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What do I do? Birth control slip- ups, effectiveness, and troubleshooting. If I'm on the ring or the patch and forget to replace it on the right day, do I need to use backup? While clinical trials have shown that you may have one or two days of leeway, experts suggest taking extra precautions. If you slip up and have unprotected sex during those seven days, you may want to take emergency contraception as a backup. It's safe to take EC while also on the ring or patch, but you may experience more side effects—like nausea or vomiting—than you would if you weren't on hormonal birth control, says Cullins. I'm on the pill. Does my guy still need to pull out when we don't use a condom? In this case, your primary birth control method should offer up enough protection. Whether you take the Pill or not, you should always wear a condom to protect against STDs if you are not in a monogamous relationship or if you haven't both been tested. Is asking my guy to pull out a reliable method of birth control? The withdrawal method, or . According to a 2. Contracption, the failure rate for withdrawal (the percentage of people who got pregnant while using this method in a given year) is about 1. Another issue: your guy's pre- ejaculate also contains sperm, and that can be released before he pulls out. So if you're truly serious about preventing pregnancy, stick with a more reliable method like the pill, the IUD, or condoms. If you're in a pinch, withdrawal is certainly better than nothing, says Cullins, though we still wouldn't suggest it as your primary birth control method. What should I do if the condom breaks or slips off inside me? First make sure to remove the broken or lost condom by feeling around with your fingers, hooking a finger onto the latex, and pulling it out, says Dweck. If you're worried about pregnancy prevention, you'll also want to get emergency contraception as soon as possible, says Dweck. Emergency contraception, like Plan B, is effective at preventing pregnancy when taken up to 7. But it decreases in effectiveness after that, so the sooner you get it, the better chance you'll have at preventing pregnancy. Finally, check with your doctor within a week to be tested for STDs if you feel you may be at risk. If I use the ring or an IUD and get a yeast infection, will I need to use a backup method of birth control while I'm on medication? Luckily, intravaginal medications—like ones you would take for a yeast infection—will not interact with the ring or IUD, says Cullins. If you're using a vaginal ring like Nuva. Ring, you should not take it out while using the medication and you don't need to worry about decreased effectiveness, says Cullins. In clinical trials, hormone levels from the ring were not decreased by intravaginal medications. However, Nuva. Ring does have an advisory that suggests talking to your doctor if you need long- term treatment for a yeast infection, since regularly using oil- based, intravaginal medications may increase the level of hormones released into the blood. You can rest easy if you're an IUD user—since the device sits in your uterus, you don't need to worry about medications affecting it either. If you take a combination estrogen- progestin pill (the most common type of birth control pill) and less than 2. Dr. Streicher. If it's been more than 2. The one exception: If it's the first pill in your pill pack that you miss. Whether it's been 1. ASAP and go on a backup method for seven days. Women on progestin- only pills—nicknamed the . They only have about a three- hour window to remember to pop their missed pill before risking a birth control failure. If three hours has passed, take the skipped pill ASAP, then the next one within 2. We know it can be confusing, especially when you're sweating over the possibility of an unplanned pregnancy. So if you're not sure what to do, double- check the insert that comes with your pill pack or call your ob- gyn. Do I need to take the pills from my inactive week or can I just toss them out? In terms of pregnancy prevention, the last few pills in your pack aren't necessary. However, some newer birth control pills have added estrogen, iron, or folate to these for an added health benefit, so check with your doctor if you're not sure what your pill contains. The bottom line: Skipping the placebo pills won't decrease the effectiveness of your pill, but taking them may help you remember to start your next pack. How important is it to take the pill at the same time every day? You've heard it a million times—always take your pill at the same time each day. But in terms of preventing pregnancy, it's not a crucial step. The only exception: if you're taking the mini pill, a progestin- only birth control pill which must be taken at the same time every day, says Cullins. However, most women take the regular birth control pill, which contains a combination of estrogen and progestin. And on the Pill, you can miss a day and catch up while still being protected, so a few hours won't change the effectiveness. That said, if you tend to forget to take your pill without setting an alarm, you might want to stick to a stricter routine. Plus, if you're on a very low- dose form of the Pill, you may experience some breakthrough bleeding if you're more than a few hours late, says Dweck. Will my guy be able to feel my IUD? He won't be able to feel the IUD itself, since it's implanted in the uterus, but some patients have complained that their man feels a slight poke from the string used to remove the device. To fix this, Floyd suggests asking your gynecologist to trim the string a bit so it stays in your cervix. But keep this in mind: a shorter string may make it harder for your doctor to see if it's placed properly during your annual exam and it can make the removal procedure much more difficult, says Floyd. For that reason, it's best to leave it alone unless it's really bothering you or your partner. I've heard that the birth control ring can pop out. What should I do if this happens? First off, don't panic. You have a three- hour window to wash the ring and pop it back in before you need to use backup birth control like condoms, says Floyd. If it's been more than three hours and you're in the first two weeks of your cycle, wash it and put it back in, then use backup birth control for the next 7 days. If you're in the third week of using the ring and it has been out for more than 3 hours, toss it. You can insert a new ring immediately, but since this starts a new cycle, you'll likely miss your period or have some breakthrough bleeding. Another option is to leave it out and wait for your period to come, then put in a new ring no more than a week after the last one came out—but only use this option if the ring stayed in continuously the last 7 days before it popped out. Whichever option you choose, make sure to use backup birth control like condoms until the ring has been in for a full 7 days. Additionally, if you've had unprotected sex after the three- hour period and didn't realize your birth control was missing, you may want to use emergency contraception as a backup, says Floyd. Birth control and your cycle Is there any day of my cycle when I'm least likely to get pregnant? Unfortunately, there are no real . That said, it's pretty unlikely to get pregnant while on your period, says Dweck. That's because you're most fertile when you're ovulating, which is typically around day 1. But here's where it gets complicated: you can become pregnant up to five days before and one day after you ovulate, says Cullins. Add to that the fact that sperm can live inside the vagina for five days! So while your period is generally the safest point in your cycle, experts still recommend sticking to a long- term birth control method if you're serious about preventing pregnancy. Is there anything wrong with starting a new birth control pill pack if I want to skip my period week? Not at all—women on the pill have been doing this for decades, and it's a completely safe way to postpone your period until you feel like getting it again, whether it's a week later or months later. There's no medical reason to have it, since the uterine lining doesn't build up because the pill prevents ovulation. But birth control pill manufacturers made it part of most pill regimens, as it made users feel more comfortable by mimicking their natural cycle. If you want to put your flow on an indefinite pause, consider switching to a brand of birth control pill designed for this purpose. One type, called Seasonale, only results in four periods a year. And Lybrel, a second brand, is designed to be taken continuously so you never bleed unless you stop taking it, says Dr. Streicher. Birth control and your health. I'm on a new birth control method but the side effects are driving me crazy. How long should I stay on it to see if they go away? Nausea, headaches, breast tenderness, breakthrough bleeding—we feel your pain; going on a hormonal birth control method can trigger a whole cascade of these and other side effects. Streicher, MD, assistant professor of obstetrics and gynecology at the Feinberg School of Medicine at Northwestern University. Try to hold out until the 9. Streicher. There is an exception to the three- month rule: If the side effects plaguing you include leg or chest pain or breathing difficulties. These can be tip- offs that a life- threatening blood clot has developed, so you should discontinue the BC and alert your doctor ASAP. Plus, any immediate side effects resulting in pain—say your guy's condom starts burning or stinging in the middle of sex, or the birth control ring hurts when it's inside you—remove the device and clue in your MD. Chances are it's just the result of irritation, allergy, or incorrect placement. Are there any birth control methods linked to infertility?
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