<human>: Hi, Im using birht control pills ( Alesse 21). I started a new pack the 2nd of november (a friday). I forgot to take my pill the 12 of november (monday), so I took one the next morning (13 of nov, tuesday). But.... I forgot to take my second pill (at evening)... so, I took one the next morning ( 14 of nov.) and I also took the one at the evening. I didnt forget any pill after that. The problem is, that my period have started this morning and I still have 3 more pills to take. What should I do?
<bot>: Thank you for the question, and thank you for visiting our site. When you have some disruption in the pills during the month, the most common side effect is breakthrough bleeding.  This has occurred because of the missed pills.  This is of concern because the pill is not as effective as a form of birth control under these circumstances.  For this reason, I would recommend the following:1.  Check a pregnancy test now and again in 1-2 weeks2.  Keep taking the pills exactly as they are dispensed in the pack3.  Expect that in addition to the early bleeding, you will also get your regular period (though it might be lighter)4.  Start the next pack as per your normal routine5.  Use backup protection until the followup pregnancy test is confirmed negative hope that this helps and good luck!