Progesterone Only Pill Period Again After a Week

The traditional progestogen-only pill (POP) prevents pregnancy past thickening the fungus in the cervix to cease sperm reaching an egg.

The desogestrel progestogen-only pill can also terminate ovulation.

The progestogen-only pill needs to be taken every day to work.

Progestogen-only pill

At a glance: facts about the progestogen-only pill

  • If taken correctly, it'southward more than 99% constructive. This means fewer than 1 in 100 who uses the progestogen-just pill as contraception volition become pregnant in i twelvemonth.
  • With "typical use" of the progestogen-just pill (the way information technology's taken by a lot of women in real life), it's only about 91% effective.
  • Y'all take a pill every mean solar day, with no intermission between packs of pills.
  • The progestogen-merely pill tin can be used if you cannot use contraception that contains oestrogen.
  • You lot tin can take the progestogen-only pill if y'all're over 35 and you fume.
  • You must take the progestogen-just pill at the aforementioned time each twenty-four hour period. If you take information technology more than three hours late (traditional progestogen-just pill) – or 12 hours late (desogestrel pill) – information technology may not be effective.
  • If you lot're sick (vomit) or accept severe diarrhoea, the progestogen-only pill may not work.
  • Some medicines may impact the progestogen-only pill'south effectiveness – ask your doctor for details.
  • Your periods may stop or become lighter, irregular or more frequent.
  • Side effects may include spotty peel and chest tenderness – these should clear up within a few months.
  • Yous'll need to utilize condoms too as the progestogen-only pill to be protected against sexually transmitted infections (STIs).

How to take the progestogen-simply pill

There are 2 unlike types of progestogen-simply pill:

  • three-hour progestogen-merely pill (traditional progestogen-only pill) – must be taken within 3 hours of the same time each day
  • 12-hour progestogen-but pill (desogestrel progestogen-only pill) – must exist taken inside 12 hours of the same time each 24-hour interval

Follow the instructions that come with your pill packet – missing pills or taking the pill alongside other medicines tin can reduce its effectiveness.

There are 28 pills in a pack of progestogen-only pills. You lot demand to accept 1 pill every mean solar day inside either 3 or 12 hours of the same time each 24-hour interval, depending on which blazon you're taking.

There's no intermission betwixt packs of pills – when you end a pack, y'all get-go the next one the next 24-hour interval.

Starting the starting time pack of pills

  • choose a user-friendly time in the 24-hour interval to take your start pill
  • continue to have a pill at the same time each day until the pack is finished
  • start your side by side pack of pills the following day – there'south no interruption between packs of pills

You can offset the progestogen-only pill at any time in your menstrual cycle.

If yous start it on twenty-four hour period ane to 5 of your menstrual cycle (the first five days of your period), information technology'll work straight away and you lot'll be protected against pregnancy. You will not need additional contraception.

If you lot have a short menstrual bicycle, you'll demand additional contraception, such as condoms, until you've taken the pill for 2 days.

If you offset the progestogen-only pill on any other day of your cycle, you will not be protected from pregnancy straight away and will need additional contraception until you've taken the pill for 2 days.

After having a babe

If you've simply had a baby, y'all can start the progestogen-just pill on day 21 after the birth. Yous'll be protected against pregnancy directly away.

If yous showtime the progestogen-only pill more than than 21 days later giving birth, use additional contraception such equally condoms until you've taken the pill for 2 days.

After a miscarriage or abortion

If y'all've had a miscarriage or ballgame, you can start the progestogen-merely pill upwardly to 5 days after and you'll be protected from pregnancy direct away.

If you first the pill more than 5 days after a miscarriage or abortion, use additional contraception until you lot've taken the pill for ii days.

What to do if you lot miss a pill

If you forget to take a progestogen-merely pill, what you should exercise depends on:

  • the type of pill y'all're taking
  • how long agone you lot missed the pill
  • how many pills y'all've forgotten to take
  • whether you've had sex without using another type of contraception in the previous 7 days

If you're less than 3 or less than 12 hours late taking the pill

If you're taking a iii-hour progestogen-only pill and are less than 3 hours late taking it, or if you're taking the 12-hour progestogen-only pill and are less than 12 hours late:

  • accept the late pill as soon as you remember, and
  • take the remaining pills every bit normal, even if that means taking 2 pills on the aforementioned mean solar day

The pill will withal piece of work, and y'all'll be protected against pregnancy – y'all practice non demand to utilize boosted contraception.

Do not worry if y'all've had sex without using some other form of contraception. You do not demand emergency contraception.

If you lot're more than than 3 or more than than 12 hours late taking the pill

If you're taking a 3-hour progestogen-but pill and are more than 3 hours late taking it, or y'all're taking the 12-hour progestogen-only pill and are more than 12 hours late, yous volition not be protected confronting pregnancy.

What you should do:

  • take a pill equally shortly as you remember – only accept 1, even if you've missed more one pill
  • take the next pill at the usual time – this may mean taking 2 pills on the same day (1 when you call up and ane at the usual time); this is not harmful
  • carry on taking your remaining pills each mean solar day at the usual time
  • use actress contraception such as condoms for the next two days (48 hours) after you think to take your missed pill, or do not accept sex activity
  • if you lot have unprotected sex from the fourth dimension that you miss your pill until 2 days afterwards y'all start taking it reliably again, you may need emergency contraception – get communication from your contraception clinic or GP
  • tell them that you've been taking the progestogen-only pill as this can touch on which emergency contraception is best for you to take

It takes two days for the progestogen-only pill to thicken cervical fungus and then sperm cannot get through or survive.

The Faculty of Sexual Health and Reproductive Healthcare recommends using actress contraception for 2 days later on you remember to take your pill.

The patient information leaflet that comes with your pill might say to use condoms for the next vii days after you remember to have your pill. This is considering it takes 7 days for the pill to stop y'all ovulating.

Sickness and diarrhoea

If yous're sick (vomit) within 2 hours of taking a progestogen-but pill, it may non take been fully absorbed into your bloodstream. Take another pill straight away and the next pill at your usual time.

If yous do not take another pill within 3 (or 12 hours) of your normal time, use additional contraception, such equally condoms, for 2 days (seven days for the 12-hour pill).

If you lot proceed to be sick, continue using another class of contraception, such as condoms, while you're ill and for two days afterwards recovering.

Very severe diarrhoea – 6 to 8 watery poos in 24 hours – may as well mean that the pill does non work properly.

Keep taking your pill every bit normal, but use boosted contraception, such as condoms, while you lot have diarrhoea and for two days afterward recovering, or 7 days if yous're taking a 12-hour pill.

Speak to a pharmacist, nurse or GP, or call NHS 111 or the national sexual wellness helpline free on 0300 123 7123, if you're unsure whether you're protected against pregnancy, or if your sickness or diarrhoea continues.

Who can use the progestogen-but pill?

You should be able to use the progestogen-only pill, just you may non exist able to if you:

  • think y'all might be meaning
  • do not desire your periods to change
  • have other medicines that may affect the pill
  • have unexplained bleeding in between periods or after sex
  • have adult arterial affliction or heart disease or take had a stroke
  • have liver illness
  • have breast cancer or have had it in the by
  • have severe cirrhosis or liver tumours

If you lot're healthy and at that place are no medical reasons why yous should not take the progestogen-only pill, y'all tin take it until your menopause or until you're 55.

Breastfeeding

The progestogen-only pill is safe to use if you're breastfeeding. Small-scale amounts of progestogen may pass into your breast milk, just this is not harmful to your baby. It does not affect the way your chest milk is produced.

Pregnancy

Although it'southward very unlikely, at that place's a very modest chance that you could go meaning while taking the progestogen-but pill.

If this happens, there'due south no bear witness that the pill volition damage your unborn baby. If you think you may be pregnant, speak to your GP or visit your local contraception dispensary.

Get medical advice if you have a sudden or unusual hurting in your tummy, or if your period is much shorter or lighter than usual.

It'due south possible that these are alert signs of an ectopic pregnancy, although this is rare.

Advantages and disadvantages

Advantages:

  • it does not interrupt sex
  • you lot can use it when breastfeeding
  • information technology's useful if you cannot have the hormone oestrogen, which is in the combined pill, contraceptive patch and vaginal band
  • y'all can use information technology at whatsoever age

Disadvantages:

  • yous may non have regular periods while taking it – your periods may be lighter, more frequent, or may terminate altogether, and you may go spotting between periods
  • it does not protect you against STIs
  • you demand to remember to take it at or around the aforementioned time every 24-hour interval
  • some medicines, including some (uncommon) antibiotics, can make information technology less effective

Side furnishings

The progestogen-just pill is by and large well tolerated and side effects are rare.

Some side effects include:

  • acne
  • breast tenderness and breast enlargement
  • an increased or decreased sex activity bulldoze
  • mood changes
  • headache and migraine
  • nausea or vomiting
  • pocket-sized fluid-filled sacs (cysts) on your ovaries – these are usually harmless and disappear without handling

These side effects are most likely to occur during the first few months of taking the progestogen-just pill, only they generally improve over time and should end within a few months.

If you lot have whatever concerns nigh your contraceptive pill, see your GP or practice nurse. They may suggest you to change to another pill or a different form of contraception.

The progestogen-simply pill with other medicines

When you take ii or more than medicines at the same fourth dimension, they can sometimes collaborate with each other.

Some medicines interact with the progestogen-only pill, which can end it working properly.

If yous want to check whether your medicines are safe to accept with the progestogen-only pill, y'all can:

  • ask your GP, do nurse or pharmacist
  • read the patient information leaflet that comes with your medicine

Ovarian cysts

There is a hazard you could develop fluid-filled cysts on your ovaries. These are not unsafe and do not usually need to be removed.

The cysts usually disappear without treatment. In many cases, the cysts exercise not cause symptoms, although yous may experience pelvic pain.

Chest cancer

Research is standing into the link betwixt breast cancer and the progestogen-only pill.

At that place is not plenty evidence to say for certain that the progestogen-only pill does non increase the risk of chest cancer.

Merely if there is any increased run a risk, it's likely to be very pocket-size and disappear with time later y'all end taking the progestogen-only pill.

Where you can get the progestogen-just pill

You can get contraception for free, even if you lot're nether sixteen, from:

  • contraception clinics
  • sexual health clinics
  • some GP surgeries
  • some young people's services
  • pharmacies

Getting contraception during coronavirus

If you lot need contraception, call your GP surgery or a sexual health dispensary every bit soon equally possible. Only get in person if asked to.

Some types of contraception are non widely available at the moment, but you should even so exist able to get the progestogen-only pill.

How practice I change to a different pill?

If you want advice about changing your contraceptive pill, you can visit your GP, contraceptive nurse (sometimes called a family unit planning nurse), sexual health clinic or pharmacist.

You should not take a break between different packs, so you lot volition usually be advised to get-go the new pill immediately or wait until the day subsequently you have the last of your former pills.

Y'all may also be brash to utilize culling methods of contraception during the changeover, as the new pill may accept a short time to take effect.

If y'all're under 16 years sometime

Contraception services are gratis and confidential, including for people under the historic period of 16.

If you're under 16 and desire contraception, the doctor, nurse or pharmacist will non tell your parents (or carer) as long as they believe you lot fully understand the information you lot're given, and your decisions.

Doctors and nurses work nether strict guidelines when dealing with immature people under 16. They'll encourage you to consider telling your parents, but they will not make you.

The only time a professional might want to tell someone else is if they believe you're at take chances of harm, such equally abuse. The risk would need to be serious, and they would unremarkably discuss this with you commencement.

Folio last reviewed: two February 2021
Next review due: two Feb 2024

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Source: https://www.nhs.uk/conditions/contraception/the-pill-progestogen-only/

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