What is it?
- The progestogen-only pill contains one hormone called 'progestogen', this is similar to the natural hormone women make in their ovaries.
- There are lots of different types of progestogen-only pills you can choose from.
The pill protects you from pregnancy but not sexually transmitted infections. A barrier method of contraception such as condoms will help protect against most infections. Using both condoms and the pill is very effective, some people call it 'double-Dutch'.
How effective is the progestogen-only pill?
If taken according to instructions the progestogen-only pill is 96-99% effective.
Where can I get the pill?
You can get the pill free of charge from:
- your GP if they provide a contraceptive service.
- another GP rather than your own if you prefer.
- Family Planning clinics and GUM clinics (check the directory to find your nearest service).
You will need to talk to your GP or the doctor or nurse at the sexual health clinic to see if the pill is the right method of contraception for you. They will ask you about your family's medical history and any illness or operations you have had. For some reasons the pill may not be the best option for you.
What are the advantages of the progestogen-only pill?
- It is an effective method.
- There are few serious side effects with the progestogen-only pill.
- It doesn't get in the way of having sex.
- You can use it if you are breastfeeding.
- It is useful if you cannot take oestrogens, like those found in the combined pill.
- You can use it at any age and it can be used by older women who smoke.
- It may help with pre-menstrual tension and painful periods.
What are the disadvantages of the progestogen-only pill?
- Your periods may become irregular. If this concerns you see your doctor or nurse. Changing to a different progestogen-only pill may help.
- The progestogen-only pill does not protect you against sexually transmitted infections, so you may want to think about using condoms as well.
- You must remember to take the pill at the same time every day.
Some people may get some side effects when taking the progestogen-only pill, these often settle. They include:
- Spots
- Breast tenderness
- Appetite change
- Headaches
Can anything make the progestogen-only pill less effective?
- If you are late taking your pills or miss one or more pills.
- Vomiting within three hours of taking the pill or if you have very severe diarrhoea.
- If you take a medicine prescribed by a doctor, dentist or hospital, always say you are taking the progestogen-only pill.
- Some complementary medicine such as St John's Wort may make it less effective.
Remember and check the instructions in the packet for advice in these situations.
If you have any concerns or wish more information on the combined pill speak to your GP or staff at a GUM or Family Planning Clinic. If you have missed a pill contact your GP or staff at a clinic immediately for advice. You will find more detailed information on the progestogen only pill at the link below.
Links
Family Planning Association: www.fpa.org.uk





