4. Missed Pill Management (Information apply to desogestrel contraceptive pill only) Information on ●● Delay taking 1 pill for less than 12 hours  Please take the delayed pill immediately Progestogen-only  Take the remaining pills as your usual schedule ●● Delay taking pill/ pills for more than 12 hours Contraceptive Pills  Please take the delayed pill immediately  Take the remaining pills as your usual schedule (Minipill)  Use condom as backup contraception in the coming 7 days for protection against pregnancy.  Please return to Maternal and Child Health Centre as soon as possible for counseling and assessing the need for emergency contraception. 5. Taking other medication ●● Please inform your doctor you are taking oral contraceptive pills before taking other medication, as some medication may affect the contraceptive effect of contraceptive pills.

If you have any queries, please return to the Maternal and Child Health Centre for advice.

Family Health Service Website: www.fhs.gov.hk FHS-WH 2A (Rev Jun 2020) 24-hour Information Hotline: 2112 9900 Printed by the Government Logistics Department DEPARTMENT OF HEALTH 1. Background Information 3. Side Effects ●● Progestogen-only contraceptive pills (minipill) ●● You may have bleeding contain one synthetic hormone - progestogen. irregularity, diminished It works by inhibiting ovulation, interfering sperm menses flow or no transportation and embryo implantation. menses which is related ●● It is highly effective and the failure rate is less to the hormonal effect than 1% if taken properly. of the progestogen. ● ● It is most suitable for breastfeeding mothers as ●● Other common side it does not affect breastmilk production. effects including breast ●● It provides a choice for women tenderness, nauseas, who cannot use combined acne, headaches and mood oral contraceptive pills for changes can be occurred at the medical or other reasons. initial period of use and usually subside within For example, women who the first few months. smoke or with diabetes ● mellitus, hypertension or ● Please seek medical assessment as soon as other illnesses that may be possible and tell your doctor you are using worsen by intake of Progestogen-only contraceptive pills, if you oestrogen. have the following symptoms: ●● Clients should consult a ■ Such as onset of severe headaches or doctor before migraine after starting the pills, fainting, rise commencing the pills. in blood pressure, weakness or tingling/ numbing sensation affecting one side or 2. Method of Administration one part of the body, yellowing of the skin ●● In general, women should commence the pills or whites of the eyes (jaundice), abdominal within the first 5 days of menses. pain, calf pain or severe chest pain. ●● If vomiting occurs within 3 hours of pill taking, ●● Please return to Maternal and Child Health take another pill as soon as possible to achieve Centre for assessment for suitability to continue sufficient contraceptive effect. your contraceptive pill, if you have the ●● If you have continued vomiting or following conditions: have a severe diarrhea, ■ Have any signs and symptoms of please use condom as pregnancy; a backup contraception during ■ Newly diagnosed diseases, e.g. heart your illness and plus 7 disease, stroke, diabetes, hyperlipidaemia, days after illness. thromboembolic disease, cancer or other ●● Pills should be taken newly diagnosed medical and surgical at the same time every day. diseases. 1. Background Information 3. Side Effects ●● Progestogen-only contraceptive pills (minipill) ●● You may have bleeding contain one synthetic hormone - progestogen. irregularity, diminished It works by inhibiting ovulation, interfering sperm menses flow or no transportation and embryo implantation. menses which is related ●● It is highly effective and the failure rate is less to the hormonal effect than 1% if taken properly. of the progestogen. ● ● It is most suitable for breastfeeding mothers as ●● Other common side it does not affect breastmilk production. effects including breast ●● It provides a choice for women tenderness, nauseas, who cannot use combined acne, headaches and mood oral contraceptive pills for changes can be occurred at the medical or other reasons. initial period of use and usually subside within For example, women who the first few months. smoke or with diabetes ● mellitus, hypertension or ● Please seek medical assessment as soon as other illnesses that may be possible and tell your doctor you are using worsen by intake of Progestogen-only contraceptive pills, if you oestrogen. have the following symptoms: ●● Clients should consult a ■ Such as onset of severe headaches or doctor before migraine after starting the pills, fainting, rise commencing the pills. in blood pressure, weakness or tingling/ numbing sensation affecting one side or 2. Method of Administration one part of the body, yellowing of the skin ●● In general, women should commence the pills or whites of the eyes (jaundice), abdominal within the first 5 days of menses. pain, calf pain or severe chest pain. ●● If vomiting occurs within 3 hours of pill taking, ●● Please return to Maternal and Child Health take another pill as soon as possible to achieve Centre for assessment for suitability to continue sufficient contraceptive effect. your contraceptive pill, if you have the ●● If you have continued vomiting or following conditions: have a severe diarrhea, ■ Have any signs and symptoms of please use condom as pregnancy; a backup contraception during ■ Newly diagnosed diseases, e.g. heart your illness and plus 7 disease, stroke, diabetes, hyperlipidaemia, days after illness. thromboembolic disease, cancer or other ●● Pills should be taken newly diagnosed medical and surgical at the same time every day. diseases. 4. Missed Pill Management (Information apply to desogestrel contraceptive pill only) Information on ●● Delay taking 1 pill for less than 12 hours  Please take the delayed pill immediately Progestogen-only  Take the remaining pills as your usual schedule ●● Delay taking pill/ pills for more than 12 hours Contraceptive Pills  Please take the delayed pill immediately  Take the remaining pills as your usual schedule (Minipill)  Use condom as backup contraception in the coming 7 days for protection against pregnancy.  Please return to Maternal and Child Health Centre as soon as possible for counseling and assessing the need for emergency contraception. 5. Taking other medication ●● Please inform your doctor you are taking oral contraceptive pills before taking other medication, as some medication may affect the contraceptive effect of contraceptive pills.

If you have any queries, please return to the Maternal and Child Health Centre for advice.

Family Health Service Website: www.fhs.gov.hk FHS-WH 2A (Rev Jun 2020) 24-hour Information Hotline: 2112 9900 Printed by the Government Logistics Department DEPARTMENT OF HEALTH