What should I do to avoid unwanted pregnancy?

Q: I am a 31 years old woman using Micropile as a contraceptive. But I missed taking the pills for six days. What should I do now? I don’t want to conceive again as I already have 3 children. Please help.

A:This cycle is not protected now. If pregnancy occurs, you will need to have an abortion with medicines or by a surgical procedure, and it can be combined with a permanent sterilization method like a tube tie operation called ligation, or have a copper-T (CuT) inserted to avoid another pregnancy - CuT works for about 3-4 years after which it needs changing and has a failure rate of 2-3%. Ligation by laparoscopy is a minor operation done within a few minutes under sedation or anaesthesia depending on patients wish, and is a permanent solution to getting pregnant - it has a failure rate of less than 1%.