Contraceptive Pill
Take control of your choices – fast, effective contraception, delivered discreetly to your door.
About The Contraceptive Pill
The contraceptive pill, often referred to as “the pill,” is a daily oral medication used to prevent pregnancy. It contains synthetic versions of female hormones—oestrogen and/or progestogen—which work in three main ways:
Preventing ovulation: Stops the release of an egg from the ovaries.
Thickening cervical mucus: Makes it harder for sperm to reach an egg.
Thinning the uterine lining: Reduces the chance of a fertilised egg implanting in the womb.
There are two main types of contraceptive pills:
Combined Pill: Contains both oestrogen and progestogen.
Progestogen-Only Pill (Mini Pill): Contains only progestogen, making it suitable for those who cannot take oestrogen.
The pill is over 99% effective when taken correctly and offers additional benefits like regulating periods, reducing period pain, and improving acne.
Treatments
Contraception
Contraceptive pills are a safe, effective way to prevent pregnancy, with options like the Combined Pill and Progestogen-Only Pill to suit your needs. At i-Prescribe Pharmacy, our online service makes it easy to find the right pill. Complete a quick health assessment, and our pharmacists will recommend the best option for you.
More Information
The Combined Pill
The combined pill contains synthetic versions of two hormones: oestrogen and progestogen. It works by preventing ovulation, thickening cervical mucus to block sperm, and thinning the uterine lining to prevent implantation. It’s over 99% effective when taken correctly and offers additional benefits like regulating periods, reducing period pain, and improving acne.
How to Take the Combined Pill
You have several options:
21-Day Regimen: Take one pill daily for 21 days, then take a 4 or 7-day break. You’ll usually have a withdrawal bleed during the break.
Extended Regimen: Take one pill daily for 9 weeks (63 days), followed by a 4 or 7-day break. This reduces the number of withdrawal bleeds.
Continuous Use: Take one pill daily without breaks to eliminate withdrawal bleeds.
Flexible Use: Take the pill daily for at least 21 days, followed by a break. Skip the break if you experience heavy bleeding, headaches, or mood swings.
Types of Combined Pills
Monophasic 21-Day Pills: Take one pill daily for 21 days, then a 7-day break. Examples include Yasmin, Marvelon, and Microgynon.
Phasic 21-Day Pills: Pills are divided into 2 or 3 sections with different hormone levels. Take for 21 days, then a 7-day break. Example: Logynon.
EveryDay Pills: Contains 21 active pills and 7 inactive pills. Take daily for 28 days, then start a new pack. Example: Microgynon ED.
Who Can Use the Combined Pill?
The combined pill is suitable for many women but is not recommended for pregnant women, smokers aged 35 and over, or those with certain medical conditions (e.g., heart disease, high blood pressure, migraines, or a history of blood clots). Always consult a healthcare professional before starting.
Low-Dose Combined Pills
Low-dose combined pills, like Gedarel, contain lower levels of oestrogen, which can reduce side effects. They are taken daily for 21 days, followed by a 4 or 7-day break.
The Mini Pill
The Mini Pill (Progestogen-Only Pill)
The mini pill, also known as the progestogen-only pill (POP), contains only progestogen. It’s a suitable option for individuals who:
Cannot take the combined pill.
Are overweight.
Have a history of blood clots or high blood pressure.
Popular brands include Cerazette, Cerelle, and the generic version Desogestrel.
How to Take the Mini Pill
Take one pill daily at the same time each day.
Unlike the combined pill, there is no pill-free break.
Consistency in timing is crucial for its effectiveness.
Possible Side Effects
The most common side effect is irregular bleeding, which often improves within three months of starting the pill. Unlike the combined pill, there’s no requirement for blood pressure or BMI checks with the mini pill.
How Do You Take Them?
Taking the contraceptive pill correctly is key to its effectiveness. Here’s a simple guide:
Combined Pill:
- 21-Day Pack: Take one pill daily for 21 days, then take a 7-day break. You’ll usually have a withdrawal bleed during this break.
- EveryDay Pack: Take one pill daily for 28 days (21 active pills and 7 inactive pills). Start a new pack immediately after finishing the last.
- Extended Use: Take one pill daily for 9 weeks (63 days), followed by a 4 or 7-day break. This reduces the number of withdrawal bleeds.
Progestogen-Only Pill (Mini Pill):
Take one pill daily at the same time, with no breaks. Consistency is crucial for effectiveness.
Always follow the instructions provided with your pill and consult your healthcare provider if you have any questions.
Contraceptive Patch & Vaginal Ring
Contraceptive Patch and Vaginal Ring
Both the contraceptive patch and vaginal ring contain synthetic versions of progestogen and oestrogen, similar to the combined pill. However, they deliver hormones into the body through different methods.
Contraceptive Patch (Evra)
Wear the patch on clean, dry skin anywhere on your body.
Change it once a week for 3 weeks, followed by a 4 or 7-day break for withdrawal bleeding.
Alternatively, use the patch continuously for 9 weeks, followed by a break.
Vaginal Ring (NuvaRing)
Self-insert the ring into your vagina—it’s easy to use.
Change the ring every 3 weeks, followed by a 4 or 7-day break for withdrawal bleeding.
Alternatively, use the ring continuously without breaks.
How Reliable Are They?
Both methods are over 99% effective when used correctly.
They are not affected by stomach upsets, and you don’t need to remember a daily pill.
There’s a small risk of the patch becoming unstuck or the ring becoming dislodged, but replacing it promptly maintains protection.
Possible Side Effects
Most people experience no side effects, but some may notice:
Headaches, skin irritation (patch), nausea, or tender breasts.
There’s a slightly higher risk of blood clots compared to non-hormonal methods.
Always follow the instructions provided and consult a healthcare provider for personalised guidance.
Side Effects of Oral Contraceptives
While most side effects of oral contraceptives are mild and often improve with continued use, some common ones include:
Nausea
Weight gain
Sore or swollen breasts
Spotting between periods
If you experience more severe side effects, stop taking the pill and consult your doctor immediately. These include:
Severe abdominal pain
Severe headaches or migraines
Blurry vision
Swelling or aching in the legs (could indicate a blood clot).
Always discuss any concerns with a healthcare professional to ensure the pill is right for you.
Alternative Contraceptives
If the contraceptive pill isn’t right for you, there are many other effective options available:
The Implant: A small rod inserted under the skin, lasting up to 3 years.
Progestogen-Only Injection: An injection given every 12 weeks.
Contraceptive Patches: Worn on the skin and changed weekly.
Intra-Uterine Devices (IUD): A small device inserted into the uterus, lasting 5-10 years.
Vaginal Rings: Inserted into the vagina and replaced monthly.
Condoms: Provide protection against pregnancy and STIs.
Dams: Offer protection during oral sex.
Caps: A barrier method inserted before sex.
Each method has its own benefits and considerations. Speak to a healthcare professional to find the best option for you.
FAQ's
How effective is the pill?
When taken correctly, the pill is over 99% effective at preventing pregnancy.
How quickly does the pill work?
If started on the first day of your period, it works immediately.
If started at any other time, use additional contraception for 7 days.
What should I do if I miss a pill?
If you miss a pill, take it as soon as you remember. If you’re more than 24 hours late (for the combined pill) or 3 hours late (for the mini pill), use additional contraception (e.g., condoms) for 7 days.
Can I take the pill if I smoke?
If you’re over 35 and smoke, the combined pill is not recommended due to an increased risk of blood clots. The mini pill may be a safer option.
Does the pill protect against STIs?
No, the pill only prevents pregnancy. Use condoms to protect against sexually transmitted infections (STIs).
Can I take the pill while breastfeeding?
The mini pill is safe to use while breastfeeding. The combined pill is not recommended until at least 6 weeks after giving birth.