Birth control pills help keep you from getting pregnant. The pills with only progestin come in 28-day packs. Every pill is active. Each has only progestin, and no estrogen. These types of birth control pills are used for women who have medical reasons that prevent them from taking a combination oral contraceptive pill (pills that contain progestin and estrogen). Women who take progestin-only pills may:
- Have migraine headaches
- Be breastfeeding
- Have a history of blood clots
Progestin-only pills are very effective if taken correctly.
Progestin-only pills work by making your mucus too think for sperm to move through.
How Do I Start Taking Progestin Pills?
You may start taking these pills any time in your menstrual cycle.
Protection from pregnancy begins after 2 days. If you have sex within the first 48 hours after your first pill, use another birth control method (condom, diaphragm, or sponge). This is called backup birth control.
How Do I Take Them?
You must take the progestin-only pill at the same time every day.
Never miss a day of taking your pills.
When you have 2 packs of pills left, call your health care provider for an appointment to get a refill. The day after you finish a pack of pills you need to start a new pack.
With these pills you may:
- Get no periods
- Bleed a bit on and off through the month
- Get your period in the fourth week
What if I Do not Take My Pill on Time?
If you do not take the progestin pill on time, your mucus will start to thin and you could become pregnant.
When you realize you missed your pill, take it as soon as possible. If it is 3 hours or more since it was due, use a backup birth control method for the next 48 hours after taking the last pill. Then take your next pill at the usual time. If you had sex in the last 3 to 5 days, consider asking your provider for emergency contraception. If you have any questions or concerns, call your provider.
If you vomit after you take a pill, take another pill as soon as possible, and use a backup birth control method for the next 48 hours.
What to Expect When I Stop
You may decide to stop taking birth control pills because you want to get pregnant or you want to change to another birth control method. Here are some things to expect when you stop taking the pill:
- You should get your period 4 to 6 weeks after you take your last pill. If you do not get your period in 8 weeks, call your provider.
- Your period may be heavier or lighter than usual.
- You may have mild spotting of blood before you get your first period.
- You might become pregnant right away.
When to Use a Backup Method
Use a backup method of birth control, such as a condom, diaphragm, or sponge, if:
- You take a pill 3 hours or more after it was due.
- You miss 1 or more pills.
- You are sick, throwing up, or have loose stools (diarrhea). Even if you take your pill, your body may not absorb it. Use a backup method of birth control, and call your provider.
- You are taking another medicine that may prevent the pill from working. Tell your provider or pharmacist if you take any other medicines, such as antibiotics, seizure medicine, medicine to treat HIV, or St. John's wort. Find out if what you take will interfere with how well the pill works.
When to Contact a Medical Professional
Call your health care provider if:
- You have swelling in your leg
- You have leg pain
- Your leg feels warm to the touch or has changes in skin color
- You have fever or chills
- You are short of breath and it is hard to breathe
- You have chest pain
- You cough up blood
Mini-pill; the pill - progestin; Oral contraceptives - progestin; OCP - progestin; Contraception - progestin
Family planning: Contraception, sterilization, and pregnancy termination. In: Lentz GM, Lobo RA, Gershenson DM, Katz VL, eds. Comprehensive Gynecology. 6th ed. Philadelphia, PA: Elsevier Mosby; 2012:chap 13.
Update Date 11/21/2014
Updated by: Cynthia D. White, MD, Fellow American College of Obstetricians and Gynecologists, Group Health Cooperative, Bellevue, WA. Also reviewed by David Zieve, MD, MHA, Isla Ogilvie, PhD, and the A.D.A.M. Editorial team.