What is a Combination Pill

The combined contraceptive pill is an oral contraception method against unwanted pregnancy. It typically consists of two artificial versions of female hormones: progesterone and oestrogen.

If a combined oral contraceptive pill is taken correctly, you will have a 99% chance of preventing undesirable pregnancy. Moreover, a lot of medical experts recommend this kind of med products if you experience heavy periods or suffer from PMS. Overall, it soothes the period cramps and normalizes the menstrual cycle. Still, this method of contraception doesn’t protect from sexually transmitted diseases. In this case, avoid having sex or use extra protection (like condoms).

What is a Combination Pill

Types Of Combined Pills

What are the most popular combined pill names? Overall, combinatorial methods of contraception vary on the amount of progestin and oestrogen. Typically, there are two dose types: 35 and 20 micrograms. Nevertheless, brands may still change the composition of their meds.

Another big difference is the amount of the hormone over the course. For instance, ‘’Monophasic’ oral combined pills have an even amount of the hormone during the whole cycle of taking. Other types may vary the level of the hormone in each dosage during the whole month. These types are called “Polyphasic” and the most common version of them is the “triphasic” pills. The “triphasic” version divides the hormone ingestion in one month.


Contains Desogestrel 150 mcg and Ethinylestradiol 20 mcg. Usually, if somebody mentions oral contraception, the first thing to come in your mind is this brand.

Yasmin Bayer

Contains Drospirenone 3 mg and Ethinylestradiol 0.03 mg. They are usually light yellow form with round shapes.


Contains Ethinylestradiol 30 mcg and Levonorgestrel 150 mcg. This med product is in the same category as Ovranette.

Ovranette Pfizer

Contains Levonorgestrel 150 mcg and Ethinylestradiol 30 mcg. Regular daily intake of 21 tablets with 7 days of tablet free period.

Qlaira Bayer

The wallet contains 28 film-coated tablets with various doses of Estradiol Valerate and Dienogest. This product should be taken every day for the effect.


Contains Levonorgestrel 150 mcg and Ethinylestradiol 30 mcg. Regular daily intake of 21 tablets with 7 days of tablet free period.


Contains Ethinylestradiol 35 mcg and Norgestimate 250. This tablet is in the same category as Cilique.

How Does The Combined Pill Work

The combined Pill usually works in three ways:
  • Does not release an egg from the ovaries;
  • Makes the mucus in the womb more thicken which does not allow sperm to reach the egg;
  • Thins the womb lining that does not leave a chance for a fertilized egg to plant.
Moreover, there are other advantages of taking the combined pill:
  • Helps with heavy periods;
  • Makes PMS less painful;
  • For the best effect, you need to take the pill every day at the same time;
  • Most combined pills come in 21 unit packages, where you will have 7 days free;
  • Due to the three ways of protection, you have a 99% chance of avoiding unwanted pregnancy.

At the same time, you should strictly follow the rules of taking these meds. Your doctor may ask you to take the tablet on the first day of your period.

The reasons for that are quite obvious:
  • Firstly, in most cases that’s how you can ensure the protection from the first day.
  • Secondly, you will be sure that you are not pregnant.

Nevertheless, a lot of women may want to start using this method as soon as possible. If you are one of them, then you will need to wait from 7 to 9 days for the med to take action. For this reason, during this time period, you may well need to use extra protection.

How Effective Is The Combined Pill

Various researches showed fantastic results regarding the efficiency of the combined pills. Fewer than 1 women using this kind of contraception will get pregnant. Nevertheless, it must be mentioned that you should follow the rules of taking this contraception method. In 99% of cases, women who claimed that they got pregnant using this product did not actually use it right. Family planning specialists recommend following the instructions in the med leaflet. For instance, take the first combined pill on the first day of the period. If you can’t do that, then you will need to use extra protection during sexual intercourse for the period of 7-9 days.

In addition, you will need to follow the full cycle. Most of the combined contraceptive cycles consist of 21 consecutive days of taking and then 7 days off. However, some meds may need 28 days of consecutive intake with no days off. As you can see, you will need to read the leaflet in the package to understand what cycle to follow.

Therefore, before taking any med product, you may need to consult your doctor. Remember, in case of any misunderstanding, you can always ask a medical specialist for help.

Combined Pill Side Effects

Before viewing the side effect of birth control combined pills, you may check if you are appropriate to take them. Therefore, if you have one of the following conditions, you shouldn’t take birth control pills:

  • Blood fluctuation;
  • Migraines;
  • Uterine bleeding;
  • Diabetes;
  • Pulmonary embolism;
  • Vein thrombosis;
  • Neuropathy;
  • Prolonged immobile period;
  • Older than 35;
  • Heavy smoker;
  • History of heart related diseases (heart strokes or attacks);
  • Liver disease;
  • Breast-feeding (first month);
  • Breast cancer symptoms.

Important to notice, that women who follow all the rules of taking this product will get a 99% chance of avoiding pregnancy. Less than 1 woman out of 100 gets pregnant on the pill. Still, this med product may cause some side effects, like:

  • Bloating;
  • Nausea;
  • Fluctuation in blood pressure;
  • Breast tenderness;
  • Breakthrough bleeding.

In very rare cases, like in 1 out of 10,000, you may increase the risk of one of the following conditions:

  • Liver disorders;
  • Gallbladder disease;
  • Heart attack and strokes;
  • Blood clots.

You may need to consult your doctor if you have one of the following conditions:

  • Mood swings (severe, like from anger to happiness);
  • Chest pain;
  • Breast lamp;
  • Leg pain;
  • Hearing problems;
  • Vision problems;
  • Fainting;
  • Severe allergic reactions (skin rash, redness, etc.);
  • Seizures;
  • Difficulty with the speech;
  • Depression;
  • Worsening of headaches;
  • Abdominal pain.

Mini Pill vs Combination Pill

Unlike the combined oral pill, the mini pill contains only progestogen. This hormone prevents sperm from getting through the cervix. Therefore, a woman has fewer chances to get pregnant. Some mini pills do not prevent ovulation, like combined meds. Therefore, they can only thicken the mucus in the cervix.

As a result, experts usually give this method of contraception 92-95% of efficiency.

Nevertheless, if doesn’t mean that mini pill is better or worse. Doctors usually prescribe this kind of contraception if you are sensitive to oestrogen.


Is Microgynon a combined pill?

Yes. It consists of two active ingredients Levonorgestrel 150 mcg and Ethinyl Estradiol 30 mcg. They are synthetic variations of progestogen and oestrogen.

Is Rigevidon a combined pill?

Yes. Similar to Microgynon, it also has synthetic versions of oestrogen and progestogen. The active components are Ethinylestradiol and Levonorgestrel.

Is Mononessa a combination pill?

Yes. This med also contains oestrogen and progestogen. The active ingredients are Ethinylestradiol and Norgestimate.

 Is Yasmin a combination pill?

Yes. This medical product consists of synthetic versions of oestrogen and progestogen. The active ingredients are Drospirenone and Ethinylestradiol.

Why am I bleeding on the combined pill?

This medication suppresses the ovulation, but you will have period-like bleeding during your free week. Nevertheless, the breakthrough spotting or bleeding may happen in the first two-three months of intake.

Do you ovulate on the combined pill?

Women who take combined pills do not ovulate. They have period like breakthrough during the free period.

Does the combined pill prevent pregnancy?

If taken properly, the combined pill prevents pregnancy in 99% of cases. It works in three ways:
– Suppressing ovulation;
– Thickening the mucus;
– Narrowing the womb lining.
Still, these medical products do not prevent pregnancy if you are already pregnant!

Does the combined pill work straight  away?

If you start taking it on the first day of your period, then “yes”. If you don’t, then the pill will need 7-9 days to effect.

Is Lupin birth control a combination pill?

Lupin comes in three types of contraception. First, the progestin only pill. Second, the combination pill consisted of oestrogen and progestin. Third, the emergency pill, which contains a high dosage of progestin.

Is Seasonique a combination pill?

It’s an extended cycle combination pill. The overall cycle lasts for 91 days. One of the main advantages of this method is that a woman experience only 4 “periods” in a year.

Is the mini pill safer than the combined pill?

It’s hard to elaborate. It usually depends on a woman. That’s the reason why you may need to consult your doctor first.

What is the best combined pill?

The variety of brands and formulas available on the market guarantees that every woman finds the best suited method of contraception. Due to this reason, only a patient may find the best suited method of contraception.

Does the combined pill make you gain weight?

Nevertheless, due to slight mood changes when using this method, some women may be prone to binge eating. In addition, some women may be sensitive to oestrogen that can slightly change the body shape and weight.

Can I take the combined pill?

You can if you don’t have medical conditions that prohibit you to take the med. However, consulting with a doctor is still recommended.