Question 1

How effective is Microgynon at preventing pregnancy?

Accepted Answer

When taken correctly at the same time every day, Microgynon is over 99% effective. With typical use (accounting for occasional missed pills), effectiveness is about 91%. This makes it one of the most reliable reversible contraceptive methods available.

Question 2

How quickly does Microgynon start working?

Accepted Answer

If you start Microgynon on the first day of your period, you're protected immediately. If starting at any other time, use additional contraception (condoms) for the first 7 days. Always follow your doctor's specific instructions for your situation.

Question 3

Can Microgynon help with acne or heavy periods?

Accepted Answer

Yes, many women notice improvement in acne and much lighter, less painful periods while taking Microgynon. It can regulate cycles and reduce menstrual blood loss by up to 60%. However, it's not specifically licensed for these conditions.

Question 4

What should I do if I miss a pill?

Accepted Answer

If you're less than 12 hours late, take it immediately and continue normally. If more than 12 hours late, take the missed pill immediately (even if it means taking two at once), continue taking pills daily, and use condoms for 7 days. Refer to the detailed missed pill guidelines in this article or consult your doctor/pharmacist.

Question 5

Does Microgynon cause weight gain?

Accepted Answer

Clinical studies show minimal average weight gain with Microgynon (typically 1-2kg in first year). Any weight change is usually due to fluid retention rather than fat accumulation. Maintaining healthy diet and exercise habits minimises this effect.

Question 6

Can I take Microgynon if I have migraines?

Accepted Answer

If you have migraines WITHOUT aura, Microgynon may be suitable with monitoring. If you have migraines WITH aura at any time in your life, Microgynon is contraindicated due to significantly increased stroke risk. Always disclose your complete migraine history to your doctor.

Question 7

How does Microgynon affect future fertility?

Accepted Answer

Microgynon does not cause infertility. Fertility returns quickly after stopping - most women ovulate within 2-4 weeks. Your body may need a few cycles to regulate completely, but long-term fertility is not affected.

Question 8

Can I drink alcohol while taking Microgynon?

Accepted Answer

Yes, alcohol doesn't affect Microgynon's effectiveness. However, be mindful that both alcohol and the pill are processed by the liver. Excessive drinking increases health risks, and the pill may slightly increase alcohol's effects on some people.

Question 9

What antibiotics affect Microgynon?

Accepted Answer

Only rifampicin and rifabutin (for TB) significantly reduce effectiveness. For other antibiotics, current UK guidelines suggest no interaction, but some doctors recommend using condoms as precaution during and 7 days after antibiotic course.

Question 10

How does Microgynon compare to the mini-pill?

Accepted Answer

Microgynon contains two hormones and has a 12-hour missed pill window. The mini-pill (progestogen-only) contains one hormone and has a 3-hour window. Microgynon often gives better cycle control but has more contraindications. The mini-pill can be used when oestrogen is contraindicated (e.g., breastfeeding, history of blood clots).

Question 11

Does Microgynon protect against STIs?

Accepted Answer

No. Microgynon provides NO protection against sexually transmitted infections (STIs) including HIV. Always use condoms to protect against STIs, especially with new partners or if either partner has other sexual partners.

Question 12

What should I do if I'm sick or have diarrhoea?

Accepted Answer

If you vomit within 4 hours of taking a pill, take another pill immediately. If diarrhoea is severe (6-8 watery stools daily), follow missed pill rules. Use condoms until 7 days after recovery. If stomach upset continues, consult your doctor about alternative contraception.

Question 13

Can I skip periods with Microgynon?

Accepted Answer

Yes, you can take Microgynon continuously to skip periods. Finish all active pills, skip the inactive pills, and start a new pack immediately. This is safe for occasional use. For regular period skipping, discuss with your doctor as tailored regimens may be better.

Question 14

How long can I stay on Microgynon?

Accepted Answer

There's no time limit if you remain healthy with no new contraindications. Many women use it for decades. Annual review with your doctor ensures ongoing suitability. Benefits like reduced ovarian/endometrial cancer risk increase with longer use.

Question 15

What are the signs that Microgynon isn't right for me?

Accepted Answer

Consult your doctor if you experience: severe headaches (especially with visual changes), severe chest/leg pain, yellow skin/eyes, severe depression, significant blood pressure increase, or heavy breakthrough bleeding lasting months. These may indicate need for alternative contraception.

Product Name	Microgynon
Manufacturer	Bayer plc
Active Ingredient	Levonorgestrel & Ethinylestradiol
Administration	Oral tablet
Presentation	28-day ED (Every Day) pack
Available Strengths	30/150μg / 28-day pack
Product Type	POM — Prescription Only
Starting Price	£15.99
Suitable for pregnancy?	No
Use with alcohol	Alcohol compatible
Link to Patient Information Leaflet	Microgynon PIL ↗

Microgynon Pill

Microgynon Treatment