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Missed pill rules
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  1. Anne Donegan, MBChB
  1. Sessional Doctor, Integrated Sexual Health Services, Coventry, UK; adonegan{at}doctors.org.uk

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Diana Mansour, in her commentary1 in the July 2011 issue of this Journal, pointed out the inadequacy of the wording of the emergency contraception advice in the Medicines and Healthcare products Regulatory Authority's Combined Oral Contraceptives (The Pill): When to Start Taking The Pill, and Missed Pill Advice.2 We also need to remember the women who have forgotten one pill in the week before the pill-free interval, and again after the pill-free interval.

This situation has been made clear in the flow diagram of the Faculty of Sexual and Reproductive Healthcare Clinical Effectiveness Unit's Missed Pill Recommendations3 published in May 2011, but not in the text of that document.

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  • Competing interests None.