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  6. Combined hormonal contraception
  7. Missed pill, patch, or ring
Update your RDS mobile app to v4.7.2 to download toolkits even when website is down.

We are pleased to advise that deep linking capability, enabling users to directly download individual mobile toolkits, has now been released on the RDS mobile app. You will see that each toolkit has a small QR code icon in the header area beside the search icon – see screenshot below. Clicking on this icon will open up a window with a full-size QR code and the alternative of a short URL for sharing with users. Instructions are provided.

You may need to actively update to the latest release - RDS app version 4.7.1 - to see this improvement.

Updating to this latest version of the RDS app is also strongly recommended to get the full benefits of the new resilience  arrangements – specifically, that if the RDS website should fail, you will still be able to download new mobile app toolkits. To check your current RDS version, click on the three dots bottom right of the RDS app screen. This takes you to a “More” page where you will see the version number.  To install latest updates:

On iPhones – go to the Apple store, click on your profile icon top right, scroll down to see the apps waiting to be updated and update the RDS app.

On Android phones – these can vary, but try going to the Google Play store, click on your profile icon top right, click on “Manage apps and device”, select and update the RDS app.

Please get in touch with ann.wales3@nhs.scot with any questions.

Missed pill, patch, or ring

Warning

Advice for missed pills

See the decision support pathway for missed pills.

 

Everyday pill regimens

If a woman misses any inactive pills, she should discard the missed inactive pills and then continue taking pills daily, one each day.
If an active pill is missed follow the guidance as for missed pills, above.

Advice for missed/detached patch or ring

Situation Timeframe Additional contraceptive protection required?
Extension of patch/ring-
free interval 
48 hours or less No
more than 48 hours Yes, for 7 days. Consider EC if unprotected
intercourse in patch/ring-free interval

Patch/ring
detachment/removal

 

48 hours or less No, providing there has been consistent and correct
use for 7 days prior to removal/detachment
more than 48 hours Yes, for 7 days. Consider EC if patch/ring was
detached/removed in week 1 and unprotected intercourse
occurred in patch/ring-free interval or week 1
Extended use of patch 9 days or less No
more than 9 days Yes, for 7 days
Extended use of ring 4 weeks or less No (ring-free interval can be taken)
more than 4 weeks Yes. However, if the woman has worn the ring for
between 4 and 5 weeks, efficacy could be maintained
by starting a new ring immediately without a ring-free interval

Editorial Information

Last reviewed: 31/01/2024

Next review date: 31/01/2026

Author(s): West of Scotland Managed Clinical Network for Sexual Health Clinical Guidelines Group.

Version: 9.1

Approved By: West of Scotland Managed Clinical Network for Sexual Health