Progestogen-Only Pill (POP)

The Progestogen-Only Pill, also known as the mini-pill, is a type of oral contraceptive that contains only progestogen, a synthetic form of the hormone progesterone.

How it Works

The POP works by:

• Thickening cervical mucus to prevent sperm from reaching the egg
• Preventing ovulation in some women
• Changing the lining of the uterus to prevent implantation of a fertilized egg

Benefits

The benefits of using the POP include:

• High effectiveness in preventing pregnancy when taken correctly
• No estrogen, making it suitable for women who are breastfeeding or have certain health conditions
• Reduced risk of blood clots and stroke compared to combined oral contraceptives
• May help with menstrual cramps and heavy bleeding

Types of Progestogen-Only Pills

There are several types of POPs available, including:

• Norethindrone (e.g., Micronor, Nor-QD)
• Levonorgestrel (e.g., Plan B, Next Choice)
• Desogestrel (e.g., Cerazette)

Side Effects

Common side effects of the POP include:

• Irregular menstrual bleeding or spotting
• Nausea and vomiting
• Headaches
• Breast tenderness
• Mood changes

Contraindications

The POP is not suitable for women with certain health conditions, including:

• Pregnancy or suspected pregnancy
• Undiagnosed vaginal bleeding
• Current or past breast cancer
• Liver disease or liver tumors

Interactions with Other Medications

Certain medications can interact with the POP, including:

• Antibiotics (e.g., rifampicin, griseofulvin)
• Anti-seizure medications (e.g., phenytoin, carbamazepine)
• Barbiturates

Effectiveness

The POP is highly effective in preventing pregnancy when taken correctly, with a failure rate of less than 1%.

Missed Pills

If a pill is missed, it should be taken as soon as possible, and the next pill should be taken at the usual time.

Frequently Asked Questions (FAQs)

What is the Progestogen-only pill?
A type of birth control pill that contains only progestogen.

How does it work?
Prevents ovulation and thickens cervical mucus.

What are the benefits?
Reduces menstrual bleeding and cramps.

Can anyone take it?
Suitable for breastfeeding women and those who cannot take estrogen.

How often is it taken?
Once daily, at the same time each day.

Is it effective?
99% effective when taken correctly.

Are there side effects?
Possible weight gain, mood changes, and breast tenderness.

Can it be used for emergency contraception?
No, not intended for emergency use.

Does it protect against STIs?
No, does not provide protection against STIs.

How long can it be taken?
Can be taken for as long as needed, under medical supervision.