Overview and effectiveness
What is it?
The combined pill contains two hormones, estrogen and progestogen. You take one pill at around the same time every day. Most packets contain 21 hormone pills and 7 non-hormone pills, or 24 hormone pills and 4 non-hormone pills.
How does it work?
The pill stops ovulation (when your ovary releases an egg). It also thickens the mucus at the entrance to your uterus so sperm can’t enter.
Does it prevent pregnancy?
Typical use93.0%
Perfect use99.7%
Side effects and risks
What are the common side effects?
- headache
- nausea
- tender breasts
- bloating
- mood changes
- less interest in sex
- spotting between periods (breakthrough bleeding)
- brown patches on the skin (melasma)
Most side effects settle within the first 3 months on the pill.
Are there any serious risks?
For most people the pill is safe, but it can slightly increase your chance of blood clots, stroke and heart attack. Your doctor will check your health and family history before prescribing it.
How will it effect my fertility?
When you stop taking the pill, there may be a short delay before your normal cycle and fertility return.
Will it impact my periods?
The pill can help control your periods and other symptoms. It can:
- make your bleeding lighter and more regular
- reduce period pain
- help with heavy periods
- improve acne
- improve premenstrual syndrome (PMS)
You will usually get a withdrawal bleed while taking the non-hormone pills. If you don’t want to have a period, you can talk to your doctor about skipping the non-hormone pills.
Health conditions that might prevent me from using this contraceptive?
The pill may not be recommended if you:
- have, or have ever had blood clots such as a deep vein thrombosis or a condition that increases your chances of blood clots
- have ever had a heart attack or stroke
- have certain types of heart disease or high blood pressure
- are older than 35 and smoke
- have severe liver problems
- have breast cancer
- have some types of migraine (migraine with aura)
- have recently given birth and are breastfeeding
Access, cost and use
How do I access?
You will need a prescription from a GP or family planning clinic. In some states and territories you can get a resupply of your pill directly from a pharmacist.
Are there any costs I need to consider?
The pill costs from $7 to $30 per month depending on the brand. Some brands are listed on the PBS, which makes them cheaper to buy. Costs are based on Medicare/Concession Card holders.
How often is it used?
You take one pill at around the same time every day. When you finish a packet, you start the next one the following day.
FAQs
What happens if I miss a pill?
Missing a pill may mean you are not protected from pregnancy. If you miss a pill and aren’t sure what to do, ask your doctor, pharmacist or local family planning clinic.
What if I vomit or have diarrhoea?
The pill may not be absorbed properly, so it may not protect you. Ask your doctor or pharmacist whether you need to use extra protection, such as condoms, in the meantime.
Learn more about this contraceptive
