| Type of pill |
Progestogen-only pill (mini pill) – desogestrel 75mcg. |
Combined oral contraceptive (COC) – ethinylestradiol 30mcg + levonorgestrel 150mcg. |
Multi-phase combined pill with oestrogen closer to natural estradiol (estradiol valerate) + dienogest. |
| How it's taken* |
1 tablet every day with no breaks – you take it continuously at the same time each day. |
Usually 1 tablet daily for 21 days, then a 7-day break (or placebo pills), then repeat; other regimens (shorter breaks or continuous use) may be advised. |
Follow the coloured tablets in order in a 28-day pack (active + placebo tablets); no break between packs. |
| Missed pill window |
Desogestrel POP: if you're >12 hours late, it counts as a missed pill; follow missed-pill advice and use condoms for a time. |
Combined pills usually have a 24-hour window – but guidance depends on brand and how many pills are missed. Follow the leaflet or NHS missed-pill advice. |
Same principles as other combined pills – but because the pack is multi-phase, you must follow the brand-specific missed-pill rules in the leaflet. |
| Who it often suits |
Those who can't take oestrogen (migraine with aura, smokers ≥35, some clot risks), or prefer a pill with no hormone-free break; can be used in breastfeeding after the early postnatal period. |
Those with no major combined-pill risk factors who like a predictable pattern and often want control of bleeding, cramps, acne etc. Levest/Rigevidon are well-established COCs. |
Those wanting a combined pill option that uses an oestrogen closer to natural estradiol and is also licensed to treat heavy periods in suitable women. |
| Pros |
No oestrogen; can be used where many COCs are unsuitable; 12-hour missed-pill window (more forgiving than older POPs). |
Helps make periods lighter, more regular and less painful; very familiar to clinicians; lots of guidance/experience. |
May improve heavy bleeding and some cycle symptoms; some people prefer that it uses estradiol valerate rather than ethinylestradiol. |
| Key cautions |
Still a hormonal method – may cause irregular bleeding, mood or skin changes, breast tenderness. Very long-term use should be reviewed periodically like any hormonal contraception. |
Not suitable for some people with clot risk (VTE, stroke), certain migraines, severe hypertension, smokers >35, some cancers or liver disease. Small but real blood clot and breast-cancer risk. |
Same combined-pill cautions as other COCs (VTE, stroke, cancer risks), and needs careful adherence to the complex pack order. |