Recommended Actions after Vomiting or Diarrhea While Using Combined Oral Contraceptives - Flowchart
Recommended Actions after Vomiting or Diarrhea While Using Combined Oral Contraceptives - Flowchart Contraception Contraception
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Vomiting or diarrhea (for any reason, for any duration), that occurs within 24 hr after taking a hormonal pill

Vomiting or diarrhea (for any reason, for any duration), that occurs within 24 hr after taking a hormonal pill

Vomiting or diarrhea (for any reason, for any duration), that occurs within 24 hr after taking a hormonal pill

Vomiting or diarrhea (for any reason, for any duration), that occurs within 24 hr after taking a hormonal pill

Vomiting or diarrhea, for any reason, continuing for 24 to <48 hr after taking any hormonal pill

Vomiting or diarrhea, for any reason, continuing for 24 to <48 hr after taking any hormonal pill

Vomiting or diarrhea, for any reason, continuing for 24 to <48 hr after taking any hormonal pill

Vomiting or diarrhea, for any reason, continuing for 24 to <48 hr after taking any hormonal pill

Vomiting or diarrhea, for any reason, continuing for 48 hr after taking any hormonal pill

Vomiting or diarrhea, for any reason, continuing for 48 hr after taking any hormonal pill

Vomiting or diarrhea, for any reason, continuing for 48 hr after taking any hormonal pill

Vomiting or diarrhea, for any reason, continuing for 48 hr after taking any hormonal pill


Continue taking pills daily at the usual time (if possible, despite discomfort).
Use back-up contraception (e.g., condoms) or avoid sexual intercourse until hormonal pills have been taken for 7 consecutive days after vomiting or diarrhea has resolved.
If vomiting or diarrhea occurred 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 vomiting or diarrhea occurred within the first wk of a new pill pack 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.


Continue taking pills daily at the usual time (if possible, despite discomfort).
Use back-up contraception (e.g., condoms) or avoid sexual intercourse until hormonal pills have been taken for 7 consecutive days after vomiting or diarrhea has resolved.
If vomiting or diarrhea occurred 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 vomiting or diarrhea occurred within the first wk of a new pill pack 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.


Continue taking pills daily at the usual time (if possible, despite discomfort).
Use back-up contraception (e.g., condoms) or avoid sexual intercourse until hormonal pills have been taken for 7 consecutive days after vomiting or diarrhea has resolved.
If vomiting or diarrhea occurred 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 vomiting or diarrhea occurred within the first wk of a new pill pack 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.


Continue taking pills daily at the usual time (if possible, despite discomfort).
Use back-up contraception (e.g., condoms) or avoid sexual intercourse until hormonal pills have been taken for 7 consecutive days after vomiting or diarrhea has resolved.
If vomiting or diarrhea occurred 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 vomiting or diarrhea occurred within the first wk of a new pill pack 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.


Continue taking pills daily at the usual time (if possible, despite discomfort).
Use back-up contraception (e.g., condoms) or avoid sexual intercourse until hormonal pills have been taken for 7 consecutive days after vomiting or diarrhea has resolved.
If vomiting or diarrhea occurred 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 vomiting or diarrhea occurred within the first wk of a new pill pack 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.


Taking another hormonal pill (redose) is unnecessary.
Continue taking pills daily at the usual time (if possible, despite discomfort).
No additional contraceptive protection is needed.
Emergency contraception is not usually needed but can be considered (with the exception of UPA) as appropriate.


Taking another hormonal pill (redose) is unnecessary.
Continue taking pills daily at the usual time (if possible, despite discomfort).
No additional contraceptive protection is needed.
Emergency contraception is not usually needed but can be considered (with the exception of UPA) as appropriate.


Taking another hormonal pill (redose) is unnecessary.
Continue taking pills daily at the usual time (if possible, despite discomfort).
No additional contraceptive protection is needed.
Emergency contraception is not usually needed but can be considered (with the exception of UPA) as appropriate.


Taking another hormonal pill (redose) is unnecessary.
Continue taking pills daily at the usual time (if possible, despite discomfort).
No additional contraceptive protection is needed.
Emergency contraception is not usually needed but can be considered (with the exception of UPA) as appropriate.


Taking another hormonal pill (redose) is unnecessary.
Continue taking pills daily at the usual time (if possible, despite discomfort).
No additional contraceptive protection is needed.
Emergency contraception is not usually needed but can be considered (with the exception of UPA) as appropriate.

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