Progestogen only pill (POP): A Guide for Women

What’s the Deal with the POP?

Ever heard of the progestogen-only pill, or POP for short? It’s the rebel of the contraceptive world, marching to its own beat. Nicknamed the “mini pill,” this little wonder packs a punch without the estrogen sidekick found in its famous cousin, the combined pill.

But how does it work its magic? Picture this: the POP’s superpower lies in thickening your cervical mucus. It’s like creating a fortress around your cervix, making it a tough nut for those determined sperm to crack. They’ll either struggle to get through or wave the white flag before reaching your egg.

Taking the POP: It’s All About Timing

Now, let’s talk about popping these pills. Unlike other contraceptives that give you a breather, the POP demands dedication. You’ll be taking one every single day, no breaks, no holidays.

Here’s where it gets interesting: you’ve got two flavors to choose from. There’s the early bird 3-hour pill and its more laid-back cousin, the 12-hour pill. As you might’ve guessed, the 3-hour pill needs to be taken within 3 hours of the same time each day, while the 12-hour pill gives you a more generous window.

Starting out? You can usually begin your POP journey any day of the month. But heads up! You might need to use a backup method for the first few days, especially if you’re kicking things off after day 5 of your cycle. And if you’re going for the 3-hour pill, pick a time that fits your schedule like a glove.

Is the POP Your Perfect Match?

Here’s the scoop: some women can’t tango with the combined pill due to certain health hiccups. Enter the POP – it’s like the Swiss Army knife of contraception, safe for most women to use. Breastfeeding? No problem! The POP’s got your back.

And get this – if you’re in good health, you can keep this pill party going until you hit the big 5-5. Talk about a long-term relationship!

The Perks of Popping POPs

Let’s chat about the good stuff. The POP comes with a goodie bag of advantages:

  1. Lighter periods? Check. They might even decide to take a vacation altogether.
  2. Spontaneous sex? You betcha. No need to pause for contraception.
  3. Breastfeeding-friendly? Absolutely. No need to choose between feeding your baby and preventing pregnancy.

Plus, the POP plays it safer than its combined pill sibling when it comes to serious health risks. It’s like choosing the family sedan over a sports car – less flashy, but more reliable.

The Not-So-Rosy Side of the POP

Now, let’s keep it real. The POP isn’t all sunshine and rainbows. Your periods might decide to play hide and seek, showing up when you least expect them. And timing is everything with this pill – you’ve got to be more punctual than a Swiss train.

In the first few months, you might experience some unwelcome guests:

  • Skin throwing a spotty tantrum
  • Breasts feeling a bit tender
  • Your libido doing the cha-cha (up or down)
  • Mood swings that rival a soap opera
  • Nausea making an uninvited appearance
  • Headaches crashing the party

But don’t throw in the towel just yet! These party poopers usually pack their bags and leave after a few months.

Oh, and a word to the wise: if you’re under the weather with a stomach bug, your pill might not work its full magic. Some medications, including certain antibiotics, can also crash the POP’s effectiveness. When in doubt, have a chinwag with your doc.

Oops, I Did It Again: Missed Pills and Sickness

We’re all human, and sometimes life gets in the way of our pill-popping routine. If you’re fashionably late taking your pill (more than 3 or 12 hours, depending on your type), pregnancy might try to crash the party.

Here’s your game plan: as soon as you remember, take one pill (just one, even if you’ve missed a few), then carry on as usual. You might end up taking two in one day, but that’s okay. Play it safe and use extra protection for the next two days while your pill gets back in the groove.

Feeling under the weather? If you’ve been sick or had a bout of diarrhea within two hours of taking your pill, it’s time for a do-over. Take another pill right away and stick to your usual schedule the next day. If you’re stuck in sickness city for a while, bring in backup contraception until you’ve been pill-popping without problems for 2-7 days.

Remember, the POP is like a good friend – reliable, but not perfect. It’s got your back most of the time, but sometimes it needs a little help from you to do its job right. So stay sharp, stay informed, and most importantly, stay protected!


Photo “Progestogen only pill” by Anthony Cunningham for Zoom Health

Zoom Health is a leading UK supplier of Home Health Tests and Earplugs


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