The combined oral contraceptive pill is a daily contraceptive that contains two hormones: oestrogen and synthetic progestogen. Together, these hormones help prevent pregnancy mainly by stopping ovulation (the release of an egg). It also thickens cervical mucus, making it harder for sperm to reach an egg, and thins the lining of the womb to reduce the chance of a fertilised egg implanting.

There are different types of combined pills available, with different hormone doses and formulations. Our team can help you understand your options and find one that fits your health, lifestyle and preferences.

The combined pill is a highly effective form of contraception when taken correctly and consistently.

It can mean more predictable periods, allowing you to control when you have a withdrawal bleed. It can also mean lighter and less painful periods for some people. It could also help improve period-related symptoms, including some symptoms of premenstrual syndrome (PMS).

It is reversible, meaning fertility usually returns shortly after stopping.

Because the combined pill contains oestrogen, it may not be suitable for everyone. Oestrogen can increase the risk of blood clots in a small number of people and it may not be suitable for you if you have any of the following health conditions:

• A history of blood clots or certain clotting disorders.

• Some types of migraines, particularly migraine with aura.

• Certain heart or blood vessel conditions.

• Some liver conditions.

• Current or previous breast cancer.

• High blood pressure that is not controlled.

• If you smoke and are aged 35 or over.

Our team will assess your medical history to make sure the combined pill is a safe option for you.

As with all medication, there is a risk of some side effects when starting the combined pill. These often improve after the first few months as your body gets used to the medication.

Potential side effects can include:

• Feeling sick (nausea).

• Breast tenderness.

• Headaches.

• Mood changes.

• Changes to your bleeding pattern, including spotting between periods.

• Changes in libido (sex drive).

Serious side effects are uncommon, but you should seek medical advice urgently if you experience symptoms such as sudden chest pain, difficulty breathing, coughing blood, severe headaches, weakness or swelling and pain in one leg.

When taken correctly every day, the combined pill is over 99% effective at preventing pregnancy. Missed pills can reduce its effectiveness.

The combined pill is suitable for many people but isn't the right choice for everyone. During your online consultation we will discuss your routine, lifestyle health and medical history so you can decide if this is the right pill for you.

Yes. Many people find the combined pill makes their periods lighter, more regular and less painful. Some types may also help improve symptoms of PMS.