Daily Progestogen Contraceptive Pill

Daily progestogen pills release a small amount of the progestogen hormone.
Daily Progestogen Contraceptive Pill
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Street names Mini pill
Medical names Progestogen Only Pill, POP
Effectiveness 91% ?
It lasts 1 day (needs to be taken daily to have ongoing effect)
Fertility No contraceptive effect if tablet is not taken
Who can use it? People with a vagina and uterus of any age from menarche to menopause
Hormones Contains progestogen hormone
Visibility Discreet but you need to store the packets
STIs No protection ?
Side effects Uterine bleeding, headaches, acne, mood changes. Allow 6 months to adjust to the hormones
Cost Between $7 and $40 for a 3—4 month supply, depending on the brand and if you have a Healthcare card or private script.
Where to get it Visit a reproductive and sexual health clinic or your local doctor. You may need to visit a pharmacy to pick up a prescription

How does it work?

The progestogen hormone changes the mucus of the cervix, making it harder for any sperm to enter the womb. It also reduces ovulation, so the ovaries release fewer eggs (ova). This prevents pregnancy.

The amount of progestogen in each pill depends on the brand and design. One version contains 0.03mg of the progestogen hormone levonorgestrel. Another version contains 0.35mg of the progestogen hormone norethisterone.

You will still need to consider the risk of Sexually Transmitted Infections (STIs) every time you have sex.

What’s it like to use?

Most people find the pill easy to swallow as it is smaller than other tablets and multivitamins.

All packets have 28 pills. Pills need to be taken at the same time daily for the contraceptive to work.

Menstrual bleeding will stop and instead you will experience uterine bleeding period. It will feel similar to menstrual bleeding but the flow is usually lighter and bleeding patterns can be irregular.

What if I forget about it?

To be effective you need to remember to take it at the same time every day.

  • If you took the last pill within the past 27 hours (if it is up to 3 hours late): take the missed pill immediately. Your contraception will continue working.
  • If you took the last pill more than 28 hours ago (if it is more than 3 hours late): take two pills, and then continue taking the pills as normal. You will need to use an alternative contraception method for at least 48 hours. If you have had unprotected penis in vagina (PIV) sex, you may need to consider emergency contraception.

Who can use it?

People with a vagina and uterus of any age, from menarche to menopause.

This pill needs to be taken within the same three hour timeframe every day. If you are someone who is likely to forget, or if you do not have regular routine, consider a different contraceptive method.

It is suitable for people who have never experienced pregnancy and for use as contraception after pregnancy.

If you experience polycystic ovarian syndrome (PCOS), the Combined Hormonal Contraceptive Pill is generally considered to be the best contraceptive option. However, the daily progestogen pill is also a suitable option for women with PCOS. It is best to discuss your exact situation with a doctor.

It is suitable for people who may have a family history of breast cancer. It is not suitable for people who have breast cancer or have experienced breast cancer in the past.

Side effects

During the first 6 months your body may take time to adjust to the hormones.

Some females experience irregular uterine bleeding. If you are concerned about irregular uterine bleeding, read more about uterine bleeding management or seek medical advice. Some people use one contraceptive choice to manage menstrual bleeding and another to prevent pregnancy. Learn more about your reproductive organs and sexual health and hormonal contraceptives.

Other hormonal side effects such as headaches, acne, or mood changes are rare.

If at any point you feel that this contraceptive method is making you feel uncomfortable or unwell, get advice from a doctor or medical professional. If it is an emergency, call an ambulance on 000.

How and where to get it

A reproductive and sexual health clinician or your local doctor can undertake a health assessment and can supply the contraceptive pill.

If the reproductive and sexual health clinic or your local doctor does not have the pills in stock you will need to buy them at a pharmacy.

The pill will cost between $7 and $40 for a 3-4 month supply. The price varies depending on the brand of pill and if you have a Health Care Card. There may also be consultation fees. You can ask for a quote when you book an appointment.

What if you change your mind

You can stop using the pill at any time. Ovulation may begin within 3 hours. If you decide to stop taking it, visit a reproductive and sexual health clinic to discuss your contraceptive options.