POC’s (also known as the mini-pill) work by:
Preventing Ovulation: Some POCs may stop your ovaries from releasing an egg, though this effect can vary among users.Thicken Cervical Mucus: POCs make the mucus in your cervix thicker, which makes it much harder for sperm to reach an egg.Thin the Uterine Lining: If an egg gets fertilized, a thinner uterine lining makes it less likely to attach and develop.With perfect use, POCs are over 99% effective at preventing pregnancy. With typical use—if you miss pills or take them late—the effectiveness drops to about 91%. Taking your pill at the same time every day is especially important with POCs to maintain their effectiveness. Setting a daily reminder or pairing your pill with a routine habit can help you remember.
Take one pill every day, at the same time, without a break.If you’re more than 3 hours late (for traditional POCs) or 12 hours late (for some newer types), take the missed pill as soon as you remember and use backup contraception (e.g. condoms) for the next 48 hours. Always check your pill pack instructions or reach out to us for support if you miss a pill.POC’s can sometimes prevent a period and therefore may be more convenientMore suitable for those with a high BMI or those who suffer from migrainesSafer for people who can’t take oestrogen-containing contraceptivesMay be used while breastfeedingMost people tolerate POCs well, but some may notice mild side effects at first. These can include:
AcneIrregular bleeding or spotting (although this usually stops after the first few months)Breast tendernessMood changes (Note: the evidence does not show a consistent worsening or improvement of mental health for those with existing mental health conditions)NauseaSide effects often improve after a few months. If you continue to have bothersome symptoms, a different type of progesterone-only pill or another contraceptive method may help. We offer free consultations before starting POCs—click below to book a free consultation.
POCs are safe for most women (including those with a BMI over 35 or have heart issues), but you may need a different option if you:
A liver disease, such as cirrhosisActive breast cancer*A kidney-related conditionUnexplained prolonged vaginal bleeding for more than 14 days should be investigated before starting or continuing contraception*If you are in remission from breast cancer POC’s are usually not recommended unless supported by specialist advice.
There is a slight increase in breast cancer risk however the risk is low and declines after stoppingThere is no evidence that POC’s increase the risk of ovarian or cervical cancerPOC’s may offer some protection against endometrial (womb) cancer however there is only limited data available to support thisFor more information on the cancer risks associated with POC’s check out our articles by clicking here.
Yes, missing or taking POCs late increases your risk of pregnancy. Take the missed pill as soon as possible and use backup contraception as recommended.
No, fertility usually returns quickly after stopping POCs.
No, you can use POCs for many years without needing breaks unless your doctor advises otherwise.
At Nora Health, we're here to support you every step of the way. If you're interested in starting oral contraceptives, the first step is to schedule a consultation with us. We'll review your medical history, answer your questions, and help you choose the best birth control option for your needs.
Click below to book a free appointment.
