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On Tuesday (February 7) I started a new pack of Microgynon 21 contraceptive pills. On Sunday (February 12) and Monday (February 13) I did not take a pill. On Tuesday, February 14th, I took two pills and got vaginal spotting and abdominal pain like my period. Hence my first question, what to do in this case? My gynecologist only works on Mondays and I can't contact her, and it's Tuesday. My second question is, if I had sex with my boyfriend in the week before and on the day I missed the pills, is it possible to get pregnant if this spotting occurs? Waiting for an answer and best regards.

If you forgot to take 2 or more tablets (the last tablet was taken 48 hours earlier), you should take both tablets immediately (the forgotten one and the one for the day) and if there are 7 or more left in the package take the remaining tablets as usual. Additionally, if 2 or more tablets are forgotten, you should additionally use condoms or refrain from intercourse for the next 7-9 days as you are not fully protected during this period. If you miss 2 tablets, vaginal spotting may occur. Regards

Remember that our expert's answer is informative and will not replace a visit to the doctor.

Alina Krychowska-Ćwikła, MD, PhD

Specialist-obstetrician at the Ursynów Surgical Center and Gynecology and Obstetrics Clinic SPZOZ Warszawa-Ursynów, assistant professor at the Department of Gynecology and Obstetrics at the Faculty of He alth Sciences at the Medical University of Warsaw, editor of the Science and Didactics section of the quarterly "Obstetrician. Science and practice ”PZWL. I see at the Polmed Medical Center.

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