Mini pill

Progesterone only pill to prevent pregnancy from £12.50. 3 months of your current pill.

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How to buy online

  1. Read medical information about oral contraception
  2. Answer medical questions to check for eligibility
  3. Reviewed by doctors - posted from UK pharmacy

Brands of mini pill available


Cerazette

Cerazette

3 x one month pack: £19.50

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Cerelle

Cerelle

3 x one month pack: £11.50

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Norgeston

Norgeston

3 x one month pack: £12.50

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Noriday

Noriday

3 x one month pack: £12.50

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About mini pills

Mini pills – also known and progesterone only pills

Mini pills are contraceptive pills which are also known as progesterone only pills (POPs). Mini pills contain small quantities of a hormones called progestogens. Unlike the more widely used combined contraceptive pills, mini pills do not contain oestrogen.

Mini pills work by stopping fertilisation of eggs by sperm, or in some cases stopping egg production (ovulation). 97% of women taking desogestrel pills, such Cerazette do not ovulate.

Progesterone-only pills contain only low levels of hormones. They should be taken regularly every day at the same time of day. They tend to have less side effects than combined contraceptive pills.

Key facts – progestogen-only pill

  • Mini pills are more than 99% effective, if taken correctly. Less than one woman in 100 per year becomes pregnant on the mini pill.
  • Mini pills are taken once daily, without breaks.
  • Some women, who can't take pills containing oestrogen, perhaps because of high blood pressure or other medical problems, may be able to take mini pill instead.
  • Women over 35 who smoke can take progesterone only pills.
  • If progesterone pills are taken more than a 3 hours late they may be ineffective – 12 hours late for pill containing desogestrel e.g. Cerazette.
  • Vomiting and severe diarrhoea may prevent pills from working.
  • Women taking mini pills usually have more frequent and irregular, but lighter periods.
  • Contraceptive pills do not protect against sexually transmitted diseases and women at risk of these should use condoms as well.

Obtaining mini-pills online

When starting contraception, or changing to a new contraceptive, women need specialist assessment and advice, usually provided by doctors or nurses in GP surgeries or family planning clinics. Regular contraceptive pill checks are required, usually every 6 months, and cervical smears must be up-to-date.

Women who are on stable contraception can obtain 3 months supplies online from Dr Fox, however this does not replace face-to-face assessments for contraception issues. This service is only for women 18 years and over.

Most contraception can be obtained free through the NHS. Special arrangement sometimes allow under 16s to obtain contraception, sometimes without parents or guardians being informed, providing the young person is competent, informed and assessed not to be vulnerable to exploitation or abuse.

Taking progestogen-only pills

POPs should be taken at the same time each day. This is particularly important for the pills which need to be taken each day within a 3 hour window e.g. Femulen, Norgeston and Noriday. Other mini pills need to be taken within a 12 hour window, e.g desogestrel pill, such as Cerazette.

Unlike combined pills, there is no 7 day pill-free break with mini-pills. When one 28 day calendar pack of the mini pill is finished, another is started straight away, with no break in between.

The mini pill can be started on any day of the menstrual cycle, but if not started on the first day of the cycle, additional temporary contraception will be needed. The rules are a little complicated. See NHS Choices: contraception guide - progestogen only pill for further details.

Mini pills can be started 21 days after having a baby and 5 days after an abortion or miscarriage. If started later, additional contraception may be required.

Missed pill rules

Pills that are missed or delayed will reduce the contraceptive effectiveness. The amount depends on the type of pill being taken, where in the cycle and the length of the delay. Delays of less than 3 hours, or 12 hours for some pills, are not important, but extra contraception is required for longer delay or pills which are missed all together. The rules are a little complicated and are detailed at NHS Choices: contraception guide - progestogen only pill.

Standby emergency contraception is available online from Dr Fox, but is only to be used for emergency contraception if supplies are already to hand when needed. Pharmacies, GP surgeries, and GUM and family planning clinics can all provide rapid access to emergency contraception when it is needed.

Suitability of progestogen-only pills

Doctors or specialist contraception nurses will carry out checks to ensure treatment is suitable. Some women who cannot take combined contraceptive pills can take progesterone only pills. This includes some women who have a history of heart disease, liver disease, breast cancer, cysts on your ovaries and unexplained vaginal bleeding.

The progestogen-only pill can usually be taken right up to the menopause or the age of 55 years.

Breastfeeding and Pregnancy

Breastfeeding women can take the POP, without known significant adverse effects on infants. If POPs are taken inadvertently during pregnancy, this will not usually adversely affect the pregnancy. A doctor or specialist nurse should be consulted in both cases.

Pros and cons

Pros:

  • Sex life can continue as normal
  • Can be taken whilst breastfeeding
  • Does not contain oestrogen, which some women cannot take
  • Can be taken by smokers over 35
  • Can reduce the occurrence and intensity of premenstrual syndrome and lighten periods

Cons:

  • Period may become irregular or frequent and spotting may occur
  • Must be taken regularly at the same time each day

Side effects and interactions

Most women can take mini pills without significant side effects. Possible side effects include acne, breast tenderness, increased or decreased sex drive, headache and migraines, and mood changes. Some prescribed and non-prescribed medicines, including some antibiotics, St John's Wort, and some epilepsy medicines may interact with POPs.

For a fuller list of side effects and details of interacting medicines see the patient information leaflets supplied with pills, e.g. the patient information leaflet of the mini pill Cerazette.

Risks

There is an increased risk of ovarian cysts, but these are usually not dangerous and usually disappear without treatment.

Research suggests that women who use any type of hormonal contraception have a slightly higher chance of being diagnosed with breast cancer. After stopping for 10 years the risk goes back to normal. If there is a family history, this should be discussed with a doctor at the start of treatment.

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The order process

Answer short medical questionnaire

Choose treatment, register, and pay

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Medicine posted direct from pharmacy


Customer reviews

“The medicine I got at Dr Fox including the doctors online receipt and the post fee roundabout 30 less than in Germany. The box came 5 days after my order. Great deal, great service.”12 November 2017 – Simon M., Teisendorf

“Very easy to use web site,good description of goods excellen, price compared to high street price, very fast delivery.Will not hesitate to use again”27 October 2017 – Gordon R., Worksop

“The case was handled professionally and the delivery was quick. The product exactly as requested, highly recommended”24 October 2017 – Maciej M., London

“Dr. Fox is the perfect solution for my ED. Great service and pricing.”10 October 2017 – John B., Germany

“Absolutely fantasic. Excellent & prompt service all round including communication. Will definitely use Dr Fox again in the future. Many thanks”03 October 2017 – Denise B., London

“Excellent tablets which work very well with no adverse effects. I have now been using these for around a year. Discreet packaging, speedy delivery and excellent pricing make Dr Fox my first choice every time.”25 September 2017 – Dave B., Edinburgh

“As always, a secure, confidential, and ultra efficient service from the Dr Fox team, well done, and thanks.”22 September 2017 – A. C., Stirlingshire

“Excellent, speedy and professional service. I have used Dr Fox over two years and have found online ordering and delivery to be faultless.”03 September 2017 – Stephen C., Aberdeen

“Ordered one day ,there the next day. The website is easy to use and you do not have to keep filling in the same things, time after time. I also feel safe as the doctors continue to review you. Good price good product.”01 September 2017 – Terry M., Warwickshire

“All round first class from the Doctor to delivery, continual updates from the customers services and feeling that DR fox cares about his patients/ customers. I have recommended Dr Fox to my friends”30 August 2017 – Peter P., Crawley

“Great service. Ordered my goods and received them very quickly with no problems at all. Will definitely use your services again and I will be recommending yourselves to many people.”17 July 2017 – Keely D., Luton

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