Mini pill side effects8/13/2023 You can also take the combined pill as a tailored regimen.The standard way of taking the combined pill is to take a pill every day for 21 days (the length of a packet) then have a 7 day break during which you will usually have a bleed like a period, before starting a new pack again.If you start at any other time in menstrual cycle use additional contraception such as condoms for first 7 days of pill taking.If you start up to and including the 5th day of your period you are protected against pregnancy immediately (if you have short menstrual cycles (less than 28 days) this may not be the case so get advice).There is special advice if you have just had a baby, miscarriage or abortion.You can start taking the pill at any point in your menstrual cycle if you are sure you are not pregnant.The POP prevents pregnancy by making the fluid in your cervix thicker (which makes it more difficult for sperm to enter the womb), and preventing the lining of your womb thickening enough for a fertilised egg to implant and grow in it. POPs containing desogestrel can also stop ovulation. The combined pill prevents pregnancy in three ways: by stopping ovulation, making the fluid in your cervix thicker (which makes it more difficult for sperm to enter the womb) and preventing the lining of your womb thickening enough for a fertilised egg to implant and grow in it. We have a range of mini pills on offer, including:īoth the combined pill and POP are a small tablet you swallow daily. These are available through your GP or sexual health clinic and you can also buy the mini pill or combined pill easily at The Lowdown. POPs are different to combined pills because they don’t contain the hormone oestrogen. Progestogen only pill: This contains a synthetic progestogen hormone, similar to the natural progesterone produced by the ovaries. In this blog, we give you the lowdown on the differences, side effects and our user experiences of both the contraceptive pills.Ĭombined oral contraceptive pill: This contains artificial versions of hormones oestrogen and progesterone, which are produced naturally in the ovaries. New strategies to improve cycle control would enhance acceptance of this excellent second line contraceptive method.The two types of contraceptive pills, the combined pill and the mini pill (also known as the progestogen only pill or POP) are a popular form of contraception amongst many women. Other studies have found increases in the total and dilated veins at the endometrial-myometrial junction in minipill users. Morphometric studies of endometrial biopsies from progestogen-only pill users suggest that the endometrial response is variable and unpredictable, including irregular secretory endometrium and a lack of or suppressed proliferation. In some studies, under 50% of mini-pill users continued method use for 12 months. These menstruation disorders are the most frequently cited reason for method discontinuation. 1/3 - 1/2 of minipill users experience prolonged menstruation, and up to 70% report breakthrough bleeding or spotting in 1 or more cycles. These menstrual disturbances are the most common quoted reason for discontinuation in up to 25% of users.Īlthough the progestogen-only minipill decreases side effects such as dizziness, nausea, headaches, and breast tenderness associated with combined oral contraceptives, this advantage is outweighed by disturbances of menstrual flow. The main reason for this is that women on POP often have abnormal bleeding patterns, with an increased frequency of bleeding, lengthened cycles, breakthrough bleeding, spotting and prolonged bleeding. Despite this, it is used relatively infrequently except during lactation. The progestogen-only pill (POP), minipill, is quite an effective second line contraceptive.
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