Combined pill

The combined pill, also called the pill, is a type of hormonal contraception. It’s very effective at preventing pregnancy and great if you want more control over your bleeding pattern.

It can help with the symptoms of acne, polycystic ovary syndrome, endometriosis and bad period pains. But it’s not suitable for everyone.

Hormones

Oestrogen and progestogen.

Frequency

Take one pill a day.

Effectiveness

Over 99% if you take it correctly all the time.

STI protection

No.

Periods

Can give you control over when you have a period.

Getting started

You’ll need a consultation with a pharmacist, doctor or nurse. This can be done online. You’ll need to share your height, weight and a recent blood pressure reading and answer some questions about your health.

More information

For information on who can take this pill, what side effects you might experience and more, read the full guide on SH:24.

3 safe ways to take the combined pill:

To bleed every month

  • take a pill every day for 21 days, until you’ve finished the packet

  • stop for 4 or 7 days. You’ll bleed during the break

  • start the next packet after 4 or 7 days without pills, even if you’re still bleeding

To bleed a few times a year

  • take a pill every day until you’ve finished 3 packets, a total of 9 weeks

  • stop for 4 or 7 days. You’ll bleed during the break  

  • start the next packet after 4 or 7 days, even if you’re still bleeding

To avoid a regular bleed

  • take a pill every day, for at least 21 days and continue to take the pill daily after that. Go straight from one packet to the next without a break

  • it’s not unusual to have a little bit of irregular bleeding but if it goes on for more than 4 days, stop the pill for 4 days

  • continue taking the pill from where you stopped

Do you need help with something else?