The pill, explained plainly.

There are two main kinds of contraceptive pill. Both are taken every day, both are over 99% effective when taken perfectly, and both are free on the NHS. The difference is in the hormones, and that decides who each one suits.

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Combined pill

21 pills, then a 7-day break

PillBreak

Mini pill

One every day, no break

Pill

Two kinds of pill

Most people start on one of these. On the call, the pharmacist goes through your health and what you want from your pill, and helps you choose.

Oestrogen + progestogen

The combined pill

What most people mean by “the pill”. Usually taken for 21 days with a 7-day break, and often makes bleeds lighter and more regular.

Read about the combined pill Progestogen only

The mini pill

No oestrogen, so it suits many people who can't take the combined pill, including smokers over 35 and people who are breastfeeding. Taken every day, with no break.

Read about the mini pill
Combined pill Mini pill
Hormones Oestrogen and progestogen Progestogen only
How you take it Usually 21 days, then a 7-day break. Some packs have 7 inactive pills instead of a break. One every day, with no break between packs.
Late or missed pills A pill counts as missed once it's more than 24 hours late. Depends on the type: more than 3, 12 or 24 hours late, depending on your pill.
Bleeding Usually lighter, more regular bleeds. You can safely skip them by taking packs back-to-back. Often changes: bleeds may become irregular, lighter, more frequent, or stop.
Often a good fit if You want more predictable bleeds, and there's no medical reason to avoid oestrogen. You can't take oestrogen, you're breastfeeding, or you're 35 or over and smoke.
Not usually suitable if You're 35+ and smoke, have a BMI of 35 or more, have had a blood clot, or get migraines with aura. You have or have had breast cancer, or have severe liver disease. Far fewer restrictions overall.

Had sex without contraception, or missed pills?

Emergency contraception can stop a pregnancy before it starts, and it works best the sooner you take it. Don't wait for a regular appointment.

Emergency contraceptionWhat to do now, and where to get it free today Missed pill toolFind out if you need it, in three questions

Common questions

Is the pill free?

Yes. Contraception is free on the NHS, and LYLA is an NHS-commissioned service, so the consultation, the prescription and delivery are all free for eligible UK residents.

Does the pill protect against STIs?

No. No pill protects against sexually transmitted infections. Condoms are the only contraception that does, so it's worth using them too with a new partner.

Can I start the pill on any day?

Usually, yes, as long as there's no chance you're already pregnant. Depending on the pill and the day you start, you may need to use condoms for the first few days. The pharmacist will tell you exactly what applies to you.

I'm already on a pill from my GP. Can I get it from you?

Yes. Find your pill, book a consultation, and the pharmacist will run through a few health checks on the call before continuing your supply.

What if my pill doesn't suit me?

Side effects often settle within the first three months. If they don't, or they're bothering you, a different pill may suit you better. Book a consultation and we'll talk through the options.

Not sure which pill is right for you?

That's what the consultation is for. It's a free phone call with a registered pharmacist, and you don't need to see your GP first.

Book a free consultation Browse every pill