What Is the Combined Pill?
The combined pill, often referred to as “the pill,” is an oral contraceptive used by millions of women in the UK. Containing both oestrogen and progestogen, it is over 99% effective when used correctly and offers additional benefits such as regulating periods, reducing menstrual cramps, and treating hormonal acne.
It is different from the mini pill (progesterone-only pill), as it contains two hormones and is taken for 21 days with a 7-day break. Popular combined pill brands in the UK include Microgynon, Yasmin, and Cilest, offering options for diverse needs and preferences.
How Does the Combined Pill Work?
The combined pill prevents pregnancy through three mechanisms:
- Stops Ovulation: Prevents the release of an egg from the ovaries.
- Thickens Cervical Mucus: Blocks sperm from reaching the womb.
- Thins the Uterine Lining: Prevents a fertilised egg from implanting.
If taken correctly, the pill is highly effective in preventing pregnancy.
Does the Combined Pill Protect Against STIs?
No, the combined pill does not protect against sexually transmitted infections (STIs). To protect against STIs, use a barrier method like condoms alongside the pill.
Benefits of the Combined Pill
Beyond contraception, the combined pill offers several health benefits:
Regulates Periods
The pill helps in achieving lighter, more regular, and shorter menstrual cycles, reducing discomfort.
Treats Hormonal Conditions
It can alleviate symptoms of conditions like Polycystic Ovary Syndrome (PCOS), endometriosis, and severe premenstrual syndrome (PMS).
Reduces Acne
Hormonal acne can be managed effectively with certain types of combined pills.
Convenient and Discreet
Taking one pill daily makes it easy to incorporate into a routine.
How to Take the Combined Pill
Taking one pill daily makes it easy to incorporate into a routine.
Standard Usage
- Take one pill daily at the same time for 21 days.
- Follow with a 7-day break, during which withdrawal bleeding occurs.
- After the break, start a new pack.
Missed Pills
- If 1 Pill Missed: Take it as soon as remember, even if it means taking two pills in one day. No additional contraception is needed.
- If 2+ Pills Missed: Take the last missed pill immediately and continue the pack. Use additional contraception like condoms for 7 days.
Side Effects of the Combined Pill
While most women tolerate the combined pill well, some may experience side effects, especially during the first three months.
Common Side Effects
- Headaches
- Nausea
- Mood swings
- Breast tenderness
- Spotting between periods
Rare but Serious Side Effects
- Blood clots (Deep Vein Thrombosis or Pulmonary Embolism)
- Increased risk of breast or cervical cancer (risk diminishes after stopping the pill)
What to Do If Side Effects Persist
Consult your GP if side effects persist or become severe. They may recommend switching to a different type of contraception.
Precautions When Using the Combined Pill
Certain conditions may make the combined pill unsuitable, including:
- Smoking (especially for women over 35).
- History of blood clots or stroke.
- High blood pressure or cholesterol.
- Sensitivity to oestrogen.
Inform your healthcare professionals about your medical history and medications during consultation.
Myths About the Combined Pill
Myth: The Pill Causes Weight Gain
Modern pills contain lower oestrogen levels, reducing the likelihood of weight gain. Any minor weight fluctuations are typically temporary.
Myth: The Pill Increases Cancer Risk
While there is a slight increase in breast and cervical cancer risk, the pill also reduces the risk of ovarian and endometrial cancer.
Myth: You Can’t Get Pregnant on the Pill
Effectiveness drops if pills are missed or taken incorrectly. Always follow the prescribed regimen.
How to Buy the Combined Pill Online Safely
In the UK, you can purchase the combined pill online through licensed services like Medihealth Direct. Complete a confidential consultation reviewed by a healthcare professionals to ensure the pill is suitable for you. Once approved, your prescription will be delivered discreetly with free next-day delivery.
FAQ Section
What Should I Do If I Miss a Pill?
If you miss one pill, take it as soon as you remember. If you miss two or more, use additional contraception for the next 7 days.
Can I Take the Pill If I Have Migraines?
Women with migraines should consult a healthcare professionals as certain types of migraines may make the pill unsuitable.
Does the Pill Cause Infertility?
No, fertility typically returns to normal once you stop taking the pill.
Can I Take the Pill While Breastfeeding?
The combined pill is not recommended during breastfeeding. Consider the mini pill as an alternative.