Like @aurielle and @Yi_eune a lot don’t realize they’re taking it incorrectly. They think because they take it every day they’re good. Not accounting for usage windows, vomiting or severe diarrhea, etc.
Plus, even if you have a feeling/clue that you didn’t use it correctly, it can be extremely hard to admit that to other people, especially your partner, and face judgement (from others) or even blame/anger (from the partner).