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Old 05-21-2012
DrSeddik's Avatar
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Drug Missed pills?

A 25 year old female patient calls you to ask you about her oral contraceptive pills. She is your patient, she is in a monogomous relationship with her boyfriend. During her last visit to your office her last menstrual period period was 25 days ago, her pap smear was normal, her physical examination was normal otherwise. She asked you to prescribe her oral contraceptives as she and her boyfriend are not comfortable with using condoms. Now she is in the 18th day of her OCP course and she tells you that she missed taking the pills for 2 days. She had unprotected sexual intercourse with her bodyfriend yesterday. What is the most appropriate management plan:

a- Tell her to come to your office to prescribe emergency contraception
b- Take the 2 pills and continue her course as if she did not miss them
c- abstinence from sex for 7 days, take the two pills, and after she finishes the 3rd week, she should discard the 7 "inactive pills" and start her new OCP course without waiting 7 days
d- Tell her to get a pregnancy test
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Old 05-24-2012
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It is much more fun when somebody participates

Anyway the answer kind of stands out from the other choices, it is C.
If she would've missed one pill, she can take it and complete her course as usual. But two or more missed pills, requires that the patient at least, take the two missed pills, restrain from sex (or use another method of contraception such as condoms for 7 days). Add to that:
-If she is in the first week of taking the pills, and she had unprotected sex, she should get emergency contraception
- If she is in her third week, she should start the next course right away, without waiting for 7 days for her period, or in lay man terms, without taking her 7 inactive pills.
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Old 06-01-2012
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I choose B, but not sure.
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Old 07-18-2013
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Default missed pills

answer is surely C as said!

its the 18th day means the 3rd week.
Had it been the 1st week, she would need emergency contraception.
Here its the 3rd week; back up cntraception for 7 days + finish active pack + start new pack the next day only without the 7 days gap
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ObGyn-, Reproductive-, Step-3-Questions

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