Here are some key facts:
This page should tell you everything you need to know about the POP pill but if you have more questions, you can get in touch with Ask Brook via webchat or text on 07717 989 023 (standard SMS rates). Contacting Ask Brook is confidential. That means we won’t tell anyone you’ve contacted us unless we think you are in really serious danger. If you have missed a pill or think you may not be protected, click here for more information.
Pregnancy happens when sperm reaches an egg and fertlises it. The POP pill works in two ways to interrupt this process:
Although the POP pill protects against pregnancy, it doesn’t protect against sexually transmitted infections (STIs). To be protected against STIs, barrier methods such as condoms should be used in addition to the POP pill.
If it’s taken correctly, the POP pill is over 99% effective at preventing pregnancy. This means that less than one woman in 100 will get pregnant in a year.
The POP pill is available free of charge from:
When you go to get the POP pill, you will be asked a few questions about your medical and family history, to determine which type is most suitable for you, or if another form of contraception would be more suitable. You will also need to let the doctor or nurse know about any other medicines you are taking as this can make the POP pill less effective. The doctor or nurse will take your blood pressure and they may weigh you. You will not be required to have an internal or breast examination for the POP pill.
When you first start the POP pill you will usually be given a three month supply to see how you get on. Follow up appointments and reviews are then usually every 6-12 months providing there are no issues. You can always return to the clinic at any time if you are worried about anything or would like to discuss changing to a different type of POP pill or other form of contraception.
Contraception and sexual health services such as Brook are free and confidential, including for people under the age of 16. Health professionals work to strict guidelines and won’t tell anyone else about your visit unless they believe you're at serious risk of immediate harm. Find out more about Brook’s confidentiality policy here.
You take one pill every day from your pack. Depending on the type of pill you are taking this will need to be within either three or 12 hours of the same time each day. With the POP pill you don’t have a break between packs (as with some types of the combined pill), and when you have finished the pack, you start taking the next pack the next day.
There are two different types of progestogen-only pill:
The three-hour POP pill containing the progestogen hormone levonorgestrel or norethisterone. These must be taken within three hours of the same time each day. It is this type that is referred to as the ‘mini pill’.
The 12-hour POP pill which contains desogestrel. This must be taken within 12 hours of the same time each day.
Please note, the pills prescribed by Brook or your GP may vary. Whatever type of pill you are taking, follow the instructions that come with the packet, paying careful attention to which medicines and antibiotics might affect it. If you know the brand name of your pill you can check the NHS Choices medicines guide to get details for your pill.You can also ask whoever prescribed it to you for more information.
Any medication can have some side-effects or disadvantages but for most women the benefits will outweigh the possible risks. Things to watch out for include:
You take one pill every single day with no break. When you first take the pill, choose the time of day that suits you best. Then take it at the same time every day until you finish the packet. You then start the next packet straight away.
If you start taking the POP at the beginning of your period (day one), you will be protected against pregnancy straight away. You can also start the pill up to, and including, the fifth day of your period and you will be protected from pregnancy immediately.
If you have a short menstrual cycle, where your period normally comes every 23 days or less, starting the POP pill as late as the fifth day of your period may mean you are not immediately protected (because you might ovulate early in your menstrual cycle).
If you think this might be the case, speak with a doctor or nurse about whether you need to use additional contraception, such as condoms, for the first two days.
If you start taking the pill at any other time in your menstrual cycle, it will take two days before it starts to work. So you'll need to use condoms for the first two days.
If you are more than three hours late (or 12 hours late if you are taking POPs containing the hormone desogestrel):
If you are less than three hours late (or 12 hours late if you are taking POPs containing the hormone desogestrel):
Speak to your doctor or nurse for further advice if you have been prescribed the antibiotics rifampicin and rifabutin (used to treat illnesses tuberculosis and meningitis) as these can reduce the effectiveness of the POP pill. You may need to use barrier methods of contraception (such as condoms) while taking these antibiotics and also for 28 days afterward.
If you have missed a pill and are worried you may not be protected, click here for more information.
Your periods may become irregular. They may happen more often, less often, be lighter or stop altogether. You may also get spotting in between periods. This isn’t harmful and may settle down. If you have concerns seek advice.
The POP pill can also help with painful periods and premenstrual symptoms.
You can start taking the POP pill any time after the birth. If you start after day 21 you will need to use a barrier method of contraception such as condoms for two days. The POP pill does not affect the way your breastmilk is produced and you can breastfeed whilst taking the POP pill. A very small amount of hormone enters your breast milk, but research has shown this will not harm your baby.
You can start taking the POP immediately after a miscarriage or abortion and you will be protected from pregnancy immediately. If you start the pill more than five days after the miscarriage or abortion, you'll need to a barrier method of contraception, such as condoms until you have taken the POP pill for two days.