??Mechanisms of action ?? ∙ Primary effect - thickening of cervical mucous and reducing sperm penetrability? ∙ Primary effect of cerazette - by suppressing ovulation (97% of cycles on desogestrel are anovulatory)? ∙ Other POPs suppress ovulation to a variable extent (60% of cycles on levonogestrel only pill are anovulatory.)? ∙ Reduces endometrial receptiveness? ∙ Reduces fallopian tube motility