A 28-year-old woman using a combined oral contraceptive pill (COC) misses three pills in week 1 (days 1, 2, and 3 of the new pack - she was 3 days lat...

Question

A 28-year-old woman using a combined oral contraceptive pill (COC) misses three pills in week 1 (days 1, 2, and 3 of the new pack - she was 3 days late restarting after the hormone-free interval). She had unprotected sexual intercourse (UPSI) on day 2 of the extended hormone-free interval. What is the FULL management plan?

Accepted Answer

Take the most recent missed pill, finish the pack, use condoms for 7 days, AND arrange emergency contraception for the UPSI that occurred during the extended hormone-free interval

Answer

Take the most recent missed pill, finish the pack, use condoms for 7 days

Answer

Stop the pack and wait for her next period

Answer

Take all three missed pills at once

Answer

No action needed as week 1 misses are low risk

uk-dfsrh MCQ (SBA): Three Missed Pills Week 1 with UPSI Full Management