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Missed pills: frequency, reasons, consequences and solutions.
Nathalie Chabbert-Buffet1, Christian Jamin2, Iñaki Lete3
1a Department of Obstetrics and Gynaecology , APHP Tenon Hospital, Pierre and Marie Curie University , Paris , France.
Summary
Forgetting oral contraceptive pills is common, leading to unintended pregnancies. Continuous or long-cycle regimens, or those with a progestogen with a long half-life, can reduce these risks.
Area of Science:
- Reproductive Health
- Contraception
- Endocrinology
Background:
- Oral hormonal contraception is effective but requires consistent daily intake.
- Missed pills, discontinuation, and unintended pregnancies are significant issues due to the daily routine constraint.
Purpose of the Study:
- To review the frequency, consequences, and risk factors of inconsistent oral contraceptive pill use.
- To explore potential solutions for improving contraceptive adherence and efficacy.
Main Methods:
- A narrative review of existing literature on oral contraceptive use patterns and outcomes.
Main Results:
- 15-51% of users, particularly adolescents, forget 1-3 pills per cycle due to various factors including age and routine establishment difficulties.
- Consequences include 'escape ovulations' and unintended pregnancies.
- Solutions involve long-acting methods or continuous/long-cycle oral contraceptive regimens to minimize ovulation risk.
Conclusions:
- Shortened or eliminated hormone-free intervals and progestogens with long half-lives can mitigate risks associated with missed oral contraceptive pills.
- These strategies offer options for women preferring oral contraceptives to reduce unintended pregnancy risks.
Keywords:
Complianceefficacyhalf-lifehormone-free intervalmissed pillnomegestrol acetatenon-complianceprogestogenregimenMore Related Videos
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