When you hear “the pill,” you probably think of a small, daily tablet that’s been around forever. But there’s a lot more to oral contraception than meets the eye – and even though it’s been a go-to for years, many people still have questions (and assumptions!) about what it is, how it works, and whether it’s the right fit for their life.
So, let’s break it down, honestly and openly.
First Things First — What Is Oral Contraception?
Oral contraception (a.k.a. “the pill”) is a medication taken once a day to prevent pregnancy. There are two main types:
- Combined pill – contains two hormones (oestrogen and progestogen)
- Progestogen-only pill (POP) – contains just one hormone
They both work by stopping your body from releasing an egg (ovulation), thickening cervical mucus, and thinning the womb lining – basically putting up a triple-lock against pregnancy.
You take it every day, ideally around the same time. Some versions have a 7-day break (to allow for a withdrawal bleed), while others are taken continuously.
“But What If I Forget to Take It?”
Real talk: life is busy, and remembering a pill every day isn’t always realistic. If you’re someone who forgets your phone at home or can’t remember what you had for lunch yesterday – no judgment – the pill might take some adjusting.
That said, alarms, apps, or linking it with daily habits (like brushing your teeth) can help make it second nature.
If you do forget, don’t panic – but do check what kind of pill you’re on and follow the instructions. You might need to use extra protection or avoid unprotected sex for a short while.
You can also speak to us for guidance – no shame, just support.
Why Do People Choose the Pill?
- It’s non-invasive – no injections, implants, or procedures
- Can help with period pain, heavy bleeding, and acne
- Gives you control – you can stop and start when you like
- Doesn’t interrupt sex – no prep needed in the moment
It’s also discreet, which is a big deal for many people – especially young people, those living at home, or anyone worried about stigma.
Are There Side Effects?
Possibly – but they vary from person to person. Some people notice mild side effects at first like nausea, breast tenderness, or spotting between bleeds. These usually settle within a few months.
There’s only a relative risk of blood clots with the combined pill, especially if you smoke or have a family history – but we’ll assess all of that with you before prescribing anything.
Bottom line: you don’t have to suffer in silence. If a pill isn’t working for you, there are plenty of alternatives.
“Can Anyone Use the Pill?”
Almost anyone – but not everyone. We’ll talk with you about your medical history, lifestyle, and what matters most to you. If the pill isn’t the best fit, there are loads of other methods – from patches to injections, coils to implants.
You deserve contraception that fits your life, your body, and your goals.
What If I’m Trans, Non-Binary or on HRT?
If you’re using testosterone or on gender-affirming hormones, you might be wondering how the pill fits in.
Some people use the pill to manage periods or as an extra layer of control over their reproductive health. Others might prefer non-hormonal options. Whatever your setup, we’ll help you find something that respects your identity and supports your sexual health.
Let’s Talk About It
Whether you’re new to contraception or thinking of switching it up, our team at Essex Sexual Health Service is here to support you – with free, confidential advice that’s non-judgmental and completely tailored to you.
📲 Want to start or change your contraception?
Visit: www.essexsexualhealthservice.org.uk/oral-contraception
💌 Prefer a private chat first?
You can speak with a clinician, ask questions, and explore your options safely.
Contraception is not just about avoiding pregnancy – it’s about feeling in control, empowered, and safe. Whether you’re on the pill, thinking about it, or not sure where to start, we’ve got your back.
