Welche Pille kann man durchgehend nehmen?

Mini pills (estrogen-free pills) are generally taken without a break.

The 28 mini only with the Levonorgestrel of the first generation is rarely prescribed despite high compatibility. It does not prevent ovulation, it often comes to intermediate bleeding and it must be taken very accurately.

Recent minipills show higher rates of ovulation inhibition, since instead of the previously used Levonorgestrel they use the gestagen Desogestrel (e.g. Cerazette, Desogestrel aristo, Jubrele, Feanolla…).

Here, too, irregular bleeding is possible, but, like most micropills (combination pills), it also has a larger time window for removing a forgotten pill.

The mini pill is mainly prescribed to women who cannot use a micropille, because, for example, counter displays (age, smoking, increased risks for venous thromboemboly) exist.

The advantage of oestrogen-free oral contraception is the omission of all oestrogen-related side effects and they are also suitable for breastfeeding.

In the case of a micropille (combination pill with two active substances), a long-term cycle (i.e. the omission of the regular pause) is generally also possible and is not more unhealthy than generally to take the pill. It is even recommended today, as there is no medical reason why an abortion bleeding should take place regularly once a month.

However, the long-term cycle offers a lot of advantages: a uniform supply of hormones is often better tolerated by the body, there are fewer menstrual problems, PMS and migraine, and cost savings in hygiene articles and the safety of contraception is higher, as the fault-prone pause in which the egg ripening begins again.

In comparison to cyclical use, the risk of intermediate bleeding (which are already a typical side effect of each pill) is slightly increased in the long-term cycle. This does not mean, however, that intermediate bleeding must occur, but can only occur.

Germany is currentlyhowever,only a few pills allowed to pass through. Therefore also the note of the manufacturers of other pills that the displacement of the bleeding days is not recommended, just because they are not allowed for it.

Nevertheless, approved pills are prescribed “off-lable” to the long-term cycle by many German doctors, as so farno indication of negative effects of the long-term cycle.

After examining and surveying the cycle anomalies, medical history, living conditions (e.g. smoking), family disposition (breast cancer, thrombophlebital events), skin image and body hair, etc., your female physician may consider whether and which pill comes into question and discuss his assessment with you.

Happy for you!