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General contraindications to the progesterone only contraceptive pill

Last reviewed dd mmm yyyy. Last edited dd mmm yyyy

Authoring team

Criteria for Exclusion of POP:

  • Consent not given.
  • Individuals under 16 years of age and assessed as not competent using Fraser Guidelines.
  • Individuals 16 years of age and over and assessed as lacking capacity to consent.
  • Known or suspected pregnancy.
  • Known hypersensitivity to the active ingredient or to any constituent of the product - see Summary of Product Characteristics
  • Individuals using enzyme-inducing drugs/herbal products or within 4 weeks of stopping them.
  • Acute porphyria

Cardiovascular Disease

  • Current or past history of ischaemic heart disease, vascular disease, stroke or transient ischaemic first attack only if taking the method when the event occurred.


  • Current or past history of breast cancer.
  • Benign liver tumour (hepatocellular adenoma).
  • Malignant liver tumour (hepatocellular carcinoma).

Gastro-intestinal conditions

  • Severe decompensated cirrhosis.
  • Any bariatric or other surgery resulting in malabsorption.

Interacting medicines (other than enzyme inducers) –-see current British National Formulary (BNF) www.bnf.orgor individual product SPC


  • Patient Group Direction (PGD) (NHS Specialist Pharmacy Service). Supply of a progestogen only contraceptive pill (POP) . (Accessed 18th March 2021).


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