The Millinette pill comes in two different dosages; Millinette 20/75 and Millinette 30/75. Both of these versions of Millinette contain 75mcg of gestodene, the active progesterone. However, the dosage of ethinylestradiol (the active oestrogen) differs. If you aren’t sure which dosage you’re currently taking, you should check your pill packet to find out, as it should say it both on the box and on the top of the blister strip. If you can’t find either of these, please check with your GP, as a different dosage might not be suitable for you.
Millinette works in the same way as most combined pills, by preventing ovulation, and thickening the mucus in and around the cervix, which makes it difficult for sperm to permeate after you’ve had sex without a condom. In addition to this, Millinette also alters the lining of the womb so that if an egg were to become fertilised, it wouldn’t be able to survive.
To become pregnant, your body must first release an egg from the ovaries into the fallopian tubes, then, sperm must be able to swim through the cervical mucus to reach the egg in order to fertilise it. When an egg is fertilised, it begins to move towards the uterus, continuously dividing into several cells (a blastocyst). If this blastocyst attaches to the lining of your uterus, it is called implantation, and is when pregnancy officially begins, as it then releases hormones that prevent the womb lining from shedding. Millinette prevents this process by using the three methods mentioned above. If your ovaries don’t release an egg, nothing is available for sperm to fertilise, if any of them even make it through the thick cervical mucus. Finally, to make sure that pregnancy can’t happen, the womb lining becomes too thin to host a fertilised egg.
By using these three different methods of pregnancy prevention, combined pills such as Millinette are some of the most effective methods of contraception available.
Millinette might not be suitable for everyone, as hormonal contraception may worsen some conditions. If you have any of the following medical problems, please speak to your GP before you buy Millinette:
History of blood clots
Blood clotting disorder
Immobile or due to have an operation
History of heart attack or stroke
History of angina
History of transient ischaemic attack
Migraine with aura
Pancreatitis due to high blood fat levels
History of liver tumours
History of beast, cervical, womb, vaginal or ovarian cancer
Unexplained vaginal bleeding
Allergic to any ingredient of Millinette
Severe diabetes with blood vessel damage
High blood pressure
High cholesterol or triglycerides
Personal/family history of hypertriglyceridaemia
Systemic lupus erythematosus
Any inflammatory bowel disease
Sickle cell anaemia
Recently given birth
Inflamed veins under the skin
Depression or low mood
If you have any of these conditions, your GP may suggest a different type of contraception, or insist on close monitoring if they agree to prescribing Millinette.
How effective is Millinette?
Millinette, like most combined pills, is around 99% effective at preventing pregnancy. However, it can be made even more effective by using it in conjunction with another method of contraception, such as condoms.
It’s important to know that Millinette is only 99% effective if you take it exactly as directed every single day. Forgetting one or more pills in a pack can make it less effective, though instructions are outlined in the patient information leaflet for if this happens.
Millinette can also be less effective if you vomit or experience severe diarrhoea within 3-4 hours of taking the pill.
Some medicines can also reduce how effective Millinette is at preventing pregnancy. If you take any of the following medications, you should speak to your GP about whether Millinette is effective enough or whether you should consider other methods of contraception:
St John’s Wort
No method of contraception is 100% effective, except for abstaining from sex, but combined pills such as Millinette work well for a vast majority of females who choose to take them.
How to take Millinette
Taking millinette is simple. Each box contains three blister packs, which is enough for three months’ worth of the pill. Each blister pack is marked with days of the week by each pill, so it should be easy for you to keep track of whether or not you’ve taken your pill for the day.
Each blister strip contains 21 pills, enough for one month’s cycle. Ideally, you should start taking Millinette on the day that your period starts, but you can also start on days 2-5 of your period if you haven’t managed to start it on day 1. If you start on any other day of your cycle other than the first day of your period, you should also use additional contraception such as condoms, or avoid sex for 7 days until Millinette can protect you from pregnancy on its own.
You should take one tablet each day until you’ve finished all of the 21 pills in your blister strip. After this, you should have 7 pill-free days, also known as a “7-day break”. Once you’ve completed this break, you should start the next strip. Providing that you’ve taken your pills correctly, you should start each strip on the same day of the week.
Millinette can be taken any time of day that best suits your routine, but you should always take it at the same time each day for it to be effective, so it might help you to set an alarm to help you remember to take it.
Millinette side effects
Millinette contains gestodene and ethinylestradiol – synthetic versions of hormones that are naturally produced. Because of this, it can cause some unwanted side effects in some women, especially during the first three months of taking it.
Luckiy, many of the side effects that you might experience when you first start taking Millinette tend to subside after 12 weeks or so as your body gets used to the pill, but if you find that you’re struggling with side effects and that they outweigh the benefits of Millinette, you should speak to your own doctor about alternative methods of contraception that might be available to you.
Some of the most commonly reported side effects of Millinette include:
- Irregular vaginal bleeding
- Spotting between periods
- Fungal infections of the vagina (vaginal thrush)
- Depression or mood changes
- Upper abdominal pain
- Painful periods
- Changes to vaginal discharge
- Absence of menstruation (no periods)
- Weight gain
- Breast tenderness
- Breast pain
- Breast swelling
- Breast discharge
In addition to these side effects, it’s also important to know that when you take any form of combined hormonal contraception, your risk of experiencing a blood clot is slightly elevated, as is your risk of certain hormone-sensitive cancers such as cervical cancer and breast cancer. Your risk of blood clots when taking the pill is highest in the first 12 months after either starting hormonal contraception for the first time, or starting it again after a break of 4 or more weeks.
Because of these increased risks, it’s important that you learn how to check your own breasts regularly. If you aren’t sure on how to do this, the NHS has a good informational page on how to do it here. If you’re still stuck, you should be able to book an appointment with a nurse clinician at your GP surgery to be shown in person.
It’s also important to stay aware of symptoms of a blood clot, as these can be life threatening. If you do notice any of the following symptoms, you should call 999, explaining your symptoms to the call operator and that you take hormonal birth control:
- Swelling in one leg
- Pain or tenderness in the leg which is usually felt when standing
- Warmth and redness in the affected leg
- Sudden breathlessness or rapid breathing
- Sudden cough which may produce blood
- Sharp pain in the chest which may be worse when breathing in
- Severe light headedness or dizziness
- Rapid or irregular heart beat
- Severe pain in the stomach
- Sudden loss of vision
- Blurred vision that progresses
Your risk of blood clot is further increased if you have any of the following health problems:
- A BMI of over 30
- Immediate family history of blood clot under the age of 50
- Due to have an operation
- Over 35
- Recently given birth
You should also be aware of symptoms of a heart attack and stroke, as these can be caused by blood clots as well.
Does Millinette cause depression?
Because of the hormones used in Millinette and other versions of the Pill, some women do experience a change in their mood, often causing feelings of depression. If this happens to you, it’s important to inform your GP of how you’re feeling, as depression can be very serious, and sometimes lead to thoughts of suicide. Treatments are available that can help to ease some of the feelings of depression, such as SSRIs or talking therapies, but if you feel as though your depressed feelings outweigh the benefits of the pill, your GP may suggest that you stop using hormonal contraception and find other methods such as condoms or spermicide.
Does Millinette cause acne?
Acne is listed as a common side effect of Millinette, but if you do experience it, it often calms down within three months after your body adjusts to the hormones. If you notice that you’re experiencing acne as a result of taking Millinette, you should ask your doctor if there are any available treatments you might be able to use to reduce symptoms. Many people find that topical acne treatments manage their symptoms well enough, whilst others may need to take antibiotics to manage the condition.
Millinette pill NHS
The Millinette pill is available on the NHS, and was prescribed 89,649 times between January- December 2019.
Most forms of hormonal contraception are available on the NHS, though you may have to request Millinette from your NHS doctor.
Millinette missed pill
If you’ve missed a pill whilst taking Millinette, you should think about how long it’s been since you should have taken your dose. If it’s been less than 12 hours, you should be able to take your missed pill and still be protected. However, if it’s been more than 12 hours since you were supposed to take your pill, you will need to take additional measures. Take your missed pill as soon as you remember it, and finish the rest of the blister strip as normal, which may mean taking two pills in one day. In addition to this, you should also use another method of contraception such as condoms for 7 days, as missing a pill means that you might not be protected against pregnancy.
If you have more than 7 pills left in your blister strip, you should finish them as normal and take a 7 day break at the end. However, if you have fewer than 7 pills left, you should finish your current blister strip, then start the next one immediately without taking a 7 day break.
If at any point you become concerned that you may be pregnant, you should take a pregnancy test or make an appointment with your own doctor for advice.
You can buy Millinette from Doctor4U after answering some questions about contraception and your medical history. This is so that our GMC-registered doctors can make sure that it’s suitable for you before prescribing it.
You can buy Millinette from £19.99 for a 3-month supply of pills from Doctor4U.
When you buy Millinette from Doctor4U, our GMC-registered doctors generate a prescription that’s sent to our UK-based partner pharmacy to be dispensed and shipped.
All Millinette bought from us is regulated by the MHRA to the highest UK standards, so you can rest assured that the treatment you order online is genuine, safe and legal.
To make sure that you’re ordering Millinette from a genuine UK website, check the website for a logo that says “click here to verify if this website is operating legally”. Ours can be found on the footer of our website, and should take you to our entry in the medicine seller register from the MHRA.