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Microgynon Contraceptive Pill

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What is Microgynon?

Microgynon is a type of hormonal contraceptive pill and is one of the most popular and reliable birth control methods available for preventing pregnancy.

It is a combined oral contraceptive pill that is taken daily for 21 days. It contains a synthetic oestrogen (ethinylestradiol) and progesterone (levonorgestrel). These hormones help regulate a woman's natural cycle.

Microgynon is approved by the European Medicines Agency (EMA). You can purchase Microgynon tablets online at euroClinix after completing an online consultation for contraception.

How does Microgynon combined pill work?

Microgynon contains two types of female sex hormones, ethinylestradiol and levonorgestrel. These hormones prevent pregnancy in three main ways:

Image 1

It prevents ovulation (the release of an egg)

It stops the release of an egg from the ovary each month.

Image 2

It thickens the cervical mucus

It makes the fluid in the cervix thicker, which creates a barrier. This makes it difficult for sperm to reach an egg.

Image 3

It thins the lining of the womb

Thinning the uterine lining makes it less likely for a fertilised egg to attach and develop.

What are the benefits of taking Microgynon?

As well as preventing pregnancy, Microgynon contraceptive pills have other benefits.

Image 1

Provides effective contraception

When taken correctly, Microgynon is more than 99% effective in preventing pregnancy.

Image 2

Reduces ovarian cancer risk

Research has also found that the combined pill can slightly reduce your risk of ovarian cancer with long-term use.

Image 3

Lightening heavy periods

Microgynon can help make your periods lighter. This can reduce the risk of iron deficiency, especially in women with heavy periods.

Image 4

Regulating irregular periods

It helps make menstrual cycles regular and more predictable.

Image 5

Relieves period cramps and PMS

Microgynon can reduce menstrual cramps and ease the discomfort and pain associated with periods. It may also help with pre-menstrual symptoms (PMS).

How effective is Microgynon?

The standard effectiveness rate of combined contraceptive pills, like Microgynon, when taken correctly, is more than 99%.

One study found that out of 227 women using Microgynon, none became pregnant. This was true even though 7.6% of women reported mistakes in taking the tablets.

However, in some cases, the effectiveness of this pill can drop to around 92%. The most common reasons for reduced effectiveness include:

  • user error (e.g. missing or losing a pill)
  • vomiting and diarrhoea
  • taking medicines that interact with the pill

Who can and cannot take it?

Microgynon is safe for most women to take. However, some may be at a greater risk of complications and adverse effects, so should consider alternative contraceptives.

Who can take this medicine?

Microgynon is a good choice for adult women who want effective oral contraception. Especially for those who:

  • prefer an oral tablet
  • have irregular or heavy periods
  • don't have risk factors that make the combined pill unsuitable

Who cannot take this medicine?

Do not take Microgynon if you are allergic to the active ingredients or any other ingredients in this medicine.

Do not take Microgynon if you have or have had:

  • a blood clot in a blood vessel of your legs (DVT), lungs (PE), or other organs
  • a clotting disorder (e.g. protein C or S deficiency)
  • a heart attack or stroke
  • angina (severe chest pain) or a transient ischaemic attack (TIA)
  • any of the following diseases that increase the risk of a clot in the arteries:
  • migraines (especially with aura)
  • breast or genital cancer
  • severe liver disease or liver tumours
  • undiagnosed vaginal bleeding

Certain medical conditions can increase your risk of complications when taking Microgynon. Before taking this medicine, you should also inform your doctor if any of the following affect you:

Personal risk factors

  • are above 35 years old
  • are overweight or obese
  • smoke
  • are scheduled to have an operation and will be off your feet for a long time
  • have recently given birth

Family history

  • have family members who have had DVT, PE, a heart attack or stroke, breast cancer, or high cholesterol
  • have a family history of blood clotting
  • have hereditary angio-oedema (episodes of severe swelling)

Circulation, heart, or blood conditions

  • have heart or circulation problems (e.g. valve disease, a rhythm disorder)
  • high blood pressure
  • have sickle cell anaemia
  • have haemolytic uraemic syndrome (a condition that affects the blood and kidneys)
  • have inflammation in the veins under the skin, or varicose veins

Other conditions

  • have chronic inflammatory bowel disease (e.g. Crohn’s disease or ulcerative colitis)
  • have systemic lupus erythematosus
  • have inflammation of the pancreas
  • have diabetes
  • have porphyria (a condition where substances called porphyrins build up in the body)
  • have liver or gallbladder disease
  • suffer from depression
  • suffer from epilepsy
  • have a history of chloasma (yellowish-brown pigment patches especially on the face)

Our doctors will check for any risks during your online consultation. For more information on who Microgynon is unsuitable for, please refer to the patient information leaflet.

How do I take Microgynon?

Microgynon is available in two versions: Microgynon 30 and Microgynon 30 ED (Every Day). Both contain the same active ingredients however, they differ in their packaging and dosage schedule.

Microgynon 30

  • Contains 21 active pills. One active pill should be taken once daily, at the same time each day for 21 days.
  • After you have finished taking 21 active pills, take a 7-day break. This allows for a withdrawal bleed, which simulates your regular period.
  • Then, start your next pack.
  • Option: Skip your pill-free break and start taking your next pack of pills straight away if you don’t want a withdrawal bleed.

Microgynon 30 ED

  • Contains 28 pills (21 active pills and 7 placebo pills)
  • Take one active pill once daily, at the same time each day for 21 days.
  • Then, start taking the placebo pills. These contain no hormones and will cause a withdrawal bleed.
  • After finishing all 28 pills, start the next pack immediately.
  • Option: If you don’t want a withdrawal bleed, you can skip the 7 inactive pills and start taking the active pills in your next pack.

As Microgynon 30 ED contains 28 pills, it may help with consistency in taking the pill daily. If you often forget when to restart after the 7-day break, Microgynon 30 ED might be a better option for you.

You don’t need to use extra contraception during the seven pill-free days or when taking the inactive pills as long as you have taken your pills correctly and start the next pack of pills on time.

Dr. Caroline Fontana Lead Prescribing Doctor

When to take it

If you take your first Microgynon pill within the first 5 days of your period (day 1 being the first day of your period), you will be protected from pregnancy immediately.

You can still start taking Microgynon at any time during your cycle, but you won't be protected immediately. To be protected you must:

  • Take an active pill for 7 consecutive days.
  • Use a barrier contraceptive (e.g. condoms) or abstain from sex during this time.
Directions for starting Microgynon

If you are not pregnant and not switching from another hormonal contraceptive

  • Take Microgynon within the first 5 days of your period.
  • If you start it on day 6 or later, you must use extra protection (e.g. condoms) for the first 7 days.

Changing from a combined oral hormonal contraceptive

  • Switching from a 21-day pill: Start Microgynon the day after your last active pill. This way, you will be protected with your first pill.
  • You will not have a withdrawal bleed until after your first strip of Microgynon.

Changing from a progestogen-only-pill

  • Start Microgynon on the first day of bleeding, even if you have already taken the progestogen-only pill for that day.
  • You will be protected against pregnancy straight away.

After a miscarriage or abortion

  • If you have had a miscarriage or an abortion during the first 3 months of pregnancy, start taking Microgynon straight away. You will have contraceptive protection with your first pill.
  • If you have had a miscarriage or an abortion after the third month of pregnancy, ask your doctor for advice.

After having a baby

  • If you have just had a baby, Start Microgynon 21 days after your delivery (if you are fully mobile). You do not have to wait for a period.
  • You will need to use another method of contraception (e.g. condoms) until you start Microgynon and for the first 7 days of pill taking.

If you are switching to Microgynon from another contraceptive method, ask your doctor for advice.

How long do I take it for?

You can take this medicine for as long as you need birth control. Your doctor must check that it is still right for you, and that there are no medical reasons to stop.

What should I do if I miss a dose?

Missing a pill is common for many women. It is not always a big worry, depending on how soon you remember to take it.

If it has been less than 12 hours

You’re likely still protected.

  • Take the missed pill as soon as you remember.
  • Take the next pill at your usual time.
  • This may mean taking 2 pills in one day.

If it has been more than 12 hours

Your contraception may be less effective.

  • Take the most recent missed pill as soon as you remember.
  • Continue with your usual schedule.
  • This may also mean taking 2 pills in one day.

Depending on which week of your pack you have missed the pill, the next steps may vary. Check out our interactive tool below for advice on what to do next.

Use our interactive tool below on what to do if you miss one or multiple pills in one month (menstrual cycle). Simply click to begin.

Missed pill, what should I do?

You may be at risk of pregnancy. Please see your own doctor for advice and follow-up.

You are still fully protected, as long as you:

1) Take the missed pill or start the new pill pack as soon as you can.

2) Continue the pack as normal.

You are still fully protected, as long as you:

1) Take the missed pill or start the new pill pack as soon as you can.

2) Continue the pack as normal.

You are still fully protected, as long as you:

1) Take the missed pill and take the active (21) pills as per the normal schedule.

2) Skip the pill-free break.

3) Start the new pill pack straight away.

If your pill pack contains 21 tablets, your 4th week should be a pill-free week if you have not chosen to skip it. This means you should still be fully protected, as long as you:

1) Take the missed pill or start the new pill pack as soon as you can.

2) Continue the rest of the pack as normal.

You may be at risk of pregnancy. Please see your own doctor for advice and follow-up.

The combined pill may not be as effective. You should follow the below advice:

1) Take the missed pill or start the new pill pack as soon as you can.

2) Continue the rest of the pack as normal. You may need to take two pills in one day.

3) Use a barrier contraceptive method if you have sex for the following 7 days.

If you vomited within 3-4 hours of taking the pill, you should take a new pill no longer than 24 hours before your usual pill time. As long as you are not sick again, you should still be protected against pregnancy. If you are sick again or you do not take a new pill, your contraception will not be effective. If that is the case, retake the quiz and follow the advice for a missed pill.

You should still be protected against pregnancy. Take your next pill as per your usual schedule.

You should still be protected against pregnancy. Take your next pill as per your usual schedule.

If you have had severe diarrhoea for more than 24 hours, the pill may not have been fully absorbed and therefore may not be as effective. You should treat every 24 hours of severe diarrhoea as a missed pill. Retake the quiz and follow the advice for a missed pill.

You may be at risk of pregnancy. Please see your own doctor for advice and follow-up.

You are still fully protected, as long as you:

1) Take the missed pill or start the new pill pack as soon as you can.

2) Continue the pack as normal.

You are still fully protected, as long as you:

1) Take the missed pill or start the new pill pack as soon as you can.

2) Continue the pack as normal.

You are still fully protected, as long as you:

1) Take the missed pill and take the active (21) pills as per normal schedule.

2) Skip the inactive (placebo) pills / the pill-free break.

3) Start the new pill pack straight away.

If you missed an inactive pill (placebo), in the 4th week of your cycle, you will still be protected from pregnancy.

You may be at risk of pregnancy. Please see your own doctor for advice and follow-up.

The combined pill may not be as effective. You should follow the below advice:

1) Take the missed pill or start the new pill pack as soon as you can.

2) Continue the rest of the pack as normal. You may need to take two pills in one day.

3) Use a barrier contraceptive method if you have sex for the following 7 days.

If you vomited within 3-4 hours of taking the pill, you should take a new pill no longer than 24 hours before your usual pill time. As long as you are not sick again, you should still be protected against pregnancy. If you are sick again or you do not take a new pill, your contraception will not be effective. If that is the case, retake the quiz and follow the advice for a missed pill.

You should still be protected against pregnancy. Take your next pill as per your usual schedule.

You should still be protected against pregnancy. Take your next pill as per your usual schedule.

If you have had severe diarrhoea for more than 24 hours, the pill may not have been fully absorbed and therefore may not be as effective. You should treat every 24 hours of severe diarrhoea as a missed pill. Retake the quiz and follow the advice for a missed pill.

The combined pill may not be as effective. If intercourse took place in the week prior, the possibility of a pregnancy should be considered. Contact a doctor for advice and consider using an emergency contraceptive method.

You should keep these key points about taking this pill in mind:

1) The more 'white active tablets' are missed and the closer the missed tablets are to the 4 yellow placebo tablets, the higher the risk of pregnancy.

2) 7 days of uninterrupted 'active tablet'-taking are required to attain adequate protection against pregnancy. If you have trouble remembering to take your pill consistently, you should speak to your doctor for advice.

You are still fully protected, as long as you:

1) Take the missed pill or start the new pill pack as soon as you can.

2) Continue the pack as normal.

Provided you have only missed one pill and taken the pills correctly the week prior, you should still be protected against pregnancy.

You should:

1) Take the missed pill or start a new pill pack as soon as you can.

2) Continue the rest of the pack as normal. You may need to take two pills in one day.

If you have missed more than 1 tablet or have not taken the pills consistently the week pior, you should use a barrier contraceptive method for the following 7 days.

If you have missed a pill in the last week of active tablets, the risk of pregnancy is higher. You should still be protected if you have taken the active pills uninterrupted the 7 days before and you take the following advice:

1) Take the missed pill or start the new pill pack as soon as you can.

2) Continue the rest of the pack as normal. You may need to take two pills in one day.

If you have missed more than 1 tablet or have not taken the pills consistently the week prior, you should use a barrier contraceptive method for the following 7 days.

If you missed one of the last 4 pills of the pill pack, it should have no impact as these are hormone-free pills. You should:

1) Dispose of the missed pill and take the next scheduled pill at the correct time, ensuring you don't go longer than 4 days before you start a new pack with active pills.

2) You can also start a new pill pack straight away. This changes the first day of your cycle.

If you had sex the week before missing your pill, you may be at risk of pregnancy. Contact your doctor for advice and consider using an emergency contraceptive method. You should also follow the below advice:

1) Take the missed pill or start the new pill pack as soon as you can.

2) Continue the rest of the pack as normal. You may need to take two pills in one day.

3) Use a barrier contraceptive method if you have sex, for the following 7 days.

The combined pill may not be as effective. You should follow the below advice:

1) Take the missed pill or start the new pill pack as soon as you can.

2) Continue the rest of the pack as normal. You may need to take two pills in one day.

3) Use a barrier contraceptive method if you have sex, for the following 7 days.

If you vomited within 3-4 hours of taking the pill, you should take a new pill no longer than 24 hours before your usual pill time. As long as you are not sick again, you should still be protected against pregnancy. If you are sick again or you do not take a new pill, your contraception will not be effective. If that is the case, retake the quiz and follow the advice for a missed pill.

You should still be protected against pregnancy. Take your next pill as per your usual schedule.

You should still be protected against pregnancy if you experienced a few episodes of diarrhoea in a day/for less than 24 hours. Take your next pill as per your usual schedule. Speak to your doctor or pharmacist if you are not sure.

If you have had severe diarrhoea for more than 24 hours, the pill may not have been fully absorbed and therefore may not be as effective. You should treat every 24 hours of severe diarrhoea as a missed pill. Retake the quiz and follow the advice for a missed pill.

If you have had severe diarrhoea for more than 24 hours, the pill may not have been fully absorbed and therefore may not be as effective. You should treat every 24 hours of severe diarrhoea as a missed pill. Retake the quiz and follow the advice for a missed pill.

You may be at risk of pregnancy. Please see your own doctor for advice and follow-up.

The protection against pregnancy will not be reduced if it has been less 12 hours. But, you should still take the following advice to ensure protection:

1) Take the tablet as soon as you remember.

2) Then take the next tablets at the usual time.

You may be at risk of pregnancy. Please see your own doctor for advice and follow-up.

The protection against pregnancy will be reduced. You should follow the below advice:

1) Take the missed pill or start the new pill pack as soon as you can.

2) Continue the rest of the pack as normal (at your normal time). You may need to take two pills in one day.

3) Use a barrier contraceptive method if you have sex, for the following 9 days.

The protection against pregnancy may be reduced. For multiphasic pills, the advice on missed pills will depend on where in the cycle you are, and on which pill brand you are taking. Follow the advice below:

1) Always familiarise yourself with the instructions in the patient information leaflet (PIL) that comes with your pill packs.

2) Take note of when in your cycle you missed your pill - the advice will differ based on this.

  • 2.1 At the beginning of your cycle you should take the missed pill and continue taking the pill as per the normal schedule. You should use a barrier contraceptive method if you have sex the following 9 days to ensure protection against pregnancy.
  • 2.2 If the missed pill was towards the end of your cycle you may be advised to skip the pill and start a new cycle (take the 1st pill of a new pill pack).

If you forget to take an inactive/placebo pill (the last pills in the pill pack), you do not need to take them later, as they do not contain active substances. But you should throw away the white tablet(s) you forgot to take, so that you do not prolong the period of inactive tablets. Prolongation may increase the risk of pregnancy. Continue to take the next tablet at the usual time. This is only relevant if you are taking a multiphasic pill with 28 pills (not 21).

If you vomited within 3 hours of taking the pill, you should take a new pill no longer than 24 hours after your normal pill time. If you are sick again or you do not take a new pill, your contraception will not be effective. If that is the case, retake the quiz and follow the advice for a missed pill.

You should still be protected against pregnancy. Take your next pill as per your usual schedule.

If you have had severe diarrhoea for more than 24 hours, the pill may not have been fully absorbed and therefore may not be as effective. You should treat every 24 hours of severe diarrhoea as a missed pill. Retake the quiz and follow the advice for a missed pill.

If you are less than 12 hours late, take the missed tablet as soon as possible, even if this means taking 2 tablets on the same day. This will ensure that contraceptive protection is maintained.

If you have missed a pill in the first week of your cycle, you should:

1) Take the last missed tablet as soon as possible and then continue to take the rest of the tablets in the normal manner.

2) Use extra contraceptive protection, such as a condom, or refrain from sex, for the next 7 days.

3) If you had sex in that 1st week (without additional contraception), you could become pregnant. Contact your doctor for advice as soon as possible. They may recommend you use emergency contraception. You should still continue taking your pill as normal.

If you are late by more than 12 hours, take the last missed tablet as soon as possible and then continue to take the rest of the tablets in the normal manner. In addition, use extra contraceptive protection, such as a condom for the next 7 days.

If you have fewer than seven tablets in your blister strip after you have missed taking a dose, you should:

1) Complete the blister strip and start the next blister strip without a break.

This will give you protection from when you took the last missed tablet. You may not have a period until the end of two blister strips, but this will not harm you. You may also have some bleeding on days when you take the tablets.

If you vomited within 3 hours of taking the pill, you should take a new pill no longer than 24 hours after your normal pill time. If you are sick again or you do not take a new pill, your contraception will not be effective. If that is the case, retake the quiz and follow the advice for a missed pill.

You should still be protected against pregnancies. Take your next pill as per your usual schedule.

If you have missed more than one pill, you should:

1) Take the most recently missed pill and skip any previously missed pills.

2) Take your next pills as normal (this could mean taking two pills in one day)

3) Use a barrier contraceptive method if you have sex, for the following 7 days.

4) If you had sex in that 1st week (without additional contraception), you could become pregnant. Contact your doctor for advice as soon as possible. They may recommend you use emergency contraception. You should still continue taking your pill as normal.

If you have missed more than one pill, you should:

1) Take the most recent missed pill (skip any previously missed pills)

2) Take your next pills as normal (this could mean taking two pills in one day)

3) Use a barrier contraceptive method if you have sex, for the following 7 days.

If you missed a pill and have less than 7 pills left of your pack, you should:

1) Take the most recent missed pill (skip any previously missed pills)

2) Take your next pills as normal (this could mean taking two pills in one day)

3) When you finish the strip of pills, start the next strip the next day without a break.

4) Use a barrier contraceptive method if you have sex, for the following 7 days.

5) If you do not have a withdrawal bleed after you have finished the second strip, do a pregnancy test before starting another strip.

The desogestrel pill may not be as effective. The more pills you forget to take, the less effective your contraception is. You should follow the below advice:

1) Take the missed pill or start the new pill pack as soon as you can

2) Continue the rest of the pack as normal (at your normal time). You may need to take two pills in one day.

3) Use a barrier contraceptive method if you have sex, for the following 2 days.

You are still fully protected, as long as you:

1) Take the missed pill or start the new pill pack as soon as you can (as long as it is taken within 12 hours of your normal time).

2) Continue the pack as normal.

The desogestrel pill may not be as effective. The more pills you forget to take, the less effective your contraception is. You should follow the below advice:

1) Take the missed pill or start the new pill pack as soon as you can

2) Continue the rest of the pack as normal (at your normal time). You may need to take two pills in one day.

3) Use a barrier contraceptive method if you have sex, for the following 2 days.

You may be at risk of pregnancy. Please see your own doctor for advice and consider using an emergency contraceptive. Please note you should continue taking the pill as normal if you have used emergency contraception.

The desogestrel pill may not be as effective. The more pills you forget to take, the less effective your contraception is. You should follow the below advice:

1) Take the missed pill or start the new pill pack as soon as you can

2) Continue the rest of the pack as normal (at your normal time). You may need to take two pills in one day.

3) Use a barrier contraceptive method if you have sex, for the following 2 days.

If you vomited within 3 hours of taking the pill, you should take a new pill no longer than 12 hours after your normal pill time. If you are sick again or you do not take a new pill, your contraception will not be effective. If that is the case, retake the quiz and follow the advice for a missed pill.

You should still be protected against pregnancy. Take your next pill as per your usual schedule.

You should still be protected against pregnancy. Take your next pill as per your usual schedule.

If you have had severe diarrhoea for more than 24 hours, the mini pill may not have been fully absorbed and therefore may not be as effective. You should treat every 24 hours of severe diarrhoea as a missed pill. Retake the quiz and follow the advice for a missed pill.

Your contraception may not be as effective. You should follow the below advice:

1) Take the last missed pill or start the new pill pack as soon as you can.

2) Continue the rest of the pack as normal (at your normal time). You may need to take two pills in one day.

3) Use a barrier contraceptive method if you have sex, for the following 2 days.

You will not be protected against pregnancy if you have missed more than 2 pills. Unless a pregnancy can be ruled out, you should stop taking it until it can be confirmed (e.g. from a pregnancy test). If pregnancy can be ruled out, follow the advice below:

1) Continue taking the pill where you left off (or start a new pill pack).

2) Use a barrier contraceptive method if you have sex, for the following 2 days.

3) After seven days of taking the pill at a regular time, you will be protected again.

You are still fully protected, as long as you:

1) Take the pill as soon as you can (no later than 3 hours from your normal time)

2) Continue the pack as normal.

Your contraception may not be as effective. The more pills you forget to take, the less effective your contraception is. You should follow the below advice:

1) Take the missed pill or start the new pill pack as soon as you can.

2) Continue the rest of the pack as normal (at your normal time). You may need to take two pills in one day.

3) Use a barrier contraceptive method if you have sex, for the following 2 days.

You may be at risk of pregnancy. Please see your own doctor for advice and consider using an emergency contraceptive. Please note you should continue taking the pill as normal if you have used emergency contraception.

Your contraception may not be as effective. The more pills you forget to take, the less effective your contraception is. You should follow the below advice:

1) Take the missed pill or start the new pill pack as soon as you can.

2) Continue the rest of the pack as normal (at your normal time). You may need to take two pills in one day.

3) Use a barrier contraceptive method if you have sex, for the following 2 days.

If you vomited within 2 hours of taking the pill, you should take a new pill no longer than 3 hours after your normal pill time. If you are sick again or you do not take a new pill, your contraception will not be effective. If that is the case, retake the quiz and follow the advice for a missed pill.

You should still be protected against pregnancy. Take your next pill as per your usual schedule.

You should still be protected against pregnancy. Take your next pill as per your usual schedule.

If you have had severe diarrhoea for more than 24 hours, the mini pill may not have been fully absorbed and therefore may not be as effective. You should treat every 24 hours of severe diarrhoea as a missed pill. Retake the quiz and follow the advice for a missed pill.

Your contraception may not be as effective. You should follow the below advice:

1) The more pills you have missed, the more the effect against pregnancy is reduced.

2) Take the last missed pill or start the new pill pack as soon as you can.

3) Continue the rest of the pack as normal (at your normal time). You may need to take two pills in one day.

4) Use a barrier contraceptive method if you have sex, for the following 7 days.

5) If this happened in the 1st week of the cycle (one or more of the first 7 pills), and you had sex the week before, you may be pregnant. Speak to your doctor for advice.

You are still fully protected, as long as you:

1) Take the pill as soon as you can (no later than 24 hours from your normal time).

2) Continue the pack as normal.

Your contraception may not be as effective. The more pills you forget to take, the more the effecicacy reduced. You should follow the below advice:

1) Take the missed pill or start the new pill pack as soon as you can.

2) Continue the rest of the pack as normal (at your normal time). You may need to take two pills in one day.

3) Use a barrier contraceptive method if you have sex, for the following 7 days.

You should still be protected against pregnancy as long as you:

1) Take the missed pill and take the rest of the active pills as per normal schedule (24 pills).

2) Skip the 4 inactive (placebo) pills and start the new pill pack straight away.

You will now have a different start day of your cycle.

If you missed one of the last 4 pills of the pill pack it should have no impact (as these are hormone-free pills). You should:

1) Dispose of the missed pill and take the next scheduled pill at the correct time.

2) Be aware that only a specific type of mini pill brands contain inactive pills, and these should be clearly indicated and have a different colour to the rest of the pills (containing hormones). The instructions will be different if you have missed an active pill.

You may be at risk of pregnancy. Please see your own doctor for advice and follow-up. They may suggest you use a form of emergency contraception. You can continue taking your pills as normal if you have used an emergency contraception. You should also use a barrier method (such as a condom) if you have sex over the next 7 days.

Your contraception may not be as effective. The more pills you forget to take, the more the effecicacy reduced. You should follow the below advice:

1) Take the missed pill or start the new pill pack as soon as you can.

2) Continue the rest of the pack as normal (at your normal time). You may need to take two pills in one day.

3) Use a barrier contraceptive method if you have sex, for the following 7 days.

If you vomited within 3-4 hours of taking the pill, you should take a new pill no longer than 24 hours after your normal pill time. If you are sick again or you do not take a new pill, your contraception will not be effective. If that is the case, retake the quiz and follow the advice for a missed pill.

You should still be protected against pregnancy. Take your next pill as per your usual schedule.

If you experienced severe diarrhoea within 3 hours of taking the pill, you should take a new pill as soon as you can, and after no longer than 24 hours than your normal pill time. As long as you are feeling better and do not continue having diarrhoea, you should still be protected against pregnancy.

If you had severe diarrhoea within 3-4 hours of taking your pill and you have not taken a new one (within 24 hours of the normal pill time), or continue to have diarrhoea, you may not be protected. Retake this quiz and follow the advice for a missed pill.

You should still be protected against pregnancy. Take your next pill as per your usual schedule.

If you have had severe diarrhoea for more than 24 hours, the pill may not have been fully absorbed and therefore may not be as effective. You should treat every 24 hours of severe diarrhoea as a missed pill. Retake the quiz and follow the advice for a missed pill.

On rare occasions, the contraceptive vaginal ring can break. Vaginal damage has been reported in connection with the ring breaking. If you discover that your ring has broken, follow the below advice:

1) Dispose of that ring and insert a new ring as soon as possible.

2) Use additional contraception (eg a male condom) for the next 7 days.

3) Contact your doctor if you had intercourse before you discovered that the ring was broken.

If you are being sick (vomiting) or have diarrhoea, the contraceptive ring is still effective (unlike when you are taking the pill).

If you are being sick (vomiting) or have diarrhoea, the contraceptive ring is still effective (unlike when you are taking the pill).

If your ring-free break was no longer than 7 days, you are still protected from pregnancy. You should follow the below advice:

1) Put the new ring in as soon as possible (at your normal insertion time)

2) Replace the ring as per your normal schedule (1 ring should be replaced every seven days, at the same time)

If the ring-free break was longer than 7 days, you may not be protected against pregnancy. The longer the ring-free break lasts, the higher the risk of becoming pregnant. Follow the below advice:

1) Insert a new ring as soon as you remember.

2) Use additional contraception (such as a male condom) if you have intercourse in the next 7 days.

3) If you had intercourse during the ring-free break, there is a possibility that you could be pregnant. Talk to your doctor immediately and consider using a form of emergency contraception.

If the ring has been out of the vagina for less than 3 hours, it will still protect you from pregnancy. You should follow the below advice:

1) Wash the ring in cold or lukewarm water (do not use hot water).

2) Put the ring back in as soon as possible.

3) Replace the ring as per your normal schedule (1 ring should be replaced every seven days, at the same time).

You may not be protected against pregnancy. Take a pregnancy test and consult a doctor before inserting a new ring.

If the ring has been out of the vagina for more than 3 hours, you may not be protected against pregnancy. You should:

1) Wash the ring in cold or lukewarm water (do not use hot water)

2) Reinsert the ring into the vagina as soon as you remember, and leave the ring in place without interruption for at least 7 days.

3) Use a barrier contraceptive method if you have sex, for the following seven days.

4) If you are in your 1st week and you had intercourse in the previous 7 days, there is a possibility that you could be pregnant. In this case, you must contact your doctor.

You may not be protected against pregnancy. You should dispose of that ring and choose one of the following two possibilities:

1) Insert a new ring immediately.

2) This will start the next 3-week period with the ring.

3) You may not have a period, but breakthrough bleeding and spotting may occur.

OR

1) Do not insert a new ring.

2) Have a period first and insert a new ring no later than 7 days from the time the previous ring was removed or fell out.

3) You should only choose this option if you have used NuvaRing continuously for the last 7 days.

If you are being sick (vomiting) or have diarrhoea, the contraceptive patch is still effective (unlike when you are taking the pill).

If you are being sick (vomiting) or have diarrhoea, the contraceptive patch is still effective (unlike when you are taking the pill).

Follow the below advice to ensure you are still protected:

1) Try to attach it again or put on a new transdermal patch immediately (so it has been off for less than 24 hours).

2) Use a new patch if the other one is no longer sticky, has stuck together or to something or if it's fallen off before (do not attempt to use tape or wraps to stick the old one back on).

3) Your "patch change day" must remain unchanged.

The patch may not be as effective. The longer you have been without the patch, the less effective your contraception will be. You should follow the advice below:

1) Immediately start a new 4-week cycle by applying a new transdermal patch.

2) You now have a new day 1 and a new "patch change day".

3) Use a barrier contraceptive method if you have sex, for the following seven days (the 1st week of the new cycle).

The patch may not be as effective. The longer you have been without the patch, the less effective your contraception will be. You should follow the advice below:

1) Immediately start a new 4-week cycle by applying a new transdermal patch.

2) You now have a new day 1 and a new "patch change day".

3) Use a barrier contraceptive method if you have sex, for the following seven days (the 1st week of the new cycle).

Follow the below advice to ensure you are still protected:

1) Try to attach it again or put on a new transdermal patch immediately (so it has been off for less than 24 hours).

2) Use a new patch if the other one is no longer sticky, has stuck together or to something or if it's fallen off before (do not attempt to use tape or wraps to stick the old one back on).

3) Your "patch change day" must remain unchanged.

The patch may not be as effective. The longer you have been without the patch, the less effective your contraception will be. You should follow the advice below:

1) Immediately start a new 4-week cycle by applying a new transdermal patch.

2) You now have a new day 1 and a new "patch change day".

3) Use a barrier contraceptive method if you have sex, for the following seven days (the 1st week of the new cycle).

The patch may not be as effective. The longer you have been without the patch, the less effective your contraception will be. You should follow the advice below:

1) Immediately start a new 4-week cycle by applying a new transdermal patch.

2) You now have a new day 1 and a new "patch change day".

3) Use a barrier contraceptive method if you have sex, for the following seven days (the 1st week of the new cycle).

If you forget to put on the transdermal patch in your cycle's 1st week, you may have a particularly high risk of becoming pregnant. Follow the advice below:

1) You must use additional non-hormonal contraception for one week (seven days).

2) Put on the first patch of the new cycle as soon as you remember.

3) You now have a new day 1 and a new "patch change day".

If you are on the 4th week of the cycle, you should still be protected against pregnancies. If you left the patch on for too long (forgot to remove it), take it off as soon as you remember. Follow the below advice to stay protected:

1) Start the next cycle on the usual "patch change day", the day after day 28.

2) Continue replacing them weekly, on the same day at the same time.

3) There is no need for additional contraception.

You should still be protected, provided you follow the below advice:

1) Attach a new patch as soon as you remember (within 48 hours).

2) Replace the following patch on the usual "patch change day".

3) No additional contraception is necessary.

If you forget to change the patch for more than 2 days, you can become pregnant. The longer you have been without the patch, the lower the effectiveness will be. You should follow the advice below:

1) Immediately start a new 4-week cycle by applying a new patch.

2) You now have a new day 1 and a new "patch change day".

3) You must use a barrier contraceptive method if you have sex, for the following seven days (1st week of cycle).

If you have missed 2 or more tablets in one strip, speak to your doctor for advice or emergency contraception.

Pro tip: Most women find it beneficial to set an alarm or a reminder on their phone to take it each day. There are also several apps available that can help you track your pill and remind you to take it.

How long does Microgynon take to work?

How quickly Microgynon offers pregnancy protection depends on when you begin taking it:

  • Starting within the first 5 days of your period means you are immediately protected from pregnancy.
  • Starting at any other time means you are not protected immediately and will need to use extra contraception (e.g. condoms) for 7 days to ensure full protection.

What lifestyle changes should I make while taking Microgynon?

Making certain lifestyle changes can help maximise the effectiveness of this medicine and reduce the risk of experiencing side effects.

Lifestyle guide for women taking Microgynon

Image 1

Manage your mood

Some women may experience mood changes while on the pill. It’s important to practice stress management techniques such as meditation, yoga, or even taking short walks.

Image 2

Eat a balanced diet

Some women may experience weight changes while on oral contraceptives. Try eating a mix of fibre, healthy fats, and lean proteins to help manage weight changes.

Image 3

Stay active

Regular exercise helps to improve circulation, which can reduce the risk of blood clots. Try exercises like walking, yoga, or strength training.

Some women experience bloating and fluid retention when taking Microgynon, especially within the first few months. If this affects you, reduce your intake of salty foods such as crisps, processed meats, fast food and alcohol as these can worsen bloating.

Silvia Fonda Nutritionist

What are Microgynon’s side effects?

As with any medication, Microgynon can cause some side effects. Most of the common side effects are mild and go away on their own whilst your body adjusts to the changes in hormones.

Common side effects

Common side effects may affect between 100 to 1000 in every 10,000 women and include:
  • feeling sick
  • stomach aches
  • weight gain
  • headaches
  • depressive moods or mood swings
  • tender or painful breasts

Some women also experience spotting or breakthrough bleeding between periods in the first few months of taking Microgynon. This is normal, but if it gets heavier, or does not go away, consult your doctor as soon as possible.

Uncommon side effects

These may affect between 10 to 100 in every 10,000 women and include:
  • vomiting
  • diarrhoea
  • fluid retention
  • migraine
  • loss of interest in sex
  • breast enlargement
  • itchy skin rash

Rare side effects

These may affect between 1 and 10 in every 10,000 women and include:
  • poor tolerance of contact lenses
  • weight loss
  • increased interest in sex
  • vaginal or breast discharge
  • blood clots
  • breast cancer (signs include dimpling of the skin, changes in the nipple, or lumps)

Whilst these side effects are very rare, it’s important to constantly monitor your health and keep an eye on any sudden changes.

For more information on the risks of the pill, please refer to the patient information leaflet.

How can I manage the side effects?

Some side effects of the combined pill can be managed at home. Find some helpful management tips in the table below:

How to manage Microgynon side effects

Image 1

Headaches

Rest and drink plenty of fluids. Consider taking a painkiller such as paracetamol, if your doctor believes it is safe for you.

Image 2

Bleeding between periods

This usually occurs within the first few months of taking Microgynon and resolves with time. Taking the pill at the same time daily may help. If this continues, or gets heavier, speak to your doctor.

Image 3

Feeling sick

Try to take the pill before bedtime. Avoid eating fatty or spicy food and stick to eating simple, bland foods (e.g. crackers, toast).

Image 4

Tender or painful breasts

Applying a warm or cold compress to the sore area. Seek medical advice if this bothers you.

Image 5

Weight gain

Eat high-protein meals to stay full for longer. Identify emotional eating, stress and hormones can trigger cravings so if you crave snacks, make sure they are healthy and nutritious.

Does Microgynon interact with any other medicines?

Yes, Microgynon can interact with certain other medicines which can alter the effectiveness of your contraception. This can put you at risk of pregnancy, or increase the risk of side effects.

You must always tell your prescriber what medicines you take including over-the-counter and prescription medicines.

The following medicines may influence the blood levels of Microgynon and can stop it from working properly:

  • medicines to treat epilepsy (e.g. lamotrigine)
  • medicines to treat HIV and Hepatitis C (protease inhibitors)
  • certain antifungals (e.g. griseofulvin)
  • certain antibiotics
  • some sedatives (e.g. barbiturates)
  • herbal remedies (e.g. St John’s Wort for depression)

Microgynon may also affect the concentration of some medicines:

  • immunosuppressants (e.g. cyclosporin)
  • muscle relaxants (e.g. tizanidine)
  • medicines for breathing conditions (e.g. theophylline)

This is not a complete list of possible interactions. For a full list, refer to the BNF interaction checker.

What safety advice should be followed when taking Microgynon?

For more information, refer to the safety information table below:

Safety Tips
Pregnancy Avoid

Microgynon is intended to prevent pregnancy. If you become pregnant while taking it, stop using it and consult your doctor immediately.

Breastfeeding Consult your doctor

Microgynon is generally not recommended while breastfeeding, especially within the first six weeks postpartum, as it may reduce milk production. Consult your healthcare provider for alternative contraceptive methods.

Alcohol Caution

While taking Microgynon, alcohol consumption does not directly affect its efficacy. However, excessive alcohol intake may increase the risk of side effects like nausea or dizziness. Consume alcohol in moderation.

Driving Safe

Microgynon does not impair your ability to drive. However, if you experience side effects like dizziness or visual disturbances, avoid driving and consult your doctor.

Smoking Avoid

Smoking increases the risk of serious cardiovascular side effects when using combined oral contraceptives like Microgynon, especially in women over 35. It is strongly advised to stop smoking while taking this pill.

Blood Clotting Risk Important

Microgynon slightly increases the risk of blood clots. Be aware of symptoms like severe leg pain or sudden breathlessness. Seek immediate medical attention if these occur.

How should I store and dispose of this medicine?

How to store

Store this medicine at room temperature and keep it out of the sight and reach of children.

Disposal

Do not use this medicine after the expiry date on the pack. Dispose of any expired or unused medication by taking it to your nearest pharmacy. Do not throw away medicines in your household waste or flush them down the toilet, as this may harm the environment.

Can I buy Microgynon without a prescription?

No. Microgynon is a prescription-only medication, which means that you will need a doctor or pharmacist to approve it before purchase. This is so that they can ensure it is safe for you to take.

You can purchase Microgynon here at euroClinix. All you have to do is fill out a quick medical questionnaire that will be reviewed by one of our online doctors. Once you have been approved for treatment, our pharmacy will dispatch your pill with discreet next-day delivery.

How can I buy Microgynon online from euroClinix?

To buy the Microgynon oral contraceptive pill online from euroClinix, follow these simple steps:

  1. Complete a quick online consultation to check your eligibility.
  2. UK-registered doctors review your responses to ensure the medication is right for you.
  3. Upon approval, an e-prescription will be issued.
  4. Enjoy free delivery from our licensed pharmacy with tracking details.

Your privacy is our top priority. euroClinix uses secure, encrypted transactions and complies with UK’s medical standards to keep your information confidential.

Start your online consultation today to enjoy professional care from the comfort of your home.

Why should I choose euroClinix?

euroClinix is trusted by thousands of users in the UK for its safe and convenient service. Here’s why:

  • Experienced doctors manage your consultations and prescriptions.
  • Online consultations, quick approvals, and discreet doorstep delivery add to the convenience.
  • A supportive team is on hand to answer treatment-related questions or concerns.
  • Patients can manage their prescriptions hassle-free through our secure platform.

Join thousands who trust euroClinix for their healthcare needs and take control of your health today.

How much is Microgynon?

The price of Microgynon at euroClinix includes everything you need:

  • Free online consultation with our experienced doctors
  • Free prescription, if approved
  • Free delivery straight to your door

Our pricing is transparent, with no hidden fees. Order today and benefit from our complete, all-inclusive service.

What alternatives are available?

If this medicine is not right for you, there are other options available for effective contraception. Some alternative oral contraceptives can be found in the table below:

Comparison of oral contraceptives
Choose what to compare:
Medicine name Active ingredients Key benefits Price from
Microgynon Ethinylestradiol and Levonorgestrel Well tolerated by many women -
Logynon Ethinylestradiol and Levonorgestrel Well tolerated by many women -
Orvanette Ethinylestradiol and Levonorgestrel Well tolerated by many women -
Yasmin, Eloine Ethinylestradiol and drospirenone May reduce bloating, acne-friendly
Eloine is a lower oestrogen version of Yasmin
-
Brevinor Ethinylestradiol and Norethisterone Higher dose of oestrogen, may help cycle regulation -
Cilest Ethinylestradiol and Norgestimate May help with moderate acne -
Femodene Ethinylestradiol and Gestodene Better cycle control -
Femodette Ethinylestradiol and Gestodene Better cycle control -
Mercilon Ethinylestradiol and desogestrel Offers lighter periods -
Marvelon Ethinylestradiol and desogestrel Offers lighter periods -
Qlaira Estradiol Valerate / Dienogest Closely mimics the natural cycle -
Zoely Estradiol with Nomegestrol Uses a naturally occurring estrogen, estradiol -

If you prefer taking a tablet but are unable to take or do not want to take a combined pill, a mini-pill or progestogen only pill (POP) is a good alternative. Other options also include the contraceptive patch (Evra), and vaginal ring (NuvaRing).

To see all of your options, check out our page on contraception, or use this helpful tool below.

Microgynon FAQs

Does Microgynon protect against STIs?
Can Microgynon cause mood swings or depression?
Can Microgynon cause weight gain?
Can Microgynon affect my sex drive?
What should I do if I vomit or have diarrhoea?
Is it safe to order Microgynon online?
Are there any discounts for being a new user?
Will my order be confidential?
What are the delivery options available?

Note: You must complete a short online consultation so that our doctor can ensure that the treatment is suitable for you. The above pricing should only be used as a reference. The final decision to issue this treatment lies with the prescribing doctor.

Medically reviewed by Dr. Caroline Fontana Written by our editorial team Last reviewed 02-05-2025
Microgynon information
Type of medicine Oral contraceptive
Used for Contraception
Active ingredient(s) Levonorgestrel and Ethinylestradiol
Works by Preventing ovulation, thickening the cervical mucus, and thinning the uterine lining
Effective within 7 days
Available as Tablets
Available strength Levonorgestrel 150mcg and Ethinylestradiol 30mcg
Usage Take one active pill once daily, at the same time each day for 21 days. Then, take a 7-day pill free break.
Manufacturer Bayer
Generic available No
Storage Store this medicine at room temperature and keep it out of the sight and reach of children.
Prescription required? Yes, get it FREE with our online consultation
Who is suitable for an online consultation* Adult women needing oral contraception

*Note: Our medical team must review your online consultation before approving this treatment. They will determine if the requested treatment and quantity are safe, appropriate, and effective for you.

Microgynon reviews
Pack of 63 Microgynon® 30 oral tablets Excellent 4.9 220 patients have reviewed Microgynon on Trustpilot
31 Oct

Great product

Natalia Gorczyca
03 Dec

Great product

Natalia Gorczyca
12 Jun

Great product.

Natalia Gorczyca

Further reading

Understanding and managing side effects of the pill

Understanding and managing side effects of the pill

Reviewed by Dr. Caroline Fontana
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