What Is the Mini Pill?
The mini pill, also known as the progestogen-only pill (POP), is a type of hormonal contraception that contains only progestogen, unlike the combination pill, which also contains oestrogen.
The mini pill works by:
- Thickening cervical mucus, making it harder for sperm to reach an egg.
- Thinning the uterine lining to reduce the chances of implantation.
- In some cases, preventing ovulation (though not always).
Because it does not contain oestrogen, the mini pill is often recommended for women who cannot take oestrogen-based contraceptives, such as those with a history of blood clots, high blood pressure, or migraines with aura.
Who is the Mini Pill suitable for?
The mini pill may be a good choice if you:
- Cannot take oestrogen due to health reasons.
- Are over 35 and smoke.
- Are breastfeeding, as it does not affect milk production.
- Want a reliable form of contraception that does not require a break.
However, it may not be suitable if you:
- Have difficulty remembering to take a pill at the same time every day (as the mini pill must be taken within a strict time frame).
- Have certain medical conditions affecting the liver or a history of breast cancer.
How does it work, and what are the options?
The mini pill is taken every day without a break. Unlike the combination pill, there is no placebo pill or pill-free week.
There are two types of mini pills:
- Traditional progestogen-only pills – Must be taken within 3 hours of the same time every day.
- Desogestrel mini pill – A newer version that can be taken within 12 hours of the same time daily and is more likely to stop ovulation.
Other contraceptive options include the pilule combinée, anneau contraceptif, or an IUD (coil).
