Initiating Combined Hormonal Contraception

Guide to starting a combined hormonal contraceptive.

Check at a glance how to start a combined hormonal contraceptive with the MIMS table 'Initiating combined hormonal contraception'. 

The table explains when to start combined hormonal contraception (CHC) in women who: 

  • have menstrual cycles
  • are amenorrhoeic
  • have recently given birth
  • have recently had a first- or second-trimester abortion

The need for additional contraceptive precautions is noted in each case.

Reproduced under licence from the Faculty of Sexual and Reproductive Healthcare, Combined Hormonal Contraception, August 2012. Copyright © FSRH. The full guideline is available at

Go to the MIMS table 'Initiating combined hormonal contraception'

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