Placebo Week Question

[why_why_why]

OK...a little bit of background. 2 mos ago, I had a missed pill.  Followed the in-pack instructions and took the missed pill the following morning and my pill that evening as usual.  This has thrown my cycles off like crazy.  My last "period" during placebo week was the pill pack prior to the missed pill.  I am now having the typical placebo week bleeding between the 2nd and 3rd weeks of the active pills, with not even as much as spotting during the placebo week.  I know that I am supposed to be protected during the placebo week even with no bleeding, but here is my question.  I am reasonably certain that I ovulated during my placebo week this month (prior to BC, I always had painful ovulation).  I had this same pain during the placebo week, was concerned that I ovulated, took an OPK and it was positive.  I started my active pills (loestrin 1/20) as usual.  So... if I did ovulate during placebo week and the egg was fertilized, is my current birth control likely to prevent implantation?  We are not opposed to another child, but ideally we would be looking at conception next year at this time.  With that being said, right now we are trying to figure out the odds that this may result in pregnancy, prior to the two week wait.  Any thoughts or personal experiences would be helpful.

[Jen12977]

In order to get back on track you should stop your bcp wait for your period to start again and on your first day of your period you should start a new pack of bcp. You should not have unprotected sec when you are not taking your bcp unless you are wanting to get pregnant. I would think that if you continued your bcp as scheduled after the placebo week you probably are not pregnant but anything is possible. I'd wait it out and if you miss your period you should test.

[Arti Sharma, M.D.]

Hello,
Taking pills not as directed can cause irregular menstrual bleeding and hormonal imbalances. If otherwise you have been taking your pills regularly without any break then the chances of conceiving are very less. Birth control pills are very effective in preventing pregnancy if taken correctly and as prescribed. Birth control pills have several mechanisms of action. They inhibit ovulation, thicken the cervical mucus and can cause thinning and shriveling of the lining of the uterus which may cause less ability to facilitate the implantation of the newly fertilized egg. In your case the chances seem less. If you are anxious it may be suggested to talk to your doctor about it and clarify your concerns.
Best wishes and regards!