What are the alternatives to combined pill?

The progestogen-only pill does not contain oestrogen and may suit some people who should avoid oestrogen. Its timing instructions depend on the product. The vaginal ring releases combined hormones through a flexible ring used in the vagina, so it may not suit someone seeking to avoid both hormones.

Hormonal contraception can also be prescribed to help symptoms linked with endometriosis, ovarian cysts, polycystic ovary syndrome, or premenstrual dysphoric disorder, but symptom treatment is separate from pregnancy prevention. Levonorgestrel is one progestogen used in some hormonal products.

Before changing methods, review migraines with aura, blood pressure, smoking, breastfeeding, clot history, medicines, and pregnancy plans. Ask how to move from the combined pill without leaving a gap in contraceptive protection, and what bleeding pattern or side effects to expect with the new method.

Get urgent medical help for chest pain, sudden breathlessness, coughing blood, one-sided leg swelling, or sudden neurological symptoms while using a hormonal method. Contact your clinician for persistent heavy bleeding, severe mood changes, or symptoms that began soon after a switch.

Ask which options contain oestrogen, how reliable the method is when used as directed, whether it helps your particular symptoms, and what to do after a missed dose or unprotected sex.