Progesterone-only pills are recommended for women who:

Progestin-only oral contraceptives, often called “mini-pills,” are hormonal contraceptives that primarily work by thickening cervical mucus and thinning the endometrial lining, with some suppression of ovulation. They are commonly used when estrogen-containing contraceptives are contraindicated or not preferred. One key clinical situation where they are especially useful is during lactation, since they have minimal effect on milk production and infant exposure. Selection depends on safety, patient physiology, and contraceptive needs. Rationale: A. Being overweight is not an indication for switching to progesterone-only pills. While obesity can influence contraceptive effectiveness and thromboembolic risk with estrogen-containing contraceptives, it is not a primary reason to preferentially choose progestin-only methods. Other contraceptive options, including combined hormonal methods or long-acting reversible contraception, may still be appropriate depending on individual risk factors. B. Breastfeeding is an appropriate indication for progesterone-only pills because they do not contain estrogen, which can reduce milk supply. Progestin-only oral contraceptives are considered safe during lactation and do not significantly affect infant growth or breast milk production. This makes them a preferred option for postpartum women who are breastfeeding. C. Controlled diabetes is not a specific indication for switching to progestin-only pills. While diabetes may influence contraceptive choice based on vascular complications or disease duration, many women with well-controlled diabetes can safely use combined hormonal contraceptives. Contraceptive selection should be individualized rather than based solely on diabetes status. D. Pregnancy is an absolute contraindication to all hormonal contraceptives, including progestin-only pills. Progestin-only oral contraceptives are intended to prevent pregnancy and should not be used once pregnancy is established. Use during pregnancy provides no benefit and is not clinically appropriate.