Cerazette is the most frequently reviewed desogestrel based progestogen-only pill at The Lowdown. It is really safe for nearly every woman, but like all desogestrel pills, some of us have issues with breakthrough bleeding as there is no oestrogen in the mini pill to help with cycle control.
What is in the Cerazette pill?
Alternative to Cerazette pill
This contraceptive sits in Group 1 and has the same hormonal ingredient as:
Bleeding patterns are very unpredictable in the first three months of progestogen-only pill use. Science isn't quite sure why this happens, although we think it's that the vessels in the womb lining become more fragile and the womb lining becomes thinner over time. After using the progestogen-only pill for 12 months, 5 in 10 women may have very infrequent or even no periods at all. For some women this is disconcerting, others love it! But it is a normal side effect so don't worry. If your bleeding pattern suddenly changes, consider doing a pregnancy test.
Can Cerazette cause bloating?
Hormonal birth control can cause digestive trouble for some women, and this can vary depending on the hormone type and dose. Progestogen relaxes the smooth muscle found around the gut. This means you may not be able squeeze that stool out as effectively and this may therefore lead to constipation and bloating. Gut health can be improved by making sure you drink 2 litres of water a day and eating plenty of fruit and vegetables. Ensure you are having a regular intake of natural fibre to aid gut motility and keep those bowels moving regularly to prevent bloating and constipation. If despite this you are still experiencing bloating or constipation, or have other symptoms or concerns, speak with your doctor.
How can you stop bleeding on Cerazette?
Unpredictable bleeding is a common side effect of progestogen only pills like Cerazette, especially within the first few months of use. This can include prolonged bleeding, heavy bleeding, spotting or no bleeding at all. If your bleeding pattern suddenly changes consider doing a pregnancy test and STI test. Check out our guide to bleeding problems on contraception where we look into when you should speak to your GP. If irregular bleeding continues or is causing problems you may want to consider changing to a different type of pill or method of contraception altogether. Take our Contraception Recommender Quiz to find the right method or you.
Does Cerazette cause weight gain?
There is no evidence that weight is affected by Cerazette. However weight gain, or loss, could be impacted by a number of factors that may be related to hormones and the menstrual cycle, such as water retention. Learn more in our complete guide to contraception and weight and about the link between the pill and digestive issues.
Can Cerazette cause anxiety or depression?
Anxiety and mood are often reported by women who have reviewed hormonal contraceptives like Cerazette at The Lowdown. However, the scientific evidence is patchy, and some women don't report any mood changes or anxiety on Cerazette at all. Learn more about why this is such a complex topic and how to be aware of other risk factors in our guide to contraception and mood.
Can I buy Cerazette online?
Yes. You can order Cerazette online at The Lowdown from £7 per month (including delivery). Head to our Pill Prescriptions service to fill in a short questionnaire about you and your medical history. Your request will then be reviewed by our pharmacy. We'll post a 3 month supply of your chosen pill directly to your door in discreet packaging.
How the Cerazette pill works:
Cerazette is a small tablet you swallow daily that (unlike the combined pill) only contains one hormone – progestogen. It prevents pregnancy by making the fluid in your cervix thicker (which makes it more difficult for sperm to enter the womb), and preventing the lining of your womb thickening enough for a fertilised egg to implant in it. Progestogen-only pills containing desogestrel can also stop ovulation.
There are a few things that can stop the progestogen-only pill from working properly including vomiting, some medicines, or missing a pill. Take a look at our complete guide to the progestogen-only pill.
How to use the Cerazette pill:
Cerazette contains the hormone desogestrel and must be taken within 12 hours of the same time everyday. We recommend keeping your pill packet somewhere you look at everyday (like your makeup bag) to remind you to take it, or set an alarm on your phone. Most types of progestogen-only pills are designed to be taken for 28 days with no break between packs. Depending on where you are in your cycle when you start the pill, you might not be protected against pregnancy straight away. Find out more about the progesterone only pill.
Coming off the pill is easy - you just stop taking it. When you do, you're no longer protected from pregnancy. If you want to stop the pill but do not wish to become pregnant then you might want to consider switching to another form of contraception before you stop taking your pill. Read our complete guide to coming off the pill.
How safe is the Cerazette pill:
Cerazette is very safe for most women. The development of small fluid-filled sacs (cysts) on your ovaries is a possible side effect but they are usually harmless and disappear without treatment. If you do become pregnant while you’re using the progestogen-only pill, there’s a small risk of you having an ectopic pregnancy. It's also important to remember that the pill does not protect you from STIs.