Patient Encounter Part 3 Missed Doses

RC calls your clinic in a panic today because she forgot to start a new package of oral contraceptives. Three days have elapsed since she took her last placebo pill, and she reports having had unprotected sexual intercourse last night. The patient is very concerned about her risk of pregnancy, and she would like to discuss her options for prevention of pregnancy. When a contraceptive dose is missed, the risk of accidental pregnancy may be increased. Depending on how many doses were missed, the contraceptive formulation being used, and the phase of the cycle during which doses were missed, counseling regarding the use of additional methods of contraception may be warranted.

Given this patient's reported imperfect use of her oral contraceptive, what information can you provide to the patient regarding her risk ofpregnancy?

Provide appropriate patient education regarding the use of Plan B.

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