Bridging Contraception

When to book bridging contraception

Bridging contraception is a short-term supply of the contraceptive pill to keep you covered while you arrange a longer-term plan. It may suit you if:

• You have recently used emergency contraception and need ongoing cover
• You have run out of your regular pill and cannot get a GP appointment in time
• You are starting contraception for the first time and want protection before your GP appointment
• You are switching methods and need cover during the transition
• You cannot access your usual GP or sexual health clinic

The service is available to women and people with a uterus of any age, including under 16s, in line with NHS guidelines. Your pharmacist will carry out a brief health assessment and refer you to your GP or a sexual health clinic if oral contraception is not suitable.

What is bridging contraception?

Through the NHS Pharmacy Contraception Service, pharmacists can supply up to 3 months of oral contraception, usually the progestogen-only pill, without a GP referral or prescription. It exists to improve access to contraception and reduce unplanned pregnancies caused by appointment delays. It is free at participating pharmacies.

• Progestogen-only pill (mini pill) - taken every day with no break. It thickens cervical mucus to stop sperm reaching an egg and can prevent ovulation. Suitable for most people, including those who cannot take oestrogen
• Combined pill - oestrogen and progestogen, usually 21 days followed by a 7-day break. Not suitable for everyone, particularly over 35s who smoke

How the service works

• Consultation - a private conversation about your contraceptive needs, medical history and current medicines
• Assessment - checking that oral contraception is safe and suitable, including your blood pressure if needed
• Supply - up to 3 months of oral contraception where appropriate
• Ongoing advice - how to take the pill correctly, what side effects to expect and how to arrange a longer-term plan

Side effects

• Irregular periods or spotting, particularly in the first few months
• Breast tenderness
• Headaches
• Mood changes
• Nausea
• Acne or skin changes

These usually settle within 2 to 3 months. The pill does not cause long-term weight gain and does not affect your future fertility.

What happens next

Bridging contraception is temporary. Your pharmacist will help you plan the next step, whether that is a GP appointment to discuss the pill, implant, injection, coil or patch, a full review at a sexual health clinic, or a repeat pharmacy supply if you need more time. All consultations are completely confidential, including for under 16s, and nothing is shared without your consent unless there is a safeguarding concern.

Find bridging contraception near you

No GP referral or appointment needed, trained pharmacists, private consultation rooms and free supply through the NHS Pharmacy Contraception Service. Use the postcode search above to find your nearest Allied Pharmacy.