Focusing on the Combined Pill
Here is information from the sources about the combined contraceptive pill:
- The combined pill, often referred to simply as “the pill,” utilises synthetic versions of the hormones oestrogen and progesterone to prevent pregnancy.
- The combined pill is highly effective when taken correctly. Less than 1% of women who use the combined pill correctly will become pregnant in a year.
- Well-known brands of the combined pill include Yasmin, Microgynon, Rigevidon, and Cilique.
How the Combined Pill Works
The combined pill prevents pregnancy in three ways:
- It prevents the ovaries from releasing an egg each month (ovulation).
- It thickens the cervical mucus, making it harder for sperm to enter the womb.
- It thins the lining of the womb, making it difficult for a fertilized egg to implant and grow.
Taking the Combined Pill
- The combined pill is taken daily for 21 days, at approximately the same time each day.
- Following the 21 days, there is a seven-day break, during which a withdrawal bleed similar to a period occurs.
- After the seven-day break, the next pack of pills is started.
- Some pill packets contain sugar pills for the seven-day break, helping users maintain their routine without needing to count days.
- Alternative regimens for the combined pill exist, such as taking it for 21 days followed by a four-day break or taking it continuously without a break. It’s important to consult the pharmacist on these options
When the Combined Pill Might Not Be Suitable
The combined pill is a popular and effective form of contraception, but it may not be appropriate for everyone. It is advised to avoid the combined pill if any of the following apply:
- Being over 35 years old and smoking
- Having high blood pressure
- Having a high BMI
- Having started breastfeeding
- Having certain medical conditions, including breast cancer, migraines, and heart disease
- Taking medications that could interact with the pill
It is recommended to speak to a Pharmacist for personalised advice and to explore alternative options, such as the progestogen-only pill, if any of these circumstances apply.
Potential Benefits and Drawbacks of the Combined Pill
Pros:
- Can alleviate premenstrual syndrome (PMS) symptoms
- Often leads to more regular, lighter, and less painful periods
- May improve endometriosis symptoms (a condition where tissue resembling the womb lining grows elsewhere)
- Sometimes improves acne
- May protect against pelvic inflammatory disease (PID)
- Studies indicate a lower risk of ovarian, womb, and colon cancer. It may also reduce the risk of conditions like fibroids, ovarian cysts, and benign breast disease.
Cons:
- Does not protect against sexually transmitted infections (STIs), necessitating the use of condoms for STI protection
- Has been associated with a slightly elevated risk of blood clots and breast cancer, though this is very rare
- Potential side effects include headaches and mood swings, which usually subside after a few months. Trying a different type of pill may be necessary if these persist.
- A possible link between the pill and depression exists, requiring further research. It is crucial to consult a GP or seek support if experiencing low mood while on the pill.
- Can raise blood pressure
- Spotting or bleeding between periods might occur during the initial months
- Effectiveness is contingent on taking the pill as directed
Where to Obtain the Combined Pill in the UK
The combined pill is accessible through various avenues in the UK:
- Sexual health clinics
- Contraception clinics
- Most GP surgeries
- Pharmacies via the NHS Pharmacy Contraceptive Service
- Online platforms such as www.kivetonpharmacy.com
It is important to note that the NHS Pharmacy Contraceptive Service allows individuals to obtain the combined pill without a prescription from a GP. However, a consultation with a pharmacist is still required, involving health-related questions to ensure the pill is a suitable option.
This service aims to provide greater choice and accessibility for contraception services while freeing up capacity in primary care and sexual health clinics