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Progestogen only pill

There are two main kinds of contraceptive pill: the combined pill, and the progestogen only pill. This section is about the progestogen pill.

What is it?

Tablets containing progestogen, which must be taken at the same time every day, without a monthly pill-free break. It works in three ways: by making it difficult for sperm to enter the womb, preventing the womb from accepting a fertilised egg, and sometimes by preventing ovulation.

Advantages
  • Suitable for many women who cannot use the combined pill

  • May help with heavy periods and PMS

  • Can be used by women who are breastfeeding

  • Can be used by smokers


Disadvantages:
  • May be irregular bleeding and missed periods

  • May be less effective in women who weigh over 70kg (11 stone)

  • Not effective if taken more than 3 hours late, or after vomiting or severe diarrhoea

  • No protection against most STIs


Not suitable for:
  • Anyone with disease of the heart or arteries

  • Women who have liver disease

  • Women with abnormal blood fat (lipid) levels

  • Any woman who has had an ectopic pregnancy


Effectiveness:
If taken according to the instructions in the pack, between 98 and 99% effective.

Want more information

The Family Planning Association (FPA) can give you confidential information and advice on contraception and sexual health. Call 0845 3101334.

Brook Advisory Centres: call 0800 0185023 for the location of your nearest clinic for young people. Your GP can often be a good source of help and advice too.


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Last updated & checked:
31/03/2006
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