "normal" period after 3 weeks, take a pregnancy test or see your gynecologist

Please note: The morning-after pill does not protect against sexually transmitted diseases (e.g. AIDS)!

If you have any further questions, please contact your doctor, your pharmacist or pro familia.

More and more frequently, women in pregnancy conflict counseling tell us, that they have relied on their app. Upon further inquiry, it turns out that the women enter the first day of menstruation and thus have nothing more than a cycle calendar. The app then shows a fertile and infertile window. Warning

!!! Stiftung Warentest gives most apps a quality rating of "poor". The detailed results can be found at www.test.de/Zyklus-Apps-im-Test-5254377-0/.

In order to reliably determine fertile and infertile days in the cycle, it is necessary to observe the body and then evaluate it with a set of rules called "Sensiplan". You are welcome to come to the medical consultation to learn about or learn this method, which is very safe.

If you're unsure if  the birth control worked, just give us a call. We can tell you if it's dangerous that you forgot to take the pill or if the medicines you're taking are making the pill ineffective. Even if you don't know if you were having sex during the dangerous time, just call or email!!!

Doctor's phone consultation time, Mondays from 12:00 to 13:00, phone number: 089 33 00 84-62.