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What is the Lovima pill?: Your Complete Guide to the OTC Mini-Pill

3 min read

In 2021, the UK's medicines regulator approved Lovima, a desogestrel-based oral contraceptive, to be sold without a prescription following a consultation with a pharmacist. This landmark decision made it one of the first birth control pills to be available over-the-counter, significantly increasing access for many women.

Quick Summary

Lovima is a progestogen-only contraceptive pill containing desogestrel, available over-the-counter in the UK following a pharmacist consultation. It prevents pregnancy primarily by stopping ovulation and thickening cervical mucus.

Key Points

  • OTC Contraceptive: Lovima is one of the first birth control pills available in the UK without a prescription, following a consultation with a pharmacist.

  • Progestogen-Only Pill (POP): It is a 'mini-pill' that contains only the active ingredient desogestrel and no estrogen.

  • Dual Action Mechanism: It works by stopping ovulation (egg release) and thickening cervical mucus to block sperm.

  • Suitable for Estrogen-Sensitive Women: Because it is estrogen-free, Lovima can be a good option for women who are breastfeeding, older smokers, or those with high blood pressure.

  • Missed Pill Window: Desogestrel mini-pills typically offer a larger window for a missed pill compared to older POPs, though a missed pill reduces effectiveness. Consult the product information for specifics.

  • Potential for Irregular Bleeding: A common side effect is irregular or absent menstrual bleeding, which often improves with time.

  • Pharmacist Consultation: Before purchasing, a pharmacist must confirm its suitability, either in-store or online via a questionnaire.

In This Article

The Lovima pill is a daily oral contraceptive specifically designed to prevent pregnancy. It is a type of progestogen-only pill (POP), also known as the 'mini-pill,' and contains the active ingredient desogestrel. Unlike combined oral contraceptive pills that contain both estrogen and progestogen, Lovima contains only desogestrel. This makes it a suitable option for women who cannot take estrogen due to certain health conditions.

How does the Lovima pill work?

Lovima prevents pregnancy through two primary mechanisms:

  • Prevents ovulation: The desogestrel in Lovima works to inhibit ovulation, which is the release of an egg from the ovary during the menstrual cycle. If no egg is released, it cannot be fertilized by sperm. This makes it more effective than some older mini-pills that primarily rely on thickening cervical mucus.
  • Thickens cervical mucus: The medication also thickens the natural mucus in the cervix. This creates a barrier that makes it more difficult for sperm to travel into the womb and reach any eggs that may have been released.

How to take Lovima

For maximum effectiveness, it is crucial to take the Lovima pill correctly every day. Consult the packaging or a healthcare professional for specific instructions on when and how to begin taking the pill.

Missed pills: It is important to follow the instructions provided with your medication or consult a pharmacist or doctor if you miss a pill, as the guidance depends on how late the pill is and where you are in your cycle.

Potential side effects of Lovima

As with any hormonal medication, some women may experience side effects when taking Lovima, especially during the first few months. Common side effects include:

  • Mood changes and depressed mood
  • Headaches
  • Acne
  • Breast tenderness
  • Weight increase
  • Irregular bleeding or periods stopping altogether
  • Nausea

Most of these side effects tend to improve or resolve after the first few months as the body adjusts. However, if side effects are unmanageable or persist, you should speak to a pharmacist or doctor.

Lovima vs. Hana: What's the difference?

Lovima and Hana are two similar brands of desogestrel mini-pills that became available over-the-counter in the UK around the same time. Both contain desogestrel and function similarly by inhibiting ovulation and thickening cervical mucus. The main difference lies in their ingredients:

Feature Lovima Hana
Active Ingredient Desogestrel Desogestrel
Availability Over-the-counter in UK pharmacies after consultation. Over-the-counter in UK pharmacies after consultation.
Soya/Peanut Allergy Contains soya bean oil; not suitable for individuals with soya or peanut allergies. Does not contain soya bean oil; safe for individuals with soya or peanut allergies.
Mechanism Prevents ovulation and thickens cervical mucus. Prevents ovulation and thickens cervical mucus.

Conclusion

Lovima has made accessing effective contraception more convenient for many women by removing the requirement for a GP prescription. As a progestogen-only pill, it offers a suitable hormonal birth control option for those who cannot tolerate estrogen, including women who are breastfeeding or have certain medical conditions. By understanding how the Lovima pill works, and its potential side effects, individuals can make an informed decision with a pharmacist to determine if it is the right contraceptive choice for them. It is important to note that Lovima, like other oral contraceptives, does not protect against sexually transmitted infections. For this, a barrier method such as a condom must also be used.

The convenience of over-the-counter access

The availability of Lovima without a prescription highlights a broader trend towards making contraception more accessible. For busy women, getting a regular supply from a pharmacy can save valuable time and reduce the need for routine doctor's appointments. A pharmacist will conduct a brief consultation to ensure its suitability, providing a quick and efficient service. This shift in access empowers women to take greater control of their reproductive health.

Lovima: Female Contraceptive Pill Online or in Pharmacy

Frequently Asked Questions

The Lovima pill can cause changes to your bleeding pattern. Some women experience lighter or less frequent periods, while for others, periods may stop altogether. However, irregular bleeding or spotting is also a common side effect, especially during the first few months.

When taken correctly, Lovima is clinically proven to be over 99% effective at preventing pregnancy, making it as effective as combined contraceptive pills. Its effectiveness relies on consistent, daily use at the same time.

Yes, Lovima can be purchased online from registered pharmacies after completing a consultation questionnaire. A pharmacist will review your answers to ensure the pill is safe and suitable for you before dispensing.

Both Lovima and Hana are desogestrel mini-pills with the same active ingredient and mechanism. The key difference is that Lovima contains soya bean oil and is therefore unsuitable for people with soya or peanut allergies, whereas Hana does not.

Yes, Lovima is generally considered safe for use while breastfeeding. It is a progestogen-only pill, so it doesn't contain estrogen, which can affect milk production. A consultation with a pharmacist can confirm its suitability.

If you miss a pill, refer to the instructions provided with your medication packaging or consult a pharmacist or doctor for guidance. The course of action depends on how late the pill is and other factors.

Unlike the combined pill, Lovima is a suitable option for women over 35 who smoke because it does not contain estrogen. This avoids the increased risk of blood clots associated with combined hormonal contraceptives.

References

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Medical Disclaimer

This content is for informational purposes only and should not replace professional medical advice.