|
There are two main types of pill which vary in hormone content
and the way they work. The most widely used are the combined
pills which have two hormones, oestrogen and progestogen.
Combined Pill
There are also pills (often known as mini-pills) which have
progestogen only and no oestrogen. This leaflet gives you
some information about the mini-pill. (An information leaflet
is also available on choosing and using the combined pill.)
Mini-Pill
|
Tests show that for
every 100 women who take the mini-pill very carefully
and consistently, one will get pregnant in a year. But
with less careful and consistent use, one to four will
get pregnant. The mini-pill is even more effective in
women over 40 years old. Free leaflets on all family planning
methods are available, so you can compare whether the
mini-pill works better or is easier to use than other
methods. To make the pill as effective as it can be, remember:
- To take it regularly, and at the same time each
day.
- To use another contraceptive method as well if
you miss a pill or are sick, have severe diarrhoea,
or are taking medicines which may interfere with the
way the pill works.
|
|
|
The pill has the great advantage that it doesn't interfere
with intercourse. As long as you remember to take your
pill every single day without a break, you can have
intercourse as often as you like, without having to
take any other contraceptive precautions.
The mini-pill is a possible alternative for older women
or others who cannot use the combined pill, because
it has no oestrogen, and because it is believed to add
little or nothing to the risks of heart disease and
strokes. It is suitable for women who are breastfeeding
as it does not reduce the milk flow.
|
|
|
Taking the mini-pill may cause irregular bleeding.
Some women find that their periods are much lighter;
others have no periods at all. Bleeding at odd times
often happens. This is called breakthrough bleeding.
Some women have repeated breakthrough bleeding throughout
the month. A change of mini-pill may help. If your period
is more than two weeks late, consult your doctor or
clinic.
One risk of any pregnancy is that occasionally it
develops outside the womb, usually in a fallopian tube.
This is called an ectopic pregnancy. Although it is
rare, it can be dangerous. You should see your doctor
straight away if you have sudden lower abdominal pain.
Be sure to mention to the doctor if you have had a previous
pregnancy in the tube, since this may mean it would
be better for you to use another method.
Cysts on the ovary are common in mini-pill users,
but are not dangerous. These may cause pain, but sometimes
there are no symptoms. These cysts usually disappear
when you stop taking this pill.
|
|
|
The mini-pill does not always stop the ovary releasing
an egg each month (ovulation). It thickens the fluid
(mucus) at the neck of the womb (cervix) which makes
it hard for sperm to travel through. The mini-pill also
makes the lining of the womb less likely to accept a
fertilised egg.
|
|
|
It is important that you see your doctor at
regular intervals. This will probably be every six months
once you are settled on the pill. If you have any worries
talk to the doctor or nurse sooner.
|
|
|
Only a doctor can give you the pill. Family planning
clinics and most family doctors prescribe the pill.
You will be asked your medical history to make sure
the pill is suitable for you. Your blood pressure should
be taken too.
|
|
You have four choices:
- Your own family doctor (GP)
- Another GP of your choice who gives family planning
advice to other GPs' patients too
- A family planning clinic
- A Brook Advisory Centre (especially for under-25s)
Partners are welcome. All advice and supplies are
free.
|
|
|
The doctor or nurse will talk to you about the methods.
Together you can decide what is best for you. An examination
may be needed which is a good idea in any case. Don't
be embarrassed: feel free to ask the doctor or nurse
any questions about your sexual relationship or family
planning or safer sex. You will be asked to come back
soon to make sure you are happy with your choice.
|
|
| How to take your pill This is
all you have to do:
Take the first pill of the first pack
on the first day of your next period.
This is day one of your cycle - the day when bleeding
starts.
You will be protected at once.
Take your first pill from the bubble marked with the
correct day of the week.
Take a pill every day till you finish all the pills
in the pack.
IT IS REALLY IMPORTANT TO TAKE THE MINI-PILL AT
THE SAME TIME EACH DAY
Then start a new pack me very next day. You will be
taking pills through your periods and there must be
no break between packs.
If you start this pill on any other day, you will need
to use other family planning as well, such as the condom,
for the first 48 hours of the first pack.
Which do you have?
- Femulen Neogest
- Micronor Norgeston
- Microval Noriday
|
|
| This is quite normal with the
mini-pill. Periods may be irregular and you may have some
bleeding between periods. You may even have no periods
at all. Make a note of what happens so you can tell the
doctor or nurse. |
|
|
Take it as soon as you remember, and take the next
one at the right time. This may mean taking two pills
in one day. If you take the mini-pill more than three
hours late, you are not protected. Continue to take
your pills normally but you must also use another
method, such as the condom, for the next 48 hours.
|
|
|
If you have vomiting or very severe diarrhoea the pill
may not work. Continue to take it, but you may not be
protected from the first day of vomiting or diarrhoea.
Use another method, such as the condom, for any intercourse
during the stomach upset and for the next 48 hours.
|
|
|
Several medicines may interfere with the way the pill
works. These include some drugs that treat epilepsy
and tuberculosis. Other medicines, such as sedatives
and tranquillisers, might also have this effect. You
may have to use another method as well, such as the
condom, while you are taking the medicines - and for
a further 48 hours. Your doctor may advise you to use
these extra precautions for longer. Always tell the
doctor you are on the mini-pill.
|
|
|
This often happens with this pill. If you have taken
all your pills properly at the right time it is most
unlikely you are pregnant. Continue with your pills
as normal. If your period is more than two weeks late,
consult your doctor or clinic. If you think you might
be pregnant see your doctor sooner. If you have any
sudden lower abdominal pain as well as a light or delayed
period, see the doctor immediately. These might be the
warning signs of an ectopic pregnancy.
|
|
|
If you are starting the mini-pill after any brand of
combined pill this is what you do. Take the first mini-pill
the day after the last of your old kind. Do not leave
any break at all.
|
|
|
Smoking increases the risks to your health and increases
some of the risks of the combined pill. It is not known
if these risks also apply to the mini-pill. It is best
to stop smoking anyway.
|
|
|
Any side-effects should be checked but minor side-effects
can wait until your next appointment.
|
|
|
After a birth or abortion, or if advised after a miscarriage,
your doctor will advise you about starting the pill
and whether another method should be used as well. You
can start using this pill immediately after a miscarriage
or abortion. If you are breastfeeding you may be given
the mini-pill. (The combined pill is not recommended
at this time as it can reduce the milk flow.) After
childbirth you can start taking this pill from day 21
onwards. If you plan to stop using the mini-pill when
you finish breastfeeding, make sure you have decided
on another method first.
|
|
|
If you want to have a baby it is helpful to stop the
pill and then have two periods before you try to get
pregnant. You can use another method such as a condom
for that time. Once you have had two natural periods
it is easier to work out when the baby is due. However,
if you do get pregnant immediately after stopping the
pill, research to date has shown this is not harmful.
|
|
|
This leaflet can only outline basic information about
the mini-pill based on evidence available and current
medical opinion at the time of publication. Most pill
manufacturers produce their own instruction leaflets
and, in some cases, these give conflicting advice on
certain points. If in doubt, seek your doctor's advice
in your individual case. DON'T FORGET - ring
or visit the clinic or your doctor if you are worried
or unsure about anything.
|
|
| |