What should you know about using the minipill for birth control?

### What is the Minipill? The minipill is a type of birth control pill that contains only progestin, a synthetic form of the hormone progesterone. Unlike combination pills, which also contain estrogen, the minipill is estrogen-free. ### How Does It Work? The minipill works by thickening the mucus in your cervix, making it harder for sperm to reach an egg. It also thins the lining of your uterus, which makes it less likely for a fertilized egg to implant. Unlike combination pills, the minipill only sometimes stops ovulation. ### Who Should Consider the Minipill? Your doctor might recommend the minipill if you are breastfeeding, over 35 and smoke, have high blood pressure, or have a history of blood clots. It may also be a good option if you want to avoid estrogen due to interactions with other medications or side effects like stomach pain or headaches. Additionally, the minipill may help treat dermatitis, a skin condition that causes red, swollen, and sore skin. ### How to Take the Minipill The minipill comes in a pack of 28 pills, all of which contain the same amount of progestin. You need to take one pill every day at the same time. If you take it more than 3 hours late, it may not be as effective, and you should use additional birth control methods like condoms for the next 2 days. ### Starting the Minipill When you first start the minipill, take it within 5 days of the beginning of your period. If you start it later, use backup contraception. ### Side Effects and Risks Possible side effects include irregular periods, headaches, and breast tenderness. The minipill does not protect against sexually transmitted infections, so using condoms is still important. If you get pregnant while on the minipill, there's a higher risk of ectopic pregnancy, which requires medical attention. ### Conclusion The minipill is a low-dose, estrogen-free birth control option that can be suitable for many women. Always consult your doctor to weigh the pros and cons and determine if it's the right choice for you.