Patient : Hello, I've been taking the birth control pill "Aviane" (Generic name for Alesse) for 4 years and have never missed a pill until now. I somehow went a day during my first week without taking a pill and never made up for it. I didn't realize until I began breakthrough bleeding, but I continued taking the pill as normal and didn't have sex for 7 days afterwards. I had unprotected sex the second-last day of my placebo week. I was wondering if I needed to consider the emergency contraceptive or if I'm in the O-K. Thank you for your time.
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