You do not need to take a contraceptive gel while on birth control. There is still a 5% risk of being pregnant while on the pill because it is not 100% effective at preventing pregnancy.
I wholeheartedly disagree with the previous answer!!! Better safe than sorry when it comes to pregnancy prevention. Many women use spermacides or condoms with the pill, just in case. The cyclic pills tend to have lower dosages than other oral contraceptives, so it IS a good idea to use other contraceptive methods, especially if you've ever gotten pregnant on the pill. The risk of pregnancy when taking the combination pill is 3%, in actual practice. Spermicides are actually less effective than the pill, however; your pill may not be the most effective for your body chemistry. But the answer to your question is less than 3%.
If you had missed a pill or been late with a pill, causing you to take the morning after pill, then you should use a back up method of birth control for the next seven days. If you didn't forget a pill or take a pill late, then I'm not sure why you took the morning after pill, but the birth control pill will still be effective even though you took the morning after pill. The morning after pill doesn't make the birth control pill less effective.
Withdrawal also lowers the risk of pregnancy significantly. (In general, it's more effective than the diaphragm). In addition, you can add the diaphragm or cervical cap, or spermicide, to increase the effectiveness of the pill. Fertility awareness methods are not useful if you're on the birth control pill.
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