(Consultation) NHS Combined Contraceptive Pill **FREE**

Combined Oral Contraceptive Service (NHS Free Service)

The Combined Oral Contraceptive Pill (COCP) is a popular method of contraception offered for free through the NHS. It is a highly effective form of contraception when taken correctly and provides additional benefits such as regulating menstrual cycles, reducing period pain, and helping with conditions like acne and polycystic ovary syndrome (PCOS).

What is the Combined Oral Contraceptive Pill (COCP)?
The COCP contains two hormones, estrogen and progestogen, which work together to prevent ovulation, thicken cervical mucus to make it harder for sperm to reach an egg, and thin the womb lining to prevent implantation.

Different Types of Combined Oral Contraceptives:
Combined contraceptive pills come in various formulations, allowing healthcare providers to tailor options based on an individual’s needs and preferences. The two main types of COCP are monophasic pills and phasic pills.

1. Monophasic Pills

Monophasic pills are the most commonly prescribed type of COCP. Each pill in the pack contains the same dose of estrogen and progestogen, making them simple to use and easy to manage. Popular brands include:

• Microgynon 30
• Rigevidon
• Marvelon

These pills are typically taken for 21 consecutive days followed by a 7-day break (or placebo pills), during which you have a withdrawal bleed. Newer regimens may involve fewer or no breaks (e.g., taking 24 active pills and 4 placebo pills).

Advantages of Monophasic Pills:

• Easy to use since hormone levels are consistent throughout the cycle.
• Fewer side effects from hormone fluctuations compared to other types.

2. Phasic Pills

Phasic pills are designed to more closely mimic the natural menstrual cycle. The hormone levels vary across the pill pack, with different doses in each phase. These are typically prescribed for individuals who experience side effects from monophasic pills or who need tailored hormonal adjustments. Examples include:

• Logynon
• Biphasil
• Trinovum

Phasic pills need to be taken in the correct order, so it is essential to follow the instructions carefully to maintain efficacy.

Advantages of Phasic Pills:

• Better tolerated by some individuals sensitive to consistent hormone levels.
• May provide better cycle control for certain patients.

3. Extended-Cycle or Continuous Pills

Some COCPs are designed for continuous or extended use, allowing users to reduce or skip withdrawal bleeds altogether. These are particularly beneficial for individuals with heavy periods, endometriosis, or significant period pain. Examples include:

• Seasonique
• Qlaira

Advantages of Extended-Cycle Pills:

• Fewer periods (or none), improving quality of life for some users.
• May reduce period-related symptoms like migraines, cramps, and mood swings.

Other Considerations for COCP Use
When starting a COCP, a consultation with a healthcare provider is essential to assess suitability, taking into account factors like age, medical history, smoking status, and body mass index (BMI). The COCP is not suitable for individuals with certain conditions, such as a history of blood clots, migraines with aura, or high blood pressure.

How to Access COCP via the NHS Free Service:
You can access the COCP through:

• Your GP surgery
• Sexual health clinics
• Online NHS-approved services

The free NHS service ensures that everyone has access to reliable and safe contraceptive options tailored to their needs. If you’re considering the COCP or want to discuss different types, contact your local NHS service today.