Final answer:
If more than one oral contraceptive pill is missed, a woman should follow the instructions specific to her pill type. This may involve taking missed pills immediately, using backup contraception, or starting a new pack. Emergency contraception is an option if unprotected intercourse occurs after missing pills.
Step-by-step explanation:
If you miss more than one oral contraceptive pill, you should follow the instructions provided with your specific type of pill, as the course of action may vary depending on the pill formulation. Generally, you may need to take the missed pill as soon as you remember, continue taking the remaining pills at the usual time, and use a backup method of contraception, such as condoms, for a certain period. If you are using a 28-day pack, you might skip the inactive pills and start a new pack immediately. In any case, it's essential to consult the packaging or contact your healthcare provider for guidance specific to your situation.
For extended cycle pills, if you miss more than one pill in the cycle, you may need to follow a specific catch-up schedule, and using additional contraception will also be necessary until you have taken seven consecutive days of active pills. If the pills missed are part of the inactive period, there is no need for additional contraception as long as you start the next pack on time. In contrast, for a 365-day regimen without inactive pills, if you miss more than one pill, use backup contraception and follow the directions specific to your pill brand.
Remember, if no contraception is used after missed pills, and you're concerned about pregnancy, emergency contraception may be considered. This should be taken as soon as possible, ideally within 72 hours of unprotected intercourse, to decrease the likelihood of pregnancy.