How effective is the Hana contraceptive pill?

How effective is desogestrel?

How long before desogestrel is effective?

How do you take Hana®?

Is Hana® suitable for everyone?

How can I get Hana®?

References

Choosing a method of contraception can be a difficult decision. There are many factors to consider, such as your health, any medications you’re taking, whether you prefer hormonal or non hormonal, and if you prefer to take your birth control every day or opt for a long acting reversible method. One of the most important factors to consider if you don’t want to get pregnant is how effective your contraceptive method is.

Hana® is a progestogen-only pill that contains desogestrel, a synthetic hormone that mimics the naturally occurring hormone progesterone. Hana® is the best selling contraceptive pill available to buy over the counter in the UK*. It can help prevent pregnancy by:

Preventing ovulation, so no egg is released and any sperm in the body has nothing to fertilise
Thickening cervical mucus, so sperm have a harder time reaching the uterus

You can buy Hana® over the pharmacy counter or online. When purchasing Hana® you will complete a short consultation so a pharmacist can check and see if Hana® is the right choice for you.

How effective is desogestrel?

“Taken at the same time each day, progestogen-only pills like Hana® which contain desogestrel are over 99% effective,” says Deborah Evans, a pharmacist with over 30 years of experience**. “This means that fewer than 1 woman in 100 who uses the progestogen-only pill as contraception will get pregnant in one year.”

If you take progestogen-only pills like Hana® correctly, which is known as ‘perfect use’ and means that you take it at the same time every day without a break between packs and never forget to take it, they are over 99% effective at preventing pregnancy. With typical use, which accounts for human error such as someone forgetting to take their pill or not taking it consistently at the same time, this effectiveness can go down to around 92% effective. This may be due to forgetting to take your pill or not taking it at the same time every day, vomiting or diarrhoea, or taking certain medicines that may interfere with Hana®’s effectiveness.

If you forget to take your contraceptive pill then there is a chance you could ovulate and become pregnant if you had sex without using a barrier method like a condom. Progestogen-only pills containing desogestrel like Hana® should be taken every day at the same time without a break between packs.

If you realise you’ve forgotten to take your pill and it’s been less than 12 hours since you were meant to take it, then it will still be effective if you take it within that 12 hour window. If it’s been longer than 12 hours, that counts as a missed pill. You should take your contraceptive pill as soon as you remember and take your next pill at the usual time (even if that means taking two pills in one day). You should also use a barrier method (like a condom) for the next 7 days as your contraceptive pill may be temporarily less effective if you’ve missed one or more.

It’s important to consider whether you feel confident that you will remember to take your contraceptive pill reliably, and that you’ll remember to take it if your routine changes ( if you stay at someone else’s house or go on holiday for example). If you’re not sure whether you want to commit to taking your contraceptive every day, consider if a long acting reversible contraceptive (LARC) like the IUD may be more suitable.

How long before desogestrel is effective?

If you start taking desogestrel on the first day of your menstrual cycle, then it will be effective immediately. However, if you start taking it on any other day of your cycle, then you will need to use another method of contraception (such as condoms) for the first 7 days to help prevent unplanned pregnancy.

How do you take Hana®?

Hana® is a progestogen-only pill that has to be taken at the same time every day without a break between packs. You should swallow one tablet whole with water every day and start a new pack as soon as you finish the previous one. You take Hana® every day, 365 days a year, with no break between packs. There are no inactive or placebo pills with Hana®.

To make sure you take Hana® correctly, you should:

Choose a convenient time of day that suits you and stick to it
Use an alarm or reminder app to help you remember your pill
Keep your pill pack somewhere you can easily see it
Check your pill pack regularly and make sure you have enough supply
Read the patient information leaflet carefully and follow the instructions

If you have any questions or concerns about taking Hana®, you can always ask your pharmacist or doctor for advice.

Is Hana® suitable for everyone?

Hana® is not suitable for everyone. You should not take Hana® if you:

Are allergic to desogestrel or any of the other ingredients in Hana®
Are pregnant or think you might be pregnant
Have or have had breast cancer
Have or have had a blood clot in your veins or arteries
Have or have had liver disease or liver tumours
Have unexplained vaginal bleeding

You should also tell your pharmacist or doctor if you have any of the following conditions, as they may affect the suitability or safety of Hana® for you:

Diabetes
High blood pressure
High cholesterol
Heart disease
Stroke
Migraine with aura
Epilepsy
Tuberculosis
Depression
Gallstones
Crohn’s disease or ulcerative colitis

You should also inform your pharmacist or doctor about any other medicines you are taking, as some of them may interact with Hana® and reduce its effectiveness or increase its side effects. These include:

Medicines for epilepsy, such as carbamazepine, phenytoin, phenobarbital, primidone, oxcarbazepine, topiramate or lamotrigine
Medicines for tuberculosis, such as rifampicin or rifabutin
Medicines for HIV, such as ritonavir, nevirapine or efavirenz
Medicines for fungal infections, such as griseofulvin, ketoconazole or itraconazole
Medicines for hepatitis C, such as boceprevir or telaprevir
Medicines for high blood pressure, such as bosentan
Herbal remedies containing St John’s wort

If you are unsure whether Hana® is suitable for you, you should always consult your pharmacist or doctor before taking it.

How can I get Hana®?

Hana® is the best selling contraceptive pill available to buy over the counter from pharmacies in the UK*. You can also order it online for delivery to your door. However you choose to buy Hana®, you will need to answer some questions about your health and medical history to make sure it’s suitable for you.

*Verify: hana.co.uk/verify

**Deborah Evans does not endorse any products or brands.

Hana® 75µg film-coated tablets contains desogestrel and is an oral contraception for women of child bearing age to prevent pregnancy. Always read the instructions on the package leaflet carefully.

References

https://www.nhsinform.scot/healthy-living/contraception/progestogen-only-pill-pop-mini-pill
https://www.sciencedirect.com/topics/neuroscience/desogestrel
https://www.nhs.uk/conditions/contraception/the-pill-progestogen-only/

How to get Hana at a Pharmacy

How to get Hana® at a pharmacy

Getting Hana® at a pharmacy

The pharmacist consultation

Are pharmacists qualified to distribute the contraceptive pill?

Alternative ways to access the POP

Subscription not prescription

Should I get my contraceptive pill over the counter?

So you’re interested in a progestogen-only contraceptive pill that you can buy over the pharmacy counter? In that case, you’ll need to know how you can access contraceptive pills like Hana®, available from your pharmacist without a prescription.

Getting Hana® at a pharmacy

As you may already know, Hana® is one of the contraceptive pills that can be purchased without a prescription – this means you don’t need a doctor’s appointment to obtain it. We know that it can sometimes be difficult trying to attend appointments if you have a busy schedule, so getting one booked might not be feasible. That’s where Hana® comes in.

Hana® and other progestogen-only pills (also called the POP or mini pill) should be available in all good pharmacies – both independent, local stores and larger chain stores like Boots, Superdrug and Lloyds. If you are unsure whether or not your pharmacy offers contraceptive pills like Hana®, you can always ask the pharmacist. These contraceptive pills are still available to get from your GP on prescription, pharmacies are just another access option for anyone who might need it.

Hana® is a contraceptive pill containing desogestrel, designed to be taken at the same time every day, without breaks. When taken correctly, Hana® is over 99% effective at helping to prevent pregnancy.

The pharmacist consultation

In order to purchase an over the counter contraceptive pill (like Hana®), you will need to have a conversation with the pharmacist to make sure that it is right for you. There is really no difference between this and the conversation you’d have with a GP; the pharmacist will be asking similar questions and discussing contraceptive options with you. There should be no waiting time, either – you can walk straight into a pharmacy near you.

There is no requirement for a blood pressure check when purchasing the progestogen-only pill, and this is true regardless of whether you get it on prescription or not. Blood pressure checks are more closely associated with the combined contraceptive pill.

We get it: if you’ve been seeing a GP to access your contraceptive pill up until now, you’re bound to have questions about this new route of access that we are offering – especially given it differs from what you’re used to.

Are pharmacists qualified to distribute the contraceptive pill?

A lot of the online conversations and debates we have seen around contraceptive pills without prescription focus on concerns about whether or not pharmacists are qualified to distribute said pills.

We want to assure you that pharmacists are highly trained medical professionals, and go through specific training with regard to contraception. To become a pharmacist, there is a four-year degree course followed by a mandatory pre-registration year. Pharmacists study as scientists and clinicians and, because of this, are able to offer specialist advice around medication.

We have previously interviewed Deborah Evans, who told us about the 5 years of training it took for her to qualify as a pharmacist.

Alternative ways to access the POP

Hana® can also be purchased online via Hana® direct! There will also be a pharmacist consultation if you choose to purchase online. You’ll complete a checklist of eight questions, which is then reviewed by one of our registered pharmacists who will check to see whether or not the progestogen-only pill is a good fit for you. If they agree that Hana® is a good option for you, the order will be processed and delivered to your house.

Subscription not prescription

We have recently launched our subscription service on Hanadirect.co.uk. This means that there are two options for purchasing online: as a one-time guest purchase (for a three month supply), or by signing up for our subscription service. Our subscription service is a great way to spread the cost, as you only have to have three months supply in one go. Other benefits are that you’ll get free delivery on all orders, and handy reminder emails when your supply is running low and the next delivery needs triggering. There is no minimum sign up period, so don’t worry about being trapped if things don’t work out with Hana® – you are free to cancel your subscription at any time.

Should I get my contraceptive pill over the counter?

Looking after yourself and your sexual and reproductive health should be empowering, and nothing to be ashamed of. Working out what kind of contraceptive best suits your body and lifestyle is a huge part of looking after your sexual health. As we are all different, our relationships with and reactions to various contraceptive options will be different too.

If you’re considering accessing your contraceptive pill without a prescription, the pharmacist consultation should clear up any concerns you may have, and we recommend purchasing the three month pack to give your body a chance to regulate after any initial side effects (as would be the case if you were prescribed the medication by a GP).

Hana® 75µg film-coated tablets contains desogestrel and is an oral contraception for women of child bearing age to prevent pregnancy. Always read the instructions on the package leaflet carefully.

Ask Hana®

How to get Hana® birth control at a Pharmacy

Getting Hana® at a pharmacy

The pharmacist consultation

Are pharmacists qualified to distribute the contraceptive pill?

Alternative ways to access the POP

Subscription not prescription

Should I get my contraceptive pill over the counter?

So you’re interested in a progestogen-only contraceptive pill that you can buy over the pharmacy counter? In that case, you’ll need to know how you can access contraceptive pills like Hana®, available from your pharmacist without a prescription.

Getting Hana® at a pharmacy

As you may already know, Hana® is one of the contraceptive pills that can be purchased without a prescription – this means you don’t need a doctor’s appointment to obtain it. We know that it can sometimes be difficult trying to attend appointments if you have a busy schedule, so getting one booked might not be feasible. That’s where Hana® comes in.

Hana® and other progestogen-only pills (also called the POP or mini pill) should be available in all good pharmacies – both independent, local stores and larger chain stores like Boots, Superdrug and Lloyds. If you are unsure whether or not your pharmacy offers contraceptive pills like Hana®, you can always ask the pharmacist. These contraceptive pills are still available to get from your GP on prescription, pharmacies are just another access option for anyone who might need it.

Hana® is a contraceptive pill containing desogestrel, designed to be taken at the same time every day, without breaks. When taken correctly, Hana® is over 99% effective at helping to prevent pregnancy.

The pharmacist consultation

In order to purchase an over the counter contraceptive pill (like Hana®), you will need to have a conversation with the pharmacist to make sure that it is right for you. There is really no difference between this and the conversation you’d have with a GP; the pharmacist will be asking similar questions and discussing contraceptive options with you. There should be no waiting time, either – you can walk straight into a pharmacy near you.

There is no requirement for a blood pressure check when purchasing the progestogen-only pill, and this is true regardless of whether you get it on prescription or not. Blood pressure checks are more closely associated with the combined contraceptive pill.

We get it: if you’ve been seeing a GP to access your contraceptive pill up until now, you’re bound to have questions about this new route of access that we are offering – especially given it differs from what you’re used to.

Are pharmacists qualified to distribute the contraceptive pill?

A lot of the online conversations and debates we have seen around contraceptive pills without prescription focus on concerns about whether or not pharmacists are qualified to distribute said pills.

We want to assure you that pharmacists are highly trained medical professionals, and go through specific training with regard to contraception. To become a pharmacist, there is a four-year degree course followed by a mandatory pre-registration year. Pharmacists study as scientists and clinicians and, because of this, are able to offer specialist advice around medication.

We have previously interviewed Deborah Evans*, who told us about the 5 years of training it took for her to qualify as a pharmacist.

*Deborah Evans does not endorse any products or brands.

Alternative ways to access the POP

Hana® can also be purchased online via Hana® direct! There will also be a pharmacist consultation if you choose to purchase online. You’ll complete a checklist of eight questions, which is then reviewed by one of our registered pharmacists who will check to see whether or not the progestogen-only pill is a good fit for you. If they agree that Hana® is a good option for you, the order will be processed and delivered to your house.

Subscription not prescription

We have recently launched our subscription service on HanaDirect.co.uk. This means that there are two options for purchasing online: as a one-time guest purchase (for a three month supply), or by signing up for our subscription service. Our subscription service is a great way to spread the cost, as you only have to have three months supply in one go.

Other benefits are that you’ll get free delivery on all orders, and handy reminder emails when your supply is running low and the next delivery needs triggering. There is no minimum sign up period, so don’t worry about being trapped if things don’t work out with Hana® – you are free to cancel your subscription at any time.

Should I get my contraceptive pill over the counter?

Looking after yourself and your sexual and reproductive health should be empowering, and nothing to be ashamed of. Working out what kind of contraceptive best suits your body and lifestyle is a huge part of looking after your sexual health. As we are all different, our relationships with and reactions to various contraceptive options will be different too.

If you’re considering accessing your contraceptive pill without a prescription, the pharmacist consultation should clear up any concerns you may have, and we recommend purchasing the three month pack to give your body a chance to regulate after any initial side effects (as would be the case if you were prescribed the medication by a GP).

Ask Hana

Should I buy a one month or three month pack of Hana®?

Should I get a one-month or three-month supply of contraceptive pills?

What to look out for when starting a new contraceptive pill like Hana®

A three-month pack of Hana® can give your body time to settle

Take Hana® everyday

Cost-effective

Time effective

Can you get a six-month or twelve-month month supply of Hana®?

We understand that changing or starting a new contraceptive pill can feel like a big decision. Whilst contraceptive pills are the most commonly used type of contraception in the UK, that doesn’t mean that everyone has the same experience with them. We’ve all heard stories about one person who absolutely loves a specific type of contraceptive pill and someone else who didn’t get on with it at all.

It makes sense that when starting a new contraceptive pill, you may want to try it and see how your body feels while using it before deciding to use this type of contraception long term.

Now that some progestogen-only contraceptive pills like Hana® are available to buy over-the-counter with a pharmacy consultation rather than a doctor’s appointment, you may be given the choice between purchasing a one-month or three-month pack. If this happens, you may be wondering about the pros and cons of each option and which would be the best choice for your personal circumstances.

Contraception is all about choice, so we have created this article to help you make up your own mind about which option (if either) you wish to take.

Should I get a one-month or three-month supply of contraceptive pills?

When you have first been prescribed a contraceptive pill, you will usually be given a three-month supply. This is because it can take longer than a month to really know how your body responds to a specific contraceptive pill. It is also important that you take Hana® every day without a break, so having 3 months supply will help make sure you don’t run out

Everyone is different and may experience a contraceptive pill differently. Some may feel no side effects at all, others may feel mild side effects for a few weeks before it settles down, and others may have to wait slightly longer for their body to settle.

Contraceptive pills are usually tolerated well by most women and people with uteruses, but some may experience long or short-term adverse reactions to a specific contraceptive pill, so may wish to switch to another type of contraceptive pill or try another form of contraception.

What to look out for when starting a new contraceptive pill like Hana®

Hana® is a progestogen-only pill, which means it is suitable for people who cannot take or do not want to take oestrogen. For example, it can be suitable for people who are breastfeeding.

When buying Hana®, either online or in a pharmacy, you will complete a checklist which asks you questions about your medical history, other medications you may be taking, whether or not you may be pregnant and other queries that help the pharmacist decide if Hana® is the right choice for you.

Like any medication, some people may experience side effects when taking Hana®. These side effects tend to be mild and can balance out within a few months. Serious side effects are rare, but if you do experience any you should stop taking Hana® and speak to a doctor or other health care professional. Find out more about the potential side effects of Hana®.

It’s really important to listen to your body and talk to a healthcare professional if you want to change your contraception. Your body and needs are unique, so just because your friend, mum or sister absolutely loves a specific pill doesn’t mean it’s the right choice for you. One of the great things about the contraceptive pill is that you can stop taking it at any time if you want to.

Remember that contraceptive pills are only effective at preventing pregnancy if you are taking them as instructed, so you will not be protected from pregnancy (and could in fact get pregnant) after you stop taking them.

If you want to get a good idea of how a specific pill interacts with your body, it would be a good idea to choose a three-month supply over a one-month supply as this gives you a better indication of how the pill interacts with your body once it’s had time to settle down. Read on to find out more.

A three-month pack of Hana® can give your body time to settle

It can take a few months for the body to settle into taking the pill. Three months is a good amount of time to see how you feel using Hana®. One month is not really enough time to get a good sense of how Hana® makes you feel.

Take Hana® everyday

It is important that Hana® is taken every day, without a break between packs. Having three months helps ensure you have another pack to start when the last one ends, which may help you avoid missing your pill.

Cost-effective

It is more cost-effective to buy a three-month rather than a one month supply – you would save around 10p a day.

Time effective

Hana® is something you’re likely to take every day for a few months, years or even decades. Many people may find they don’t have the time to go to the pharmacy every month, so it is simply more convenient to have a longer supply.

Can you get a six-month or twelve-month month supply of Hana®?

You can get a twelve-month supply of Hana® from your pharmacy if that feels like a better option for you. The same is now true for contraceptive pills bought over the counter if you are buying a repeat supply. Please note that you can only get up to three months of Hana® if you are under 18.

It’s really important that you feel comfortable with your contraception. Remember that you can always talk to a healthcare professional like a pharmacist about any questions or concerns you may have.

Have you recently started taking Hana®? Why not get in touch on social and let us know about your experience? @hanaPillUK

Ask Hana

Is the Hana contraceptive pill suitable for me?

Could Hana® be Suitable for me?

Who can use Hana®?

Can you smoke on the contraceptive pill?

Who can’t use Hana®?

If you’ve landed here, it’s probably because you’re wondering whether Hana® – a progestogen-only pill available to buy over the counter without prescription – may be suitable for you. As Hana® is a progestogen-only pill and does not contain oestrogen, it is suitable for many people who cannot or may not want to take oestrogen.

Hana® is well tolerated by many women and people with uteruses, but like any medication, it is not suitable for everyone. If you choose to buy Hana®, either over the pharmacy counter or online, you will need to have a consultation with a pharmacist, or complete an online checklist, which will be reviewed by a pharmacist. This will be a questionnaire that includes questions about your medical history and any medication you are taking. This is to help the pharmacist check if Hana® is suitable for you.

Who can use Hana®?

When taken correctly, Hana® is over 99% effective at preventing pregnancy. As a progestogen-only pill, Hana® is suitable for many women and people with uteruses who want to prevent pregnancy. Hana® may also be suitable for you if you are unable to take contraceptives containing oestrogen, such as the combined pill.

Hana® is suitable for many people, including some who cannot take contraception which contains oestrogen.

✓	If you’re over 35 and you smoke
✓	If you’re breastfeeding
✓	If you are allergic to or don’t want to take oestrogen
✓	If you have a higher BMI
✓	If you have a history of blood clots

Can you smoke on the contraceptive pill?

If you smoke and are over the age of 35, the combined contraceptive pill (which contains progestogen and oestrogen) is not recommended. This is because oestrogen can cause changes in your blood and slightly increase your risk of blood clots, which is also a risk of smoking.

Try to be as honest as possible with your pharmacist or doctor when talking about your contraceptive options, so it’s easier for them to make an informed recommendation that is suitable for you. If you smoke and are over the age of 35, the progestogen-only pill may be suitable for you.

Who can’t use Hana®?

There are some circumstances, such as certain medical conditions or other medications, which may mean Hana® is not suitable for you. If this is the case, your pharmacist will be able to tell you about other methods of contraception and help you make an informed decision. You can find out more on the Hana® package leaflet.

❌	You are allergic to desogestrel or any other ingredients in Hana®
❌	If you have cancer that is affected by sex-steroid hormones, such as certain types of breast cancer, ovarian cancer or endometrial (uterine) cancer
❌	If you have, or have had, jaundice (yellowing of the skin or whites of the eyes) or severe liver disorders, and blood tests show your liver has not returned to normal
❌	If you have an active blood clot in the legs (deep vein thrombosis) or lungs (pulmonary embolism)
❌	You have unexplained bleeding between periods or after sex (you should check this out with a doctor as it can be a symptom of more serious problems)
❌	If you are pregnant or think you may be pregnant.

You should talk to a doctor before taking Hana®, if any of the below apply:

You have a history of cancer that is affected by progestogen hormones, such as certain types of breast cancer, ovarian cancer or endometrial (uterine) cancer
You have had a blood clot in the legs (deep vein thrombosis) or lungs (pulmonary embolism)
You have liver cancer or other liver disorders.
You have diabetes.
You have epilepsy.
You have tuberculosis.
You have high blood pressure.
You have or have had chloasma (yellowish-brown pigmentation patches on the skin).

Want to find out more about whether Hana® may be suitable for you? Why not complete our online checklist or speak to a pharmacist to find out more.

Ask Hana

Can I take Hana® contraception pill if I’m ill?

Can I take Hana® if I’m ill?

When does being ill impact the pill?

What if I am sick for longer than 24 hours?

What happens if I’ve missed more than one pill?

Will different contraceptive pills make me feel unwell?

Can my medication affect me taking the pill?

Can I take Hana® if I’m ill?

When you’re ill, the last thing you want is to be feeling rubbish and worrying about whether or not your contraceptive pill will remain effective.

It’s a strange time to fall ill at the minute, so it’s important to know what kinds of illness might impact the effectiveness of your pill, so we spoke to Dr Sally Green (MBChB, DRCOG, FPCert)* – a GP who works in a sexual health clinic – about what symptoms to look out for, and what a bout of ill health could mean for your contraception.

When does being ill impact the pill?

“As long as you are not vomiting or have diarrhoea, and you continue to take your progestogen-only pill at the same time every day, the pill should still work,” says Dr Green.

“However, If you do stop taking the pill when feeling unwell, you should restart as soon as you are well again. If you restart taking your contraceptive pill on any day other than the first day of your period, a barrier method of contraception should be used for 7 days” Dr Green adds.

“If you are sick within three to four hours of taking your pill, it won’t have had a chance to be absorbed into your body and you’ll need to take another pill,” says Dr Green. “If you are sick all day, the day should be counted as a ‘missed pill’. Take another pill as soon as you are able to – even if this means taking two pills in one day. The following day, take your next pill at your usual time. If you are any more than 12 hours late in taking your pill, you should use condoms for the following 7 days to ensure you remain protected against pregnancy.”

You might feel lethargic and sleep more when unwell, so make sure you set an alarm to remind you to take your pill if you’re worried you might forget.

What if I am sick for longer than 24 hours?

“If you get really unlucky and are ill for a longer period of time, you will need to keep taking your pills at the same time as usual, but your protection may be compromised,” says Dr Green. “In this case, it’s advised that you also adopt a method of barrier contraception like condoms.”

“If you’ve missed more than one pill, take the last pill you missed and carry on taking your pill as normal from that day. You should use condoms for the next 7 days, to ensure you are as protected as possible” says Dr Green.

What happens if I’ve missed more than one pill?

If you are using a pill which contains desogestrel, like Hana®, you are still protected if you manage to take your pill within 12 hours of when you normally would take it. If this occurs, simply carry on taking the remainder of your pill packet as you normally would.

“If the protection window has passed, it counts as a ‘missed pill’,” says Dr Green. “Take your missed pill as soon as you are able. Again, this may mean you take two pills in one day. Carry on with the rest of the pack of pills as normal, but make sure to use additional protection (like condoms) for 7 days after the missed pill has been consumed. Progestogen-only pills work by preventing ovulation and thickening cervical mucus.”

If you have any concerns about not being protected, the best thing you can do to keep your mind at ease is use condoms or an alternative contraceptive barrier method.

Will different contraceptive pills make me feel unwell?

“When you first start taking either the combined or progestogen-only pill, you might feel hormonal or moody,” says Dr Green. “Some common side effects include hormonal skin spots, breast tenderness, decreased libido, altered mood, irregular menstruation, nausea and headaches, but these usually subside within a few months.”

On the whole, there is only cause for worry if you are unwell in a way that might affect whether the pill is absorbed into your system. If you are unwell but experiencing symptoms other than vomiting or diarrhoea, it’s unlikely that this would interfere with the effectiveness of your contraception. However, it is important to consider if any medications that you are taking might interact with your contraception.

Can my medication affect me taking the pill?

“Commonly used antibiotics won’t affect the pill,” says Dr Green. “Even so, if you are being prescribed medicines or discussing potential drugs with a medical professional, you should always inform them that you are on the pill.”

Hana® and other progestogen-only pills should not be taken alongside any of the following medications, as these can alter the efficacy of your pill**

Epilepsy medication (e.g. primidone, phenytoin, barbiturates, carbamazepine, oxcarbazepine, felbamate, topiramate, phenobarbital)
Tuberculosis medication (e.g. rifampicin, rifabutin)
HIV treatments (e.g. efavirenz)
St John’s Wort
Bosentan
Medication used to treat fungal infections (e.g. griseofulvin)

Any questions surrounding whether or not you can take the contraceptive pill alongside your medication are best directed to a medical professional like a pharmacist or your GP.

If you are persistently ill or anything feels abnormal for you, please seek medical attention.

*Dr Sally Green does not endorse any products or brands

** https://www.medicines.org.uk/emc/files/pil.12735.pdf

Hana® film-coated tablets. Oral Contraception. Contains desogestrel. Read label.

Ask Hana

What is the Hana® consultation like?

The HanaDirect checklist

Face-to-face consultation with a pharmacist

How are pharmacists qualified to carry out consultations for the pill?

You can now purchase Hana® without a doctor’s appointment from many pharmacies, or online via HanaDirect. No matter how you buy Hana®, you will need to undergo a consultation with a registered pharmacist first, to see if Hana® is right for you.

We completely understand that you might have a few questions about what actually happens during this consultation and why pharmacists are the right people to carry them out, so hopefully we can answer some of those here.

When you buy through HanaDirect, you will be required to answer a few questions on the checklist. Your answers are then passed on to an accredited pharmacist who is able to authorise or otherwise follow up on your order. Once we have confirmation that everything is looking good, we’ll keep you updated on the processing and dispatch of your order. If you are buying Hana® in a pharmacy, your pharmacist will ask you the same questions to know if Hana® is appropriate for you.

The HanaDirect checklist

If you choose to purchase your contraceptive pills via the internet, HanaDirect could be a great site for you. It should only take a couple of minutes to work your way through and includes the same questions you would expect to be asked face to face. This covers your age, whether you might be pregnant and a couple of questions about your medical history – for example whether you have experienced any health conditions or allergies, or whether you’ve been prescribed a contraceptive containing desogestrel before.

Then you place your order! That’s really all you need to do. Your checklist answers will go to a trained pharmacist who can then flag any potential issues. Otherwise, your order will be on its way shortly and we’ll send you an email to confirm. It will arrive in discreet packaging, and you can choose between next-day and 48-hour postage. Your information is always kept totally confidential.

Face-to-face consultation with a pharmacist

There should never be any major difference between consulting with a pharmacist and discussing the pill with your GP. You’ll be asked the same questions and have the same opportunity to discuss your options if you’ve got any questions of your own. They will want to know a few things about you, such as whether you have any previous or existing health conditions that may cause issues, whether you’re taking any medication and whether you have any allergies.

As with the online consultation, any information you provide to the pharmacist will be kept confidential. There’s no need to worry; pharmacists are trained healthcare professionals who are comfortable discussing sexual health. They are there to support you as you take charge of your contraception by purchasing them from the pharmacy.

Pharmacists are all highly qualified healthcare professionals and it is great news that a daily contraceptive pill can now be purchased from a pharmacy. This is great news for many people who are unable to conveniently access an appointment with their GP or wait for a prescription, but does not mean that you can’t discuss or access contraceptive pills through your GP if that’s preferable. Both HanaDirect and heading to the pharmacy could be great options for you to consider if you are unable to book or attend a doctor’s appointment.

How are pharmacists qualified to carry out consultations for the pill?

A pharmacist’s career begins with a 4-year Master of Pharmacy (MPharm) degree covering a wide range of scientific disciplines revolving around chemistry and physiology. It doesn’t end there; they will then undergo a pre-registration year of training which involves a patient-facing work placement. There are many places this placement can be carried out, including community pharmacies, hospitals, and GP surgeries – or anywhere else you might find a registered pharmacist.

The training pharmacists go through includes not only product-specific training, but also continued training and education on reproductive health and safeguarding, which is required to be kept up to date. A pharmacist who completes their training and meets these requirements can safely supply other over the counter medication as well as prescription medication. A pharmacist can also advise customers on which over-the-counter treatments may be best for them, and how best to take their medication.

It’s also important to recognise that there are other members of your pharmacy’s team including pharmacy technicians and assistants who are crucial for the smooth operation of the pharmacy, but do not carry the same qualifications and are unable to conduct these consultations.

Hopefully you now feel a little more confident about all of the different options available to you. Whether you choose to visit HanaDirect, the pharmacy, or your GP, you can access helpful advice regarding contraception from someone who understands your individual needs and circumstances. Both the pharmacy and HanaDirect are additional new points of safe access to the pill which allow you to connect with pharmacists who are qualified to help, and your GP is still a great option should you prefer to speak to them about your requirements.

If you’re interested in learning more about Hana®, why not read some of our other Ask Hana® pieces? You can also hear more about Hana® and why pharmacists are trusted healthcare providers in this interview with pharmacist Deborah Evans*.

Hana® 75μg film-coated tablets contains desogestrel and is an oral contraception for women of child bearing age and people with uteruses to prevent pregnancy. Always read the instructions on the package leaflet carefully.

*Deborah Evans does not endorse any products or brands.

Ask Hana

What is Hana’s subscription service?

What is Hana’s Subscription service?

What is Hana®?

Hana®’s online consultation

What is Hana Direct’s subscription service?

Hana®’s subscription service

Why should I get a 3-month supply of Hana®?

What happens when I order Hana®?

What if I don’t receive my order of Hana®?

In 2021, some progestogen-only pills such as Hana® were licensed to sell over the pharmacy counter with no need for a doctor’s appointment. Pharmacists are trained medical professionals, and they will have a consultation with you to see if Hana® is right for you.

Hana® is also available to purchase online via Hana Direct. If you choose to order online, you will complete an online checklist of eight questions which will help identify any reasons that Hana® might not be the right choice for you. These answers are then reviewed by a registered pharmacist. If they agree that Hana® is right for you, they will process the order which will be delivered to your house.

What is Hana®?

Hana® is a progestogen-only pill containing desogestrel that works primarily by preventing ovulation so there is no egg for any sperm to fertilise. It also helps stop fertilisation by thickening the mucus in your cervix, preventing sperm from getting through. As a progestogen-only pill, Hana® does not contain oestrogen and may be suitable for people who cannot or do not want to take oestrogen.

When used correctly, Hana® is more than 99% effective at preventing pregnancy. Hana® is suitable for many women and people with uteruses. Since there is no one-size-fits-all when it comes to contraception, before you are able to purchase the pill you must have a consultation with a pharmacist to see if this is the right choice for you.

Hana®’s online consultation

When purchasing online via Hana Direct, you will need to complete an online consultation. This will help the pharmacist check if Hana® is the right option for you, or if there is a reason you may want to choose another method of contraception.

The consultation includes questions about any health conditions you may have, allergies, medication and whether there’s a chance you’re pregnant.

If you decide to order Hana® online, there are a few options to choose from. You can choose a one-off purchase of a 3-month supply of Hana®, or you can sign up for Hana®’s subscription service where you will benefit from free P&P with your regular orders. Find out which option is right for you below.

What is Hana Direct’s subscription service?

You have two options when buying Hana® online, so you can choose whichever option suits your lifestyle and personal needs.

You can order a one-time guest purchase for your 3-month supply.
There is no need to create an account with the one-time guest purchase option, but this does mean you will have to re-enter your details if you want to buy Hana® online again.
With this option, you will not get reminders to renew your purchase, and you will not receive free repeat deliveries.

Hana®’s subscription service

Hana® Direct also offers a subscription service with free delivery which you can sign up for when purchasing your first pack of Hana®.
You can quickly create an account which makes it easy to repeat your order.
When your supply is running low, you will receive a reminder email asking you to repeat your order of Hana® – you will never be sent an order that you did not request.
Before re-ordering Hana®, you will need to verify that nothing has changed in terms of health or medication since your last order.
Hana®’s subscription model offers free delivery, and there is no minimum sign up period – so you can cancel whenever you want.
Both options (subscription or one-time guest purchase) cost just £7.32 per month (or 26p per day) for a 3-month supply.

Why should I get a 3-month supply of Hana®?

All GPs will recommend starting with a 3-month supply of a new contraceptive pill, because it sometimes takes longer than a month for your body to adjust to a new or different contraceptive pill. It’s a good idea to try it for a few months to see whether that particular pill feels like the right fit for you. It is also important that you take one tablet every day without a break between packs, so having the next pack available is a good idea.

As with any medication, some people may experience side effects from Hana®. These side effects are often temporary and subside within a few months. Find out more about possible side effects. If you have any concerns or if you want to switch your contraception, talk it over with a pharmacist or doctor so you can discuss what your options are.

If you have previously ordered Hana® you can order up to a 12-month supply, following pharmacist approval.

What happens when I order Hana®?

When you order Hana® from Hana Direct , you will receive an email acknowledging that your order has been sent to the pharmacist. You will then receive another email to let you know that your order has been accepted. If your order requires further checks, you will be contacted by a pharmacist for a telephone consultation.

Your packs of Hana® will be sent via Royal Mail 48 for standard deliveries and you should receive your order within 4 working days. You can also choose Next Day or Saturday/Sunday delivery, which will be sent out using DPD.

Hana® is delivered in a discreet unbranded package that fits through a standard-sized letterbox. There is no need to sign for your purchase.

What if I don’t receive my order of Hana®?

If your order is late, or if there is an issue with the order, please call the 24-hour helpline on 01284 717692 or email Hana Direct at info@hanadirect.co.uk.

We hope this has answered your questions about Hana®’s subscription service via Hana® Direct. Have another question? See if it’s been answered in our Ask Hana series, and use #AskHana to get in touch.

Hana® 75 microgram film coated tablets contains desogestrel and is indicated for oral contraception by women of child bearing age to prevent pregnancy. Always read the instructions on the package leaflet carefully.

Ask Hana

What happens when you stop taking the Hana contraceptive pill?

What Is Hana®?

What happens if I stop taking Hana?

What do I do if I want to change my contraceptive pill?

What do you do if you want to switch from one progestogen-only pill to another?

What to do if you want to switch from the progestogen-only pill to the combined pill?

Want to take a break from Hana® – or break up altogether? Don’t worry, we won’t be offended. There’s no one-size-fits-all when it comes to contraception and sometimes people just don’t get on with certain pills.

Maybe you want to have a baby, or switch to another form of contraception? Whether you want a short or longer term relationship with Hana®, read on to find out what happens if you stop taking the progestogen-only pill.

What Is Hana®?

Hana® is a progestogen-only pill for women and people with uteruses who want to prevent pregnancy. Hana® contains the active ingredient desogestrel and it works by inhibiting ovulation, so no egg is released. It also works by thickening the cervical mucus to make it harder for sperm to enter the womb. Hana® contains only one hormone, so it’s known as a progestogen-only pill (POP) or mini pill.

Hana® is one pill taken every day at the same time with no break in between packs. Be aware that hormonal contraception does not protect you against sexually transmitted infections (STI’s). Only condoms can do that, so remember to use condoms with any new partner(s).

What happens if I stop taking Hana?

We know there are many reasons someone may want to stop taking their contraceptive pill. Our recent survey of 984 people found that 10% stopped taking the pill because they wanted to have a baby, whilst 13% kept forgetting to take their pill and so chose to stop using it.

Some people do also experience side effects, and whilst these generally subside after a few months, some people find that a progestogen-only pill just isn’t right for them. There is no one size fits all when it comes to contraception, and there are a lot of other options out there if your current method isn’t working out. Find out more about side effects here.

If you want to stop taking Hana®, just stop taking it. From the day you stop, you are no longer protected against pregnancy, so if you still don’t want to get pregnant you should consider an alternative method, such as condoms or another contraceptive pill. Talk to your pharmacist or doctor about your contraceptive options.

*Deborah Evans, a pharmacist with over 35 years of experience, says: “When you stop taking the pill, your hormone levels will return to normal and you will start ovulating again. There will also be changes to your cervical mucus, meaning it will be easier for sperm to reach the egg if you have unprotected sex.”

“Some people find their periods take a few cycles to return to ‘normal’, which is usually nothing to be concerned about. If your periods haven’t returned – or if they are longer, shorter or more irregular than they were before you went on the pill – you should speak to your pharmacist or doctor for advice.”

If you do want to get pregnant, your fertility should return quickly. Please contact your doctor if you have any concerns about fertility or pregnancy.

What do I do if I want to change my contraceptive pill?

Everyone is different and there is no one-size-fits-all when it comes to the pill. If you want to change your pill for whatever reason, here is what you need to know.

What do you do if you want to switch from one progestogen-only pill to another?

Speak to your doctor if you want advice about switching contraceptive pills. You should not take a break in between progestogen-only pills, so you will usually be advised to start your new pill straight away or start taking it the day after you finish the last pack of your old pill.

Your new pill could take a short time to be effective, so you may be advised to use a barrier method of contraception (like condoms) for up to 7 days.

You can purchase some progestogen-only pills in a pharmacy or online, following a consultation with a pharmacist or by completing an online checklist that will be reviewed by a pharmacist.

What to do if you want to switch from the progestogen-only pill to the combined pill?

The combined pill is not currently available without prescription over the pharmacy counter, so book an appointment with your doctor or local sexual health clinic if you are interested in switching to the combined pill. Let them know about your contraceptive history and any concerns you might have so they can help make the right choice for you.

If you are interested in a long-acting reversible contraceptive method (LARCS) like the Intrauterine device (aka the IUD or the coil), please speak to your doctor or sexual health clinic where you will be able to ask questions and schedule an appointment to get it fitted. You can also discuss other options like the patch or injection with a doctor or at a sexual health clinic.

Making sure you’re using the right contraceptive method for you is really important, so don’t be afraid to ask questions, evaluate how you feel regularly and change your contraception if it’s not working out. Whatever you ultimately decide is best for you, Hana® is here to help you make the right choice when it comes to your contraception.

*Deborah Evans does not endorse any products or brands.

Ask Hana:

Desogestrel pill side effects

‘The’ Pill

What is Hana?

Who can use Hana?

What Are the Common Side Effects of Hana?

How Does Hana Affect Your Period?

How can Hana affect your mood?

What are the lesson common side effects of Hana?

Serious side effects

Getting help with your side effects

One of your most frequently asked questions is about the possible side effects of the contraceptive pill. We totally understand, whenever you’re taking a new medicine you want to know as much as possible about what it is, how it works and what to expect. That’s why we created #AskHana, a hub where you can find answers to the most frequently asked questions about the pill. So, let’s talk about side effects.

Like any medicine, a contraceptive pill can come with side effects, but these will differ from person to person.

Whether you’re already taking a contraceptive pill, or are looking to start using one, knowing what to expect can help you to decide whether it is right for you. If you’re looking for a progestogen-only pill that you can get online or in a pharmacy without a prescription, you might be considering using Hana. A pharmacist will ask you some questions (or you will have an online version of this consultation) before deciding whether Hana is suitable for you.

‘The’ Pill

Let’s start right at the beginning. We often refer simply to ‘The Pill’ (and everyone knows what we mean) but this is misleading as there are actually two types of contraceptive pills.

There is the combined pill, which contains oestrogen and progestogen, and the progestogen-only pill (otherwise known as the mini pill) which only contains progestogen.The two types of pill have been shown to be equally effective when taken correctly.

Some people can’t take pills containing oestrogen for medical reasons so choose the progestogen-only pill. The side effects that you do or don’t experience while taking any form of contraception may be part of that decision.

So what are the side effects of mini pills like Hana?

What is Hana?

Hana is a progestogen-only pill (or mini pill) that helps prevent pregnancy by working to consistently inhibit ovulation and alter your cervical mucus. It contains the active ingredient desogestrel.

Hana is over 99% effective when used correctly – that means taking your pill at the same time each day with no break between packs. No other contraceptive pill is more effective.*

*Verify at Hana.co.uk/verify

Who can use Hana?

Hana can be suitable for a wide range of people and your pharmacist will need to ask you some questions to check that it is suitable for you. If you buy Hana online, you will fill out an online version of this questionnaire. If you want to check out the questions in advance, have a look here.

Your pharmacist will ask you a series of questions to see whether Hana is suitable for you. Here are some things to keep in mind if you are thinking of using Hana.

Hana may be taken while breastfeeding.
Hana may be suitable for smokers over the age of 35 and people with high blood pressure.
Hana might be suitable for people who cannot take the combined pills containing oestrogen due to underlying health conditions that are affected by oestrogen.
For Hana to be most effective, you should take it at the same time every day. It’s really important that you remember to take your pill on time. For more information about what to do if you miss a pill, you can check the leaflet that comes inside your pack of Hana or view it online here.

It’s important to remember that contraceptive pills cannot protect you against sexually transmitted infections (STIs.) Barrier methods, such as condoms, are the only way to reduce your risk, so you should use them when having sex with a new partner or partners.

What Are the Common Side Effects of Hana?

Hana is a mini pill containing desogestrel. Hana is generally well tolerated, but like all medicines, Hana can cause side effects, although not everybody gets them.

You can read a detailed guide to Hana, how to use it and any side effects that can occur, in the package leaflet that comes with your pill, or view an online version here.

Deborah Evans, a pharmacist and sexual health advocate**, says: “If you are concerned about the side effects of taking Hana or have more questions, don’t be afraid to ask your pharmacist anything before you choose to use it.”

Common (affecting up to 1 in 10 people)

Irregular menstruation or amenorrhoea (no periods)
Altered mood
Depressed mood
Decreased libido (sex drive)
Headache
Nausea
Acne
Breast tenderness
Weight gain

How Does Hana Affect Your Period?

The most common side effect of Hana is changes to your menstrual cycle. Changes to your period may occur but they tend to calm down after a few months of using Hana.

If you notice changes to your periods you do not need to take any action, just continue taking Hana as directed even if you start to experience these changes:
Irregular periods (meaning your periods are more or less frequent, shorter or longer, lighter or heavier)
Spotting or bleeding when you are not on your period (this may be very slight staining which will not require a pad, or heavier bleeding like a light period)
Your periods stop completely
Between 20 and 30% of people using Hana report having heavier or more frequent periods. Around 20% experience less bleeding or may have no periods at all. This is also known as amenorrhea. You may find that your period returns to normal after a couple of months. This is because your menstrual cycle is adjusting to Hana.
If you experience menstrual changes that you find concerning or frequent/more regular bleeding which doesn’t settle down, you should visit your doctor to discuss this. They’ll make sure that there is no other reason for the bleeding. These changes might include:
Your period differs from what you would expect with Hana
Your period is more frequent than you find acceptable
Your period is unusually heavy
You repeatedly experience bleeding after sex
If you observe these changes to your period, and you go on to seek help from a healthcare professional, you should still continue taking Hana every day as usual.

For any more information, check the leaflet that comes with your packet of Hana, or read the online version of this leaflet here.

How can Hana affect your mood?

How can contraceptive pills containing desogestrel like Hana affect your mood? Less than one in ten people with uteruses who take Hana® may experience an altered mood or depressed mood. When it comes to anxiety and depression, it can be hard to tell what the root cause is.

Some people who take contraceptive pills may experience anxiety, but it’s hard to say that the pill caused the anxiety, as it could also have been caused by a mental health condition, stressful life events, changes in lifestyle, unresolved traumas or any number of other factors. If you are concerned about how contraceptive pills might affect your mood, please speak to your doctor or pharmacist.

If you are in therapy or taking any medication, speak to your mental health professional about how hormonal contraception might impact you. Some medications can make contraceptive pills less effective, so make sure that you inform the pharmacist or doctor about any existing medications you are taking so they can help you make the right choice for you.

If you are concerned that your contraceptive pill is having a negative effect on your mood, talk to your pharmacist or doctor as soon as possible. You may find that you have a different experience with another contraceptive pill, or another form of contraception.

What are the lesson common side effects of Hana?

These are the uncommon, rare and serious side effects of taking Hana.

Uncommon (affecting up to 1 in 100)

Vaginal infection
Difficulty wearing contact lenses
Vomiting
Dysmenorrhoea (painful periods)
Ovarian cysts
Tiredness
Hair loss

Rare (These may affect up to 1 in 1,000 women)

Rash
Hives
Painful blue-red skin lumps (erythema nodosum)

If you get any side effects talk to your doctor or pharmacist. You can also report side effects via the Yellow Card Scheme at: www.mhra.gov.uk/yellowcard or the MHRA Yellow Card app in Google Play or Apple App Store.

Serious side effects

Serious side effects are rare, but if you experience any of the following symptoms, you should contact your doctor immediately.

Severe allergic reactions
You may experience signs of a severe allergic reaction (hypersensitivity) including:
Swollen face, lips, tongue and/or throat
Difficulty swallowing or breathing
Rarely, women taking Hana have had an ectopic pregnancy, where the baby develops outside the womb. Symptoms might include:
A sudden or severe pain in the lower abdomen or stomach area with or without vaginal bleeding
Women taking some hormonal contraceptive pills are at increased risk of blood clots . Symptoms might include:
Swelling, redness or pain in the leg
Chest pain, breathlessness or coughing up blood

You should get medical advice immediately if you experience any of these side effects.

Getting help with your side effects

Although Hana’s side effects are often mild, you don’t have to manage them on your own. If you’re struggling to manage any side effects or are concerned about them, you should speak to your pharmacist or doctor.

If your side effects persist then it may be worth considering an alternative method of contraception.

If you experience any side effects that we haven’t mentioned when taking Hana you should speak to your pharmacist or doctor as soon as possible. If you can, try to make a note of what you experienced and when, as this will help them make an assessment.

***

If you’re struggling with the side effects, you may wish to try out a few different pills before finding the one that works for you. You can also report side effects directly via the national reporting system at www.mhra.gov.uk/yellowcard or via the app MHRA Yellow Card, available in Google Play or Apple App Store.

Find out more about Hana, an over-the-counter progestogen-only pill available without prescription, here.

Hana® 75μg film-coated tablets contains desogestrel and is an oral contraception for women of child bearing age and people with uteruses to prevent pregnancy. Always read the instructions on the package leaflet carefully.

*verify at Hana.co.uk/verify

**Deborah Evans does not endorse any pharmaceutical brands or products.