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A 27-year-old female asked:

I'm on alesse. i heard being on the same pill for years can make it not work as good. true or false. and how to tell if it's not working properly.

2 doctor answers2 doctors weighed in
Dr. Robert Kwok
Pediatrics 35 years experience
Think as a scientist: Suppose a failure rate is 1 chance of getting pregnant in 20 years of birth control pill use and suppose she takes pills from ages 17-36. She might never get pregnant while on pills, or she might get pregnant at age 20 on pills, or she might get pregnant at age 36. If she gets pregnant at 36, should she tell people her pill stopped working after 20 years? No. It merely happened that way by chance.
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Dr. Wayne Ingram
Specializes in Obstetrics and Gynecology
False: A contraceptive pill at therapeutic blood levels will continue to work "indefinitely". A failure of the pill is pregnancy itself, most often caused by failure of the patient to take it as prescribed.
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Related questions

A 25-year-old female asked:
Is it normal to bleed after missing a pill? Im currently on alesse and I took 2 pills wen I noticed. Nowim bleeding 5 days before my whte pills.
Dr. Wayne Ingram
Specializes in Obstetrics and Gynecology
Normal: The oral contraceptive pills have such a low dose of estrogen/progesterone per pill that when one pill is missed "wtihdrawal" bleeding often occurs.
Created for people with ongoing healthcare needs but benefits everyone.
View all answers
A 35-year-old member asked:
This is the first time taking birth control. Will i get my period for sure while i take the white pills of alesse 28?
Dr. Carrie Champine
Obstetrics & Gynecology 20 years experience
No: Women who are taking birth control and not missing any pills, may not have a period. As long as you are taking them everyday this is fine. Most wome... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 26-year-old female asked:
Hi there, I'm taking the birth control pill Alesse 28. Will melatonin supplements make my birth control pills less effective?
Dr. Richard Roberts
Pediatrics 48 years experience
No : Melatonin is a natural hormone that keeps her biological clock active. There are no known interactions with melatonin which is produced in the pineal ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 39-year-old member asked:
What's the difference between alesse and aviane pills?
Dr. Miguel Cano
Obstetrics and Gynecology 32 years experience
No difference: Alesse is the trade name & Aviane is the generic formulation. Both contain Levonorgestrel & ethinyl Estradiol and have active hormone on the first 21 ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 19-year-old female asked:
Taken alesse since may. Never skipped a pill. But i had sex with my bf lastnight at 3am,didnt take my pill yet till 5am. Am i ok?? Uge i take it at 8.
Dr. Dale Kristle
Gynecology 42 years experience
Ok: just take your pill at the usual time. a few hours doesn't matter
Created for people with ongoing healthcare needs but benefits everyone.
Last updated Mar 16, 2021

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