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(reply to Anonymous)

You most likely do not need to take Plan B emergency contraception, since you took your missed pills, but I do not feel it's up to us to decide to take Plan B or not. That is the question many women have to decide for themselves; it is difficult to say when one women's missed pill causes a pregnancy, and another woman's does not. Since today is Tuesday, and you had sex on Sunday...it is right at the 72 hour mark, so it really is your decision. (you can take it up to 120 hours after unprotected sex).

Please know, however, that I have told women who have asked if they should take Plan B after telling me their story...that I have recommended that they should run...not walk...to the nearest pharmacy to get Plan B and start it immediately. Your situation is in the gray area of whether you need to or not.

Emergency contraception can cause some nausea, but I would not describe this as "making you really sick". Especially since you took THREE birth control pills in one day (Sunday)...I would think that would make you feel extremely nauseous, so you would probably not notice any effects.

Please re-read the instructions on your birth control pill, as you only need to "double-up" on birth control pills and not take three in one day. Here is how you double-up (for future reference):
Fri--missed pill
Sat--missed pill
Sun--take Sunday's pill and Friday's missed pill
Mon--take Monday's pill and Saturday's missed pill
Tues--take pills as usual

Bleeding is expected after missing pills, and then taking a large dose in one day. Bleeding is not a sign of ovulation (you may hear some women experience "spotting" when ovulating, but this is literally a dot of blood on toilet paper or underwear). Bleeding is also expected after taking emergency contraception, as this is also a large dose of synthetic hormones (the same kind in your pills).

October 13, 2009 - 3:02pm

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