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Contraception - Management
Vomiting or diarrhoea while on a progestogen-only pill (POP): what should be done?

  • A woman who vomits (for any reason) within 2 hours of taking a progestogen-only pill (POP) should repeat the dose as soon as possible.
    • If she is now more than 3 hours late (or 12 hours for desogestrel), continues to vomit or has very severe diarrhoea, the woman should follow the instructions for missed pills.
  • If vomiting or severe diarrhoea persists for more than 24 hours, the woman should follow the instructions for missed pills, counting each day of vomiting and/or severe diarrhoea as a missed pill:
    • Additional contraceptive cover is required during the illness and for 48 hours afterwards.

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