Alyssa Milano revealed Monday the she has had actually two abortions on an episode of her podcast Alyssa Milano: Sorry no Sorry—and it transforms out, she underwent both after acquiring pregnant while taking birth control pills.

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Milano, 46, claimed both abortions to be performed much more than 25 years ago, follow to People. And she claimed that choosing to have an abortion the an initial time she found out she to be pregnant to be excruciating. “It was not simple choice. That was no something i wanted, but it to be something that ns needed, like most care is.”

A few months after her first abortion, Milano learned she to be pregnant again, and also chose to have a 2nd abortion—putting an emphasis on the truth that she had actually a choice in the matter. “I chose. It was my choice. And also it was absolutely the right an option for me,” Milano said. She added that she had tried to avoid becoming pregnant by acquisition birth manage pills, i m sorry failed her. “I had done what i knew to execute to avoid pregnancy and also was still pregnant.”

To it is in clear, staying clear of pregnancy isn't the only reason plenty of women take the pill, but it's absolutely a huge contributing factor—and unforeseen pregnancies while taking birth manage pills absolutely do happen, Christine Greves, MD, one Orlando-based ob-gyn, tells

Why? according to Dr. Greves, it all boils down to how committed you space to acquisition the pill—at the very same time every solitary day. It's dubbed "perfect use" versus "typical use," follow to to plan Parenthood. V perfect usage (again, taking the Pill in ~ the exact same time, every day), the pill is 99 percent effective. Yet let's confront it: You're not perfect, and neither is her usage. V "typical use" (like, if you miss a pill one night, at least once a month), the pill's efficiency drops come 91 percent. That means nine out of 100 civilization each year acquire pregnant if on the pill, every Planned Parenthood.

It's also important to note that there space two types of birth control pills: progestin-only pills, sometimes called mini pills, and mix pills, sometimes referred to as COCs. Both pills have actually the very same level that effectiveness, yet you'll be defended from pregnancy after two days of beginning mini pills, regardless of as soon as you start. COCs work-related a little differently: You'll be safeguarded as quickly as you begin taking the pill, as long as you take it within 5 days that the an initial day of her period.

Other things that have the right to mess through your pills' performance are part medications and also supplements, follow to plan Parenthood, consisting of antibiotics and antifungals (specifically Rifampin and also Griseofulvin), along with specific HIV medications, anti-seizure medications, and St. John's Wort.

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Don't freak: over there are means to maintain that 99 percent effectiveness rate—mainly, again, by taking your pills at the exact same time every day, states Dr. Greves. "That’s recommendation. If you carry out not, that’s once it increases the threat for you of obtaining pregnant,” Dr. Greves says. It could be worth her while to set an alert on her phone to go off in ~ the same time day-to-day as a reminder. Or, if you typically go come sleep in ~ the same time each night, think around designating bedtime together pill-taking time.

Even if you're stringent through your birth control, there's still that one percent possibility you'll obtain pregnant—in i beg your pardon case, even more protection comes right into play, claims Dr. Greves. “If you space extra-nervous, a condom through a birth control ,” she recommends. She adds that this have the right to decrease your threat of contracting a sexually-transmitted infection from your partner, too, which oral contraceptives don't defend against.

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And if you're simply really negative at remembering to take the pill, over there are other birth regulate methods that could be better for you, claims Dr. Greves. An intrauterine an equipment (IUD), is a good choice, claims Dr. Greves, because it has actually a much reduced failure rate (0.004 percent, follow to Dr. Greves) and can last up to 10 years, depending on the kind. The IUD “takes out the need for you to remember to take it it,” Dr. Greves says. Various other birth control alternatives that space lower-maintenance include the Nexplanon, an implant the goes in your arm, and also the NuvaRing, a tiny ring placed into the vagina.

But if friend love the birth manage pill you’re on, making sure to take it at the exact same time every day and also ensuring that your companion wears a condom throughout sex—that's truly the best way to shot to protect against a pregnant (aside from abstaining, the course). And also just save Milano's story in the earlier of her mind to remember that birth regulate pills aren’t perfect. Dr. Greves says, “Birth manage serves many purposes, but in the setting of contraception—things deserve to fail also with perfect use.”

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