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It could, there should be instructions which came with the pills when you got them. It should say "store in temperatures of ** to **" so the pills don't become ineffective. Leaving anything in the sun will raise the temperature of the pill and cause it's compounds to change. Chances are your pills will need to be replaced, but check the package info or go to webmd.com to read about your pills. Use condoms until you know for sure, just in case.

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Q: If birth control pills are left in a car in the sun can the heat make them ineffective?
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