Recommended Actions after Late or Missed Combined Oral Contraceptives - Flowchart
Recommended Actions after Late or Missed Combined Oral Contraceptives - Flowchart Contraception Contraception
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If one hormonal pill is late: (<24 hr since a pill should have been taken)

If one hormonal pill is late: (<24 hr since a pill should have been taken)

If one hormonal pill is late: (<24 hr since a pill should have been taken)

If one hormonal pill is late

If one hormonal pill has been missed: (24 to <48 hr since a pill should have been taken)

If one hormonal pill has been missed: (24 to <48 hr since a pill should have been taken)

If one hormonal pill has been missed: (24 to <48 hr since a pill should have been taken)

If one hormonal pill has been missed

If two or more consecutive hormonal pills have been missed: (48 hr since a pill should have been taken)

If two or more consecutive hormonal pills have been missed: (48 hr since a pill should have been taken)

If two or more consecutive hormonal pills have been missed: (48 hr since a pill should have been taken)

If two or more consecutive hormonal pills have been missed

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Take the most recent missed pill as soon as possible. (Any other missed pills should be discarded.)
Continue taking the remaining pills at the usual time (even if it means taking two pills on the same day).
Use back-up contraception (e.g., condoms) or avoid sexual intercourse until hormonal pills have been taken for 7 consecutive days.
If pills were missed in the last wk of hormonal pills (e.g., days 15 to 21 for 28-day pill packs):


Omit the hormone-free interval by finishing the hormonal pills in the current pack and starting a new pack the next day.
If unable to start a new pack immediately, use back-up contraception (e.g., condoms) or avoid sexual intercourse until hormonal pills from a new pack have been taken for 7 consecutive days.


Emergency contraception should be considered (with the exception of UPA) if hormonal pills were missed during the first wk and unprotected sexual intercourse occurred in the previous 5 days.
Emergency contraception may also be considered (with the exception of UPA) at other times as appropriate.


Take the most recent missed pill as soon as possible. (Any other missed pills should be discarded.)
Continue taking the remaining pills at the usual time (even if it means taking two pills on the same day).
Use back-up contraception (e.g., condoms) or avoid sexual intercourse until hormonal pills have been taken for 7 consecutive days.
If pills were missed in the last wk of hormonal pills (e.g., days 15 to 21 for 28-day pill packs):


Omit the hormone-free interval by finishing the hormonal pills in the current pack and starting a new pack the next day.
If unable to start a new pack immediately, use back-up contraception (e.g., condoms) or avoid sexual intercourse until hormonal pills from a new pack have been taken for 7 consecutive days.


Emergency contraception should be considered (with the exception of UPA) if hormonal pills were missed during the first wk and unprotected sexual intercourse occurred in the previous 5 days.
Emergency contraception may also be considered (with the exception of UPA) at other times as appropriate.


Take the most recent missed pill as soon as possible. (Any other missed pills should be discarded.)
Continue taking the remaining pills at the usual time (even if it means taking two pills on the same day).
Use back-up contraception (e.g., condoms) or avoid sexual intercourse until hormonal pills have been taken for 7 consecutive days.
If pills were missed in the last wk of hormonal pills (e.g., days 15 to 21 for 28-day pill packs):


Omit the hormone-free interval by finishing the hormonal pills in the current pack and starting a new pack the next day.
If unable to start a new pack immediately, use back-up contraception (e.g., condoms) or avoid sexual intercourse until hormonal pills from a new pack have been taken for 7 consecutive days.


Emergency contraception should be considered (with the exception of UPA) if hormonal pills were missed during the first wk and unprotected sexual intercourse occurred in the previous 5 days.
Emergency contraception may also be considered (with the exception of UPA) at other times as appropriate.


Take the most recent missed pill as soon as possible. (Any other missed pills should be discarded.)
Continue taking the remaining pills at the usual time (even if it means taking two pills on the same day).
Use back-up contraception (e.g., condoms) or avoid sexual intercourse until hormonal pills have been taken for 7 consecutive days.
If pills were missed in the last wk of hormonal pills (e.g., days 15 to 21 for 28-day pill packs):


Omit the hormone-free interval by finishing the hormonal pills in the current pack and starting a new pack the next day.
If unable to start a new pack immediately, use back-up contraception (e.g., condoms) or avoid sexual intercourse until hormonal pills from a new pack have been taken for 7 consecutive days.


Emergency contraception should be considered (with the exception of UPA) if hormonal pills were missed during the first wk and unprotected sexual intercourse occurred in the previous 5 days.
Emergency contraception may also be considered (with the exception of UPA) at other times as appropriate.


Take the most recent missed pill as soon as possible. (Any other missed pills should be discarded.)
Continue taking the remaining pills at the usual time (even if it means taking two pills on the same day).
Use back-up contraception (e.g., condoms) or avoid sexual intercourse until hormonal pills have been taken for 7 consecutive days.
If pills were missed in the last wk of hormonal pills (e.g., days 15 to 21 for 28-day pill packs):


Omit the hormone-free interval by finishing the hormonal pills in the current pack and starting a new pack the next day.
If unable to start a new pack immediately, use back-up contraception (e.g., condoms) or avoid sexual intercourse until hormonal pills from a new pack have been taken for 7 consecutive days.


Omit the hormone-free interval by finishing the hormonal pills in the current pack and starting a new pack the next day.
If unable to start a new pack immediately, use back-up contraception (e.g., condoms) or avoid sexual intercourse until hormonal pills from a new pack have been taken for 7 consecutive days.
Emergency contraception should be considered (with the exception of UPA) if hormonal pills were missed during the first wk and unprotected sexual intercourse occurred in the previous 5 days.
Emergency contraception may also be considered (with the exception of UPA) at other times as appropriate.

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Take the late or missed pill as soon as possible.
Continue taking the remaining pills at the usual time (even if it means taking two pills on the same day).
No additional contraceptive protection is needed.
Emergency contraception is not usually needed but can be considered (with the exception of UPA) if hormonal pills were missed earlier in the cycle or in the last wk of the previous cycle.


Take the late or missed pill as soon as possible.
Continue taking the remaining pills at the usual time (even if it means taking two pills on the same day).
No additional contraceptive protection is needed.
Emergency contraception is not usually needed but can be considered (with the exception of UPA) if hormonal pills were missed earlier in the cycle or in the last wk of the previous cycle.


Take the late or missed pill as soon as possible.
Continue taking the remaining pills at the usual time (even if it means taking two pills on the same day).
No additional contraceptive protection is needed.
Emergency contraception is not usually needed but can be considered (with the exception of UPA) if hormonal pills were missed earlier in the cycle or in the last wk of the previous cycle.


Take the late or missed pill as soon as possible.
Continue taking the remaining pills at the usual time (even if it means taking two pills on the same day).
No additional contraceptive protection is needed.
Emergency contraception is not usually needed but can be considered (with the exception of UPA) if hormonal pills were missed earlier in the cycle or in the last wk of the previous cycle.


Take the late or missed pill as soon as possible.
Continue taking the remaining pills at the usual time (even if it means taking two pills on the same day).
No additional contraceptive protection is needed.
Emergency contraception is not usually needed but can be considered (with the exception of UPA) if hormonal pills were missed earlier in the cycle or in the last wk of the previous cycle.

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