Birth Control For Women

Combination Pill

The combination pill is a contraceptive pill containing two hormones that help prevent pregnancy.

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Treatment Information

What is the Combination Pill?

The combination pill, also known as the combined oral contraceptive pill, is a type of hormonal contraception. It contains two hormones: oestrogen and progestogen. These hormones work together to:

  • Prevent ovulation.
  • Thicken cervical mucus, making it harder for sperm to reach an egg.
  • Thin the uterine lining, reducing the likelihood of implantation.

The pill is taken daily and is one of the most widely used contraceptive methods. In addition to preventing pregnancy, it can also help regulate periods and reduce menstrual pain.

Who is the Combination Pill suitable for?

The combination pill may be a good option if you:

  • Want a highly effective form of contraception.
  • Prefer a method that regulates your cycle and makes periods lighter.
  • Experience menstrual cramps, acne, or hormonal mood swings.

However, it may not be suitable if you:

  • Are over 35 and smoke.
  • Have a history of blood clots, high blood pressure, or migraines witaura.
  • Are breastfeeding (the mini-pill might be a better option).

How does the Combination Pill work, and what are the options?

You should take the combination pill at the same time every day. There are two main types:

  1. 21-day pill: Take one pill daily for 21 days, followed by a 7-day break.
  2. 28-day pill: Take one pill daily, including 7 placebo pills without hormones.

Other contraceptive options include the mini-pill, the contraceptive ring, the contraceptive patch, or an IUD (coil).

Additional treatment information

Factors that may affect how well it works:

  • Missed pills: If you forget to take the pill, effectiveness decreases.
  • Certain medications: Some medicines, such as antibiotics or epilepsy drugs, can interfere with effectiveness.
  • Vomiting or diarrhoea: These conditions may prevent your body from fully absorbing the pill’s hormones.

Here are a few important things to keep in mind when using the pill:

  • You must take it daily for it to be effective.
  • It does not protect against STIs, use a condom if needed.
  • Possible side effects include nausea, headaches, or spotting (light bleeding), which usually improve after a few months.
  • Stopping the pill may cause irregular periods for a few months before your cycle returns to normal.

Frequently Asked Questions

Get answers to common questions about Combination Pill

If you miss one pill, take it as soon as you remember and continue as normal. If you miss two or more, follow the instructions in the leaflet and use additional contraception (such as condoms) for the next seven days.
If you start on the first day of your period, you are protected immediately. If you start later, use extra contraception for the first seven days.
Yes, by starting a new pack straight away and skipping the placebo pills, you can delay your period. This is safe, but speak to your GP if you’re unsure.
Some women experience mild nausea, breast tenderness, mood changes, or spotting in the first few months. These symptoms usually settle over time.
It is not usually recommended, as it may reduce milk supply. The mini-pill (which contains only progestogen) is often a better option for breastfeeding mothers.

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