Missing your period despite contraception: pregnant?
An unplanned pregnancy is an issue that has preoccupied women for some time. With a child, life changes completely. Even with the large selection of the most modern contraceptive methods, an unplanned pregnancy cannot always be avoided.
There is still no method of contraception that meets all the requirements of the ideal. So there is no method of contraception that protects against sexually transmitted diseases, prevents pregnancy and is free from side effects at the same time. Not only application errors are the reason why you can become pregnant unintentionally. The reliability of contraceptive methods can be measured. The Pearl Index indicates how many sexually active women have accidentally become pregnant within one year despite using the contraceptive method. The Pearl Index was named after the biologist Raymond Pearl.
The following formula is used to measure the Pearl index: The total number of pregnant women who used a certain method of contraception is multiplied by 12. This value is divided by the product of the number of women and the number of the method of application. The result is multiplied by 100. The lower the Pearl Index, the safer it is.
However, only measurements relating to contraception are made, but no information on the safety of sexually transmitted diseases. The condom, for example, has a very high Pearl Index of 2-12 compared to other contraceptive methods, but it is the only contraceptive that also protects against sexually transmitted diseases.
A study shows that every sixth woman has ever become pregnant unintentionally. That is around 17% of women. If you include the women who do want a child, but not at this point in time, it is already around 30% of unwanted pregnancies.
How safe are the contraceptive methods?
There are several criteria that should be considered when choosing a method of contraception. In addition to the security of contraception and protection against sexually transmitted diseases, one should also consider age, health aspects and the living and couple situation. Everyone can find the perfect method of contraception for themselves.
It is common for contraception methods to be tried and later changed. Statistically speaking, switching increases the risk of an unwanted pregnancy. You should therefore inform yourself well before switching in order to avoid application errors with the new method.
It should also be noted that the Pearl Index does not differentiate between failure of the contraceptive method, application errors and the resulting mishap.
The Pearl Index by Different Methods
Calendar method 9
Vaginal film 6
Contraceptive sponge 3-10
Chemical contraceptives 3-21
Coitus interruptus 4-18
Temperature method 0.8-3
Contraceptive patch 0.72-0.9
Minipill with levonorgestrel 0.5-3
Vaginal ring 0.4-0.65
Three-month syringe 0.3-1.4
Hormone IUD 0.16
Mini pill with desogestrel 0.14-0.4
Copper chain 0.1-0.3
Even sterilization is not 100% safe. The pearl index of the sterilization is 0.1. With the sterilization of the man even at 0.25. If you want to learn more about sterilization, read on here. https://www.elternkompass.de/sterilisation-der-frau/
The pill is one of the most widely used contraceptives and is a very safe protection against pregnancy. The pill has no effect on a woman’s fertility even after long-term use. They are very easy to use and there are many different brands that differ in the level of dosage.
But the pill is also a drug, the effect of which can be reduced by irregular consumption or gastrointestinal complaints. Is it therefore possible that if you miss your period despite taking the pill, you might be pregnant?
Missing Period: How the Pill Works
When taking the pill, synthetic hormones are released in the female body. These cause the egg cells to stop ripening and the uterine mucus in which the embryo is implanted is not produced. In addition, a thick layer of mucus is created in the cervix, through which the little male swimmers cannot penetrate. The pill is taken continuously in a cycle of 21 or 24 days (depending on the type, more). Thereafter, the intake is interrupted for several days. The released hormones now lead to hormonal bleeding. The pill also works within the artificial period time, i.e. continuously.
This can usually even be very weak and only occur very easily. After the tablet-free break, you will continue to take the pill. The resulting bleeding is not an actual menstruation, but an artificially induced bleeding.
Some women also take the pill a few days longer than they should, which can delay the bleeding. This may explain why you are missing your period. If you cannot rule out the possibility that you cannot be pregnant despite the pill, you should take a pregnancy test. If you miss your period despite the tablet-free break, you should contact your gynecologist.
Pregnant despite the pill and period
If women take the pill regularly, it works very safely. But if the pill is taken very irregularly, forgotten again and again, or if the woman suffers from gastrointestinal problems and has diarrhea or vomiting, the pill may even wane.
If the woman has unprotected sex during this time, the pill will not work properly. She can get pregnant despite taking the pill. If she continues to take the pill, the pill will do its job.
As soon as the break of several days is taken, the hormone-related period also occurs, although the woman is pregnant and is taking the pill. This is not a natural menstruation, but one that is started by the pill. A pregnancy test can help clarify this.
Pregnant despite the pill and your period: tips not to forget the pill
Some pills can even be taken within 12 hours if forgotten without their effect. Ask your gynecologist whether this is also the case with your pill. Develop a fixed ritual so that you don’t forget to take the pill.
For example, you can put the pill next to your toothbrush and take it right before you brush your teeth in the morning. Alternatively, you can also activate a reminder on your smartphone. If you are not sure that the pill will work because you have been sick or have often forgotten it, you should play it safe with a condom as an alternative.
The oldest contraceptive: coitus interruptus
The coitus interruptus is one of the oldest contraceptives in the world. The man pulls his penis out of the woman’s vagina just before ejaculation. This offers little protection against pregnancy, but not against sexually transmitted venereal diseases. Coitus interruptus was already described in the Bible and the Koran, making it one of the oldest contraceptives in the world. Many people still use this method of contraception today. The man interrupts sexual intercourse with his partner in good time in order to ejaculate outside the female body.
The insecurity factor is the intoxication of feelings
The man must be able to control himself and his body very well in order to end sexual intercourse at the right moment. Men and especially young men do not always succeed in this. Depending on the woman’s cycle, pregnancy can then be very likely.
Couples use this method of contraception more often than expected. Almost 14% of women between the ages of 15 and 30 from 35 different countries stated that they use coitus interruptus as a method of contraception.
The coitus interruptus is suitable for couples who do not completely rule out a possible pregnancy and for whom the man is aware of his responsibility. Both partners should be well informed about the other’s health, as sexually transmitted diseases are not uncommon with this method of contraception.
Drops of pleasure
One often reads something about the pleasure drops in connection with the coitus interruptus. The pleasure drop is a clear liquid that emerges shortly before the actual ejaculation. This clear liquid is made by the Cowper’s gland. It flushes the urethra and acts as a natural lubricant. Up to 4 ml can escape with this pleasure drop.
To date, it has not been scientifically proven sufficiently whether the fluid contains sperm. Some older studies showed sperm in the pleasure drops, others not. However, it is not clear whether the sperm are a real component of the pleasure drops or whether small amounts of previous or subsequent ejaculation got into the pleasure drops during the experiments.
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