The mini pill, or Progestogen-only Pill (POP), is a popular form of birth control that contains only Progestin and no Estrogen. 

Progestin is a synthetic form of Progesterone.

When used correctly, it is an extremely effective contraception method. 

It makes the mucus in the neck of the womb thicker, which makes it harder for sperm to get to the egg inside the womb. 

The mini pill differs from the Combined Oral Contraceptive (COC) pill, which contains both Estrogen and Progestin.

This article covers information about mini pill effectiveness, how long it takes to work, potential benefits, and more.

How effective is the mini pill

When taken consistently and correctly, the mini pill can be more than 99% effective in preventing pregnancy. 

However, with typical use, the mini pill effectiveness drops to around 91%. 

It is essential to take the mini pill at the same time every day for it to be effective. 

Some factors that can reduce the mini pill’s effectiveness include:

  • Missing a pill
  • Vomiting within 3 hours of taking it
  • Severe Diarrhea
  • Certain medications or natural remedies

Since the mini pill does not offer protection against STDs, using condoms is advised as well.

Fact:
Newer mini pills containing Desogestrel are more effective in preventing pregnancy than non-Desogestrel pills.

How long does it take for the mini pill to start working

Woman holding birth control pills
Woman holding birth control pills

The mini pill, or Progestogen-only pill, starts to work immediately if a person starts it on the first day of their menstrual cycle. 

If they start at any other time, it is recommended to use condoms for the first 48 hours to prevent pregnancy. 

As long as someone isn’t pregnant, they can start taking the mini pill anytime, ideally on the first day of their menstrual period. 

If a person takes their first pill more than five days after the start of their period, it is recommended to use a backup method of birth control for the first two days. 

To conclude, the mini pill effectiveness can be seen immediately or within 48 hours, depending on when an individual starts taking it in their menstrual cycle.

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Benefits of the mini pill

The mini pill offers several benefits, including:

  • High effectiveness: The mini pill effectiveness can help prevent pregnancy more than 99% of the time if it is taken properly
  • Immediate start: The mini pill effectiveness starts working immediately if taken on the first day of the menstrual cycle
  • Low hormone content: The mini pill contains only Progestin, a man-made hormone that is similar to Progesterone, and does not contain Estrogen. This can result in fewer side effects for some individuals
  • Suitable for those with certain health conditions: The mini pill may be a good choice for people with High Blood Pressure or heart problems, as well as those concerned about taking Estrogen
  • Can be taken while breastfeeding: The mini pill can be used by women who are breastfeeding
  • Quick return to normal fertility: Once an individual stops using the mini pill, their fertility returns to normal

However, the mini pill has some disadvantages, such as:

  • Irregular menstrual bleeding: The mini pill can cause irregular periods, spotting, and heavy bleeding or no bleeding at all
  • Side effects: Some side effects may occur, including acne, breast tenderness, mood changes, and decreased sex drive. These side effects are usually temporary and should improve over time
  • Health risks: Some conditions that may make the mini pill unsuitable include a history of blood clots, certain types of cancer, and liver disease
  • No protection against STIs: It is recommended to use condoms along with the mini pill because it does not protect against STDs
Warning:
Do not start using the mini pill without consulting a doctor. It might somewhat raise the chance of developing Breast Cancer.

Consequences of missing a mini pill

shocked couple from pregnancy results
Risk of pregnancy

Missing a dose of the mini pill can increase the risk of pregnancy.

It is usually advised that an individual take the following actions if they miss a pill:

  • If you are less than 3 hours late in taking the pill, it is suggested to take the missed dose as soon as you remember with no other change in the routine. No additional contraception is needed
  • In case you are more than 3 hours late taking your pill, you should take the missed pill as soon as you remember. It is advised to use an additional form of contraception, such as condoms, for the next two days (48 hours)
  • If you miss a pill and have had unprotected sex since you missed it, you may need emergency contraception

It’s important to follow the specific guidance provided with their medication, as different brands of the mini pill may have slightly different instructions for missed doses. 

If you have further concerns or frequently forget to take your pill, it’s advisable to consult your healthcare provider for personalized advice and alternative contraceptive options.

Conclusion

When used correctly, the mini pill, or Progestogen-Only Pill, is an extremely effective contraception method. 

The mini pill effectiveness starts working immediately and can be taken anytime during the menstrual cycle. 

However, it can cause irregular menstrual bleeding, and side effects may occur. 

If a dose of the mini pill is missed, it is essential to take it as soon as remembered and use additional contraception if necessary. 

Since the mini pill does not offer protection against STDs, condoms should be used alongside it.

Nevertheless, the mini pill has a low hormone content, making it suitable for individuals with certain health conditions and those who are breastfeeding. 

Consulting a doctor to clarify any doubts about the mini pill’s effectiveness before selecting a POP is recommended.

Frequently Asked Questions

What is the mini pill, and how does it work?

The mini pill is a form of birth control that contains only Progestin and no Estrogen. It makes the mucus in the neck of the womb thicker, which makes it harder for sperm to get to an egg inside the womb. 

Is the mini pill suitable for everyone?

The mini pill may suit everyone, and it is vital to visit a healthcare provider before starting it. Some conditions that may make the mini pill unsuitable include a history of blood clots, certain types of cancer, and liver disease.

What are the potential side effects of the mini pill?

Some potential side effects of the mini pill include irregular menstrual bleeding, acne, breast tenderness, mood changes, and decreased sex drive. These side effects are usually temporary and should improve over time.

What should I do if I miss a dose of the mini pill?

If a dose of the mini pill is missed, it is essential to take it as soon as remembered and use additional contraception if necessary. If you have further concerns or frequently forget to take your pill, it’s advisable to consult your doctor for personalized advice and alternative contraceptive options.

Citations:
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