A 24-year-old woman attends the GP having missed three consecutive pills in the first week of her combined oral contraceptive pill packet (pills 1-3)....

Question

A 24-year-old woman attends the GP having missed three consecutive pills in the first week of her combined oral contraceptive pill packet (pills 1-3). She had unprotected intercourse on day 2 of the pill-free interval (before starting the new packet). She is now on day 3 of the new packet. Which is the single most appropriate advice?

Accepted Answer

Take the most recent missed pill, discard the others, continue the packet, use condoms for 7 days, AND consider emergency contraception as she had UPSI in the pill-free interval immediately before the missed pills

Answer

No additional precautions needed - she has taken 3 pills

Answer

Restart the packet after a 7-day break

Answer

Take all 3 missed pills at once

Answer

Switch to the progestogen-only pill

uk-drcog MCQ (SBA): Missed Pills Week 1 with Extended PFI