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» Got Questions? Get Answers. » EXPERT ADVICE » Emergencies and Crises » Took Pill, was sick, got period?

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Author Topic: Took Pill, was sick, got period?
Puss In Boots
Neophyte
Member # 19166

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Hi everyone,
I've been on Ortho-Tri Cyclen Lo since march of last year and I've been really good with it, never missed a pill, always take it within the three hour period (1.5 hours on either side of my designated time) etc. etc.

Well the other night I took my pill and was unfortunately sick an hour and a half to two hours later. I didn't think that that one episode could have compromised my protection, but then over the next few days I began to bleed a little bit. Less than a period but considerably more than spotting (?)

I only compromised -one- pill, and I'm sure that because it was in my system for awhile it didn't all come up.

I am sexually active with my boyfriend (std tested and true, we've been together for a long time now) so I need to know what I should do. I am in the third week of my pill pack (ie next week starting Tuesday I'll be on the placebo row). Do I continue to take the pills at the same time every night and 'see what happens'? Do I stop altogether and wait for my next period to start fresh with my pills?

Also, if I had the throw-up-pill episode on Saturday night, and engaged in sexual activity since then (Saturday and Monday) could I be at risk for pregnancy? I wasn't really bleeding then, I thought it was due to rougher penetration and took no notice of it.

Also, I've been having a lot of stomach cramps ):

What am I supposed to do?

Sorry for the onslaught of questions, I eagerly await your answers [Smile]

-PiB :3

Posts: 6 | From: Montreal,Quebec, Canada | Registered: Jul 2004  |  IP: Logged | Report this post to a Moderator
-Lauren-
Activist
Member # 25983

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You vomited your pill before it could be absorbed. Most providers will tell you that you should follow the instructions for missed pills -- take 1 pill until you can keep it down for 3-4 hours.

Did you have diarrhea, as well? The intestines are where the pill does the bulk of absorbing, so gastrointestinal illness will compromise effectiveness, and break-through-bleeding may indicate that you did not absorb enough medication.

If you did not make up the missed pill from the vomiting episode AND continued to be sick/have diarrhea/gastrointestinal symptoms without using a back-up method for 7 days until your illness passed, you are likely at risk of pregnancy.

I'd call your doctor, explain the situation, and ask if they'd advise emergency contraception. Absolutely keep taking 1 pill a day AND abstain/use a backup method until you have further instructions -- missing pills in the third week is especially risky since it's close to the placebo week; extending the placebo week through starting the pack late or missing pills at the end or beginning of the pack is the most common way women get pregnant.

[ 10-03-2007, 02:44 PM: Message edited by: *Lauren* ]

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Puss In Boots
Neophyte
Member # 19166

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I wasn't sick from a virus or flu at all, I had eaten something that disagreed with me so I literally only threw up the one time and took my pills consistantly at the correct time during the following days.

This happened Saturday night, I've been taking my pill daily since then.

Hopefully this information helps orient your answer a little differently? I don't have gastro or anything, and this was a few days ago.

Posts: 6 | From: Montreal,Quebec, Canada | Registered: Jul 2004  |  IP: Logged | Report this post to a Moderator
Puss In Boots
Neophyte
Member # 19166

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Still bleeding a bit and getting ready to go on the placebo row starting Tuesday (day after tomorrow) I've been maintaining my pills so I only missed the one..
Posts: 6 | From: Montreal,Quebec, Canada | Registered: Jul 2004  |  IP: Logged | Report this post to a Moderator
Puss In Boots
Neophyte
Member # 19166

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Just as a follow up I spoke to my physician who said that yes, I had inadvertently missed some of the pill by throwing it up before it could be digested properly.
She told me to continue as though I hadn't missed it, (ie keep following with my pills as I normally would), use backup protection for this pack and get used to having my period for two weeks as I am going to keep having it during my placebo row despite having bled through the last row of pills before it. Lovely.
Thanks! [Smile]

Posts: 6 | From: Montreal,Quebec, Canada | Registered: Jul 2004  |  IP: Logged | Report this post to a Moderator
   

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