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Regular Contraception

Regular Contraception Treatment

At 24 HR Pharmacy

Regular contraception is ongoing birth control used to prevent pregnancy on a daily basis. It works mainly by:

  • Stopping ovulation (no egg released)
  • Thickening cervical mucus so sperm struggle to get through
  • Thinning the womb lining, making it harder for a fertilised egg to implant
See Treatment Options

Your Treatment Options

Compare Your Options

Below is a comparison for Regular Contraception treatment grouped into three treatment "families":

  Desogestrel POP 75mcg (Cerazette / Cerelle) Standard 30/150 COC (Levest / Rigevidon) Qlaira (estradiol valerate + dienogest)
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.

*Always follow the instructions on your own pack and dispensing label, as regimens can vary by brand and by prescriber advice.

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Who Is Eligible?

This online service is for people in the UK who need ongoing contraception and are medically suitable for the pill.

You may be suitable if:

  • You're not pregnant, and you want to:
    • Start a pill for the first time, restart after a break, or
    • Switch from another pill or method
  • You do not have:
    • A history of blood clots (DVT/PE), stroke, or serious heart disease (important for combined pills)
    • Certain oestrogen-sensitive cancers, severe liver disease, or unexplained vaginal bleeding
  • You're happy to take a tablet every day roughly at the same time

If combined pills aren't suitable, a desogestrel POP (Cerazette/Cerelle) may be offered instead in many cases.

You may not be suitable for online pill prescribing if:

It's safer to be seen face-to-face (GP / sexual health clinic) if you:

  • Have ever had a blood clot (DVT/PE), stroke, or certain clotting disorders
  • Have migraine with aura, severe uncontrolled high blood pressure, major cardiovascular disease, or severe liver disease
  • Have or have had breast cancer, some other hormone-sensitive cancers, or unexplained vaginal bleeding
  • Need long-acting methods (implant, injection, IUD/IUS) – those require in-person fitting

Important: If you develop sudden chest pain, breathlessness, coughing blood, or a painful swollen leg, seek urgent medical help – these can be signs of a blood clot.

Why choose 24 HR Pharmacy

  • Pharmacist-led: Every request is checked by a UK-registered prescriber against your medical history and current medicines.
  • Fast, discreet service: Simple online questionnaire, clear next steps, and discreet delivery to your door.
  • Ongoing support: Guidance on using your treatment safely, plus practical lifestyle tips to help you get results.
  • Transparent and responsible: We prescribe only when it is safe and appropriate, and we will suggest alternatives if a medicine is not right for you.
Regular Contraception

How Our Online Service Works?

Simple, safe, and designed around you. Here is what happens from start to finish.

<h3 class="font-bold text-[#4c847b] mb-2 text-center">Quick Online Consultation</h3>

Quick Online Consultation

You complete a short, confidential questionnaire covering:

  • Your cycle & contraception history – when your last period was, how regular your cycles are, whether you're starting, restarting or switching contraception
  • Medical history & risk factors – blood clots (DVT/PE), stroke, heart disease, migraine with aura, high blood pressure, obesity, smoking status, diabetes, liver disease, certain cancers, unexplained vaginal bleeding
  • Medicines you take now – epilepsy, TB, HIV medicines, some antifungals, lamotrigine, St John's wort – which can reduce pill effectiveness

This allows the prescriber to decide if a combined pill (COC) or progestogen-only pill (POP) is safest, and which product from your list fits best.

<h3 class="font-bold text-[#4c847b] mb-2 text-center">Reviewed by a UK Prescriber</h3>

Reviewed by a UK Prescriber

A UK-registered clinician will:

  • Check whether you're medically suitable for combined pills (Levest, Rigevidon, Qlaira) or progestogen-only pills (Cerazette, Cerelle)
  • Approve, adjust, or decline based on your answers
  • Provide guidance on starting, missed pills, and when protection begins
<h3 class="font-bold text-[#4c847b] mb-2 text-center">Fast, Discreet Delivery</h3>

Fast, Discreet Delivery

Once approved, your contraceptive pill is dispensed from our UK-registered pharmacy and delivered in plain, discreet packaging.

  • Clear instructions on how to start (new start vs switch)
  • What to do if you miss a pill
  • When you'll be protected

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Frequently Asked Questions