QuestionSBA
QuestionChoice
This is the correct answer. Guidelines for progesterone only pills differ, depending on the pill. For the traditional POP you are not protected against pregnancy if it is more than 3 hours late, and with the desogestrel pill if you are more than 12 hours late. Therefore, whichever pill the patient was on in this scenario the advice remains the same. Take the missed pill as soon as possible, take that day's pill at the normal time, and use additional contraception for 48 hours
32953
a
Take the missed pill as soon as possible and then continue taking the rest of the pills as normal. They should advise the patient to use additional contraception, such as condoms, for the next 48 hours
QuestionChoice
The advice is not to skip the missed pill but to take it as soon as possible. Only take one pill as soon as possible - if more than 1 pill was missed do not take multiple. Additional contraception is advised for the next 48 hours because this is the time it takes for the cervical mucus to re-thicken
32955
c
Skip out the missed pill but continue to take the rest of the pills as normal. They should advise the patient to use additional contraception, such as condoms, for the next week
QuestionChoice
Additional contraception is advised for the next 48 hours because this is the time it takes for the cervical mucus to re-thicken
32956
d
Take the missed pill as soon as possible and then continue taking the rest of the pills as normal. They should advise the patient to use additional contraception, such as condoms, for the next week
QuestionChoice
The advice is not to skip the missed pill but to take it as soon as possible. Only take one pill as soon as possible - if more than 1 pill was missed do not take multiple
32954
b
Skip out the missed pill but continue to take the rest of the pills as normal. They should advise the patient to use additional contraception, such as condoms, for the next 48 hours
QuestionChoice
The advice is not to skip the missed pill but to take it as soon as possible. Only take one pill as soon as possible - if more than 1 pill was missed do not take multiple. The patient will need additional contraception for the next 48 hours to allow time for the cervical mucus to re-thicken
32957
e
Skip out the missed pill but continue to take the rest of the pills as normal. The patient does not need to take additional contraception
QuestionComment
attatched quesbook is for cocp
7684
User
subscriber
Dermis Cystic
Concept
Chapter
# Management of missed combined oral contraception pills


​If patients are sick (vomit) within 3 hours of taking a combined pill, or within 2 hours of taking a progestogen-only pill, it probably will not have been absorbed by their body. Patients should take another pill straight away.
As long as they're not sick again, they will still be protected against pregnancy.
Patient should be advised to take their next pill as usual.


The pill free week is the 7 days between taking packets of pills. There is occasionally a breakthrough bleed, a small bleed similar to a period, however the absence of a breakthrough bleed does not indicate pregnancy.


Missed pill rules:


- If pills are missed in week 1: use emergency contraception if she had UPSI in pill free interval for 1 week


- If pills are missed in week 2: no need for emergency contraception


- If pills are missed in week 3: Take the last pill that was missed, finish the current pack and start the next pack immediately after.


# References


[Click here to see information on NICE about missed pills](https://cks.nice.org.uk/topics/contraception-combined-hormonal-methods/management/combined-oral-contraceptive/#missed-coc-pills-except-qlaira-zoely)
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Missed oral contraceptive pills
Topic
60
General Practice
6591
An 18-year-old woman attends a GP appointment; she is worried because she missed the time for her progesterone only pill (POP) and she is now 22 hours late. She has not had sex in the meantime.

What should the GP advise?
a