A 22-year-old woman taking the combined oral contraceptive pill (containing ethinylestradiol 30 mcg / levonorgestrel 150 mcg) attends the GP because s...

Question

A 22-year-old woman taking the combined oral contraceptive pill (containing ethinylestradiol 30 mcg / levonorgestrel 150 mcg) attends the GP because she missed two pills in the second week of her packet. She had unprotected intercourse yesterday. Which is the single most appropriate advice?

Accepted Answer

Take the most recent missed pill now, continue the rest of the packet, and use condoms for 7 days. No emergency contraception needed.

Answer

Take the most recent missed pill now and take emergency contraception immediately

Answer

Discard the current packet and start a new one after a 7-day break

Answer

Continue the packet as normal; missing pills in week 2 does not affect efficacy

Answer

Stop the pill and switch to a progestogen-only method

uk-drcog MCQ (SBA): Missed Combined Oral Contraceptive Pills

A 22-year-old woman taking the combined oral contraceptive pill (containing ethinylestradiol 30 mcg / levonorgestrel 150 mcg) attends the GP because she missed two pills in the second week of her packet. She had unprotected intercourse yesterday. Which is the single most appropriate advice?