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Choosing a birth control pill

What are the pros and cons of the minipill?

Pros

  • Easily reversed method of birth control if you hope to get pregnant
  • Can be taken even if you have certain health problems that increase the risks of taking combined pills, such as blood clots, migraines, high blood pressure or a high risk of heart disease
  • Are less likely than combined pills to interfere with breast-feeding
  • Lowered risk of endometrial cancer

Cons

  • Must be taken at the same time every day — if you skip a pill or take a pill more than 3 hours late, you need to use a backup form of birth control for at least two days
  • No protection against sexually transmitted infections, including HIV
  • Side effects such as irregular menstrual bleeding, ovarian cysts, decreased libido, headache, breast tenderness, acne, weight gain, depression and hirsutism
  • Slightly increased risk that if pregnancy occurs, the fertilized egg will implant outside the uterus (ectopic pregnancy)