Fact Checked 
If you’re thinking about contraception for the first time, you might have wondered whether it’s possible to buy birth control over the counter in the UK. Over the counter contraceptive pills are not widely available in the UK. Typically, a GP, prescriber or sexual health expert will have to prescribe them.
But you still have options. We’ll explain the types of contraception you can get over the counter, and how to access the right type for you.
To understand how you can access contraception in the UK and whether over the counter contraceptive pills are available to you, it helps to know some key prescribing definitions:
It’s important to understand the distinction between pharmacy-only medicines (P) and over the counter, or general sales list (GSL) medicines.
Even though you can access P-line medication at a counter, a pharmacist still has to ask some questions about your health to make sure what they issue is suitable. When it comes to GSL medication (OTC medication), these rules don’t apply. You can buy them “no questions asked”.
Until recently, all oral contraceptives were prescription only medications (POM) in the UK.
However, in 2021 it was announced that certain mini pills (progesterone-only pills) would be available to purchase from pharmacies as P-line medications.
“The MHRA said it had consulted patients, pharmacists, prescribers and a wide range of stakeholders including the Royal College of Gynaecologists, Royal Pharmaceutical Society, Faculty of Sexual and Reproductive Healthcare and British Pregnancy Advisory Service, as part of the decision-making process”.
At the time of writing, two mini pills are currently approved as P-line medications which are Lovima and Hana. You can’t buy contraception like Cerazette, for example, over-the-counter in the UK.
Being P-line medications, you don’t need a prescription to buy either Lovima or Hana. But a pharmacist will still need to perform a quick consultation to ensure they’re safe and suitable for you.
All hormonal contraception, excluding the mini pills Lovima and Hana, are prescription-only medications. This means all combined pills, the patch, the contraceptive ring and the majority of mini pills will require a prescription.
You can buy non-hormonal methods of contraception over the counter in UK pharmacies, such as condoms.
Both the contraceptive patch and ring require a prescription. They contain two synthetic female hormones to help prevent pregnancy. Because of this, and because of the potential for side effects, you’ll need to have a consultation with a doctor or prescriber before they can issue a prescription.
Nuvaring is the main contraceptive ring used in the UK. It’s a prescription only medication (POM), so you’ll need a consultation with a doctor in order to take it. The most commonly used birth control patch is the Evra patch, which is also a POM.
A doctor or prescriber will need to demonstrate how to use the contraceptive ring the first time you use it. After this, it can be self applied.
Since 2006, certain medical professionals who are not doctors have been allowed to prescribe medication in the UK. Nurses, pharmacists, dentists and certain other medical professionals can now train and register as independent prescribers.
So, yes, pharmacists can prescribe birth control and you can get the pill at the pharmacy – providing a healthcare professional who works there who is qualified to write prescriptions.
Contraceptive pills contain synthetic female sex hormones called oestrogen and progesterone. Sometimes, they contain both (combined pills) and others only contain one hormone (mini pills). Introducing additional hormones into the body can carry some risk. Taking contraception has the ability to cause side effects, and it’s not safe for everyone to take oral birth control. Each pill comes with a number of warnings and contraindications.
It is mainly for this reason that the majority of contraceptive pills are prescription-only medications (POM). It’s currently not permitted to buy most birth control pills over the counter in the UK (except Lovima and Hana), or as general sales list (GSL) items. You’ll need a prescription to buy most contraception, or at the very least certain mini pills can be issued as pharmacy medicines (P).
Hormonal contraception has helped many women since it was first introduced on the NHS in 1960, and roughly 70% of all living women in the UK will have used birth control at some point.
But hormonal contraception can also carry risks when taken, namely as side effects. Common side effects of hormonal contraception can include, but are not limited to, headaches, spotting or period changes, nausea, breast tenderness, weight gain, mood changes, decreased libido and vaginal discharge. Contraceptives which contain hormones as their active ingredients have an increased risk association with blood clots.
While contraception can be highly effective, as much as 99% with perfect use, there is always a small risk that an unintended pregnancy may occur while taking hormonal contraceptives.
Hormonal contraception also isn’t suitable for everyone to take. For example, contraception which contains oestrogen cannot be taken by women who are over 35 and smoke, are very overweight and who take certain medications. For these women, the mini pill is likely a more suitable option as it only contains progesterone but works just as well as the combined pill.
If you have certain health conditions, birth control may not be safe for you to take. For example, with reference to combination contraceptives, you should not take these if you have any of the following conditions:
Different hormonal contraceptives may be suitable for different people, and certain pills might be more preferable to you than others in terms of side effects.
Things to consider when thinking about contraception include:
If you respond more adversely to hormonal contraception in terms of side effects, you might want to try ‘low-dose’ contraceptives, which contain lower amounts of hormones than older, more traditional pills.
If you experience oestrogenic side effects, those caused by the introduction of synthetic oestrogen, you might want to try the mini pill (which contains progesterone only).
Particularly if you’re taking contraception for the first time, a doctor or prescriber will want to monitor how you respond to it and whether it still seems suitable after a certain period of time. They may ask questions about any side effects you’ve noticed and whether you feel comfortable to continue taking the particular contraceptive they prescribed. They may also check your blood pressure regularly.
If you’re thinking about taking contraception, you can expect to undertake a quick consultation with your doctor or prescriber. They’ll want to ask a number of questions to ensure that hormonal birth control is safe and suitable for you. Examples of what they may ask can include:
At Treated, it’s easy to switch your pill if it isn’t working for you. Answer some questions about your health and our clinicians will prescribe contraception if it’s safe and suitable for you. Once you subscribe you have easy access to our team, meaning if you have problems you can discuss them and find the best treatment for you. We’ll deliver your contraceptive pill regularly, in discreet packaging.
How we source info.
Which method of contraception suits me?
NIHR Evidence - Nurses and pharmacists can prescribe as effectively as doctors - Informative and accessible health and care research.
First progestogen-only contraceptive pills to be available to purchase from pharmacies.
Contraceptive mini pill to be made available over the counter in the UK.
Hana 75 microgram film-coated tablets (Desogestrel): Public Consultation
www.Legislation.gov.uk. Her Majesty's Government of the United Kingdom.
Medicines: reclassify your product. GOV.UK.
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