Mini Pill vs Combination Pill

June 15,2022

Are you opting to take birth control pills as your form of contraception? In that case, it's better that you know the details about the two primary types of birth control pills and their differences. This is because you would need to decide to take the mini-pill or combination pill.

This post explains the difference between these two in detail to help you in choosing the right birth control pill.

How do Contraceptive Pills work?

Before understanding the differences between the mini pill and the combined pill, let’s know how any birth control pill functions. Birth control pills are based on synthetic hormones. Basically, two types of hormones help in preventing pregnancy. They are progesterone and estrogen!

Progesterone is the hormone that protects against pregnancy by preventing ovulation. It also hardens the cervix and the uterus, making the body believe that it’s already pregnant. On the other hand, estrogen affects the uterine lining to prevent pregnancy.

Apart from working as a form of contraception, estrogen also helps in reducing the severity of PCOS, painful periods, and hormonal acne. Read the next section on how these hormones play an essential role in the working of different types of oral birth control.

How do Combined Pills & Mini Pills Work?

  • Working of Combined Pills

Estrogen and progestin work together to prevent ovulation in combined pills. Progestin is the synthetic form of progesterone hormone. These pills are also known as combination pills.

They thicken your cervical mucus and cause the thinning of the uterus lining. As a result, the ovaries can’t release the monthly egg. So the sperm entering the vagina is not able to meet the egg. 

You need to take combined pills for three weeks, then stop and wait for your period. You can continue taking them if you want delayed periods.

  • Working of Mini Pills

Progestin-only birth control pills are often called “mini-pills. These birth control pills do not contain estrogen. The working of mini pills is similar to combined pills. The progestin present in these pills thickens the cervical mucus and causes thinning of the uterine lining. Mini pills need to be taken every day at the same time.

What is the Difference Between Combined Pill and Mini Pill?

Let’s understand the difference between these birth control pills with the help of the following table:-


Combined Pill

Mini Pill


Contains estrogen along with progesterone.

Progestin-only birth control pills


Either 21 active pills or 21 active & 7 inactive pills

28 active pills


Not Recommended for

Patients with high blood pressure

Moms who are breastfeeding

People allergic to estrogen

Someone with heart issues

Someone having HIV/AIDS

Ongoing TB medications

Patients with liver diseases

Breast cancer patient


Preventing ovulation along with thickening cervical mucus and thinning the uterine lining.

Thickening of the cervical mucus and thinning of the uterine lining.


The effectiveness of the combination pill is a bit higher than the mini pill. It’s 99%.

The effectiveness of the mini pill is 91%.

Take up a FREE consultation to check which Pill suits you best!

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What are the Advantages of Combined Pill & Mini Pill?

The birth control pill affects every woman in different ways. But some common advantages of combination pill and progestin-only birth control pill are as follows:

The Combined Pill

  • Makes periods lighter, regular and prevents painful periods
  • Controls the PMS symptoms
  • Possibility of getting pregnant immediately after stopping the pills
  • Reduces acne
  • Reduces risk of ovarian cysts as it prevents ovulation

The Mini Pill

  • It’s safe for breastfeeding moms (unlike combination pills), people allergic to estrogen, all age groups, and smokers.
  • It regulates the period flow.

When are the Combination Pill and Mini Pill not Advisable?

Following is the list of complications that do not allow you to take the particular birth control pill.

Combination Pill

  • People with heart diseases
  • People with liver disease in the past or present
  • People with high blood pressure
  • Breastfeeding moms
  • People with breast cancer in the past or currently
  • 35 years or older smokers
  • People with diabetes
  • People taking St. John’s wort supplements and medications like anticonvulsant agents, Tb medicines, etc.

Mini Pill

  • Patients of breast cancer or who had breast cancer in the past.
  • Taking any contradictory medication (your doctor or GP can tell you this).
  • Patients with liver issues currently or in the past.
  • People who can’t take the pill same time each day.

What Happens if You Miss a Pill?

Take the pill as soon as you remember that you’ve missed taking it, even if it means taking two medications in a day. If it’s been more than 48 hours that you missed the pills, use another form of contraception while having sex. If you had unprotected sex during this time, take emergency contraception immediately.

Ask your pharmacist or GP before taking emergency contraception as it can interfere with your birth control pills.

Which Type of Birth Control Pill is Suitable for You?

There’s no “one-size-fits-all” approach when it comes to deciding on the form of contraception. Both mini and combined pills have unique advantages and some drawbacks. Also, different types of oral birth control pills are available in the market. The effectiveness of a mini or combined pill depends upon individual health conditions.

Consider your health condition and discuss with your pharmacist or GP to choose the right birth control pills.

What Happens if You Stop Taking Birth Control Pills?

The consequences of abruptly stopping the birth control pill would be different for every individual. It would depend upon which medicine you were taking. In general, you may face the following health issues.

  • Your weight may decrease
  • Your PMS may return
  • You can get pregnant
  • Your acne and unwanted hair come back 
  • Your period flow and pain may increase

Where to Buy Birth Control Pills?

Different types of oral birth control pills are available on MedsNow online pharmacy, which you can order easily.

Combined Pill

Mini Pill











Parting Words

MedsNow is your go-to solution for getting clinically proven and affordable mini and combined birth control pills delivered at your doorstep quickly and discreetly. Our team of experts is always available to resolve any query regarding the type of birth control pill you should take. Call us now and give us a chance to serve you!