What are the most effective birth control pill brands. How do different types of birth control pills work. Which birth control pills are best for managing specific health concerns. What are the potential side effects of various birth control pill options.

Understanding Birth Control Pills: Types and Mechanisms

Birth control pills are a popular and effective method of preventing pregnancy. These medications contain synthetic hormones that work in various ways to prevent conception. There are two main types of birth control pills:

• Combined pills: Contain both estrogen and progestin
• Progestin-only pills: Contain only progestin

How do birth control pills prevent pregnancy? Combined pills work through multiple mechanisms:

1. Preventing ovulation
2. Thickening cervical mucus
3. Thinning the uterine lining (endometrium)

Progestin-only pills primarily work by thickening cervical mucus and thinning the endometrium. Interestingly, about 40% of people using progestin-only pills continue to ovulate.

Combined Birth Control Pills: Estrogen and Progestin Formulations

Most commercially available oral contraceptives are combined pills. These pills contain varying amounts of estrogen and different types of progestin. The most common form of estrogen used is ethinylestradiol, with dosages typically ranging from 20 to 35 micrograms (mcg).

What factors should be considered when choosing a combined birth control pill? It’s essential to consult with a healthcare provider to determine the best option based on individual needs, medical history, and potential side effects. Some key considerations include:

• Estrogen dosage
• Type of progestin
• Specific health concerns (e.g., acne, PMDD)
• Potential side effects

Desogestrel-Containing Birth Control Pills

Desogestrel is a type of progestin used in some combined birth control pills. What makes desogestrel-containing pills unique? They may be slightly more effective at reducing excess hair growth and acne compared to other formulations, although more research is needed to confirm this effect.

Some popular brands containing desogestrel include:

• Apri (150 mcg desogestrel, 30 mcg ethinylestradiol)
• Azurette (150 mcg desogestrel, 20 mcg ethinylestradiol)
• Kariva (150 mcg desogestrel, 20 mcg ethinylestradiol)
• Mircette (150 mcg desogestrel, 20 mcg ethinylestradiol)
• Reclipsen (150 mcg desogestrel, 30 mcg ethinylestradiol)

It’s worth noting that some birth control pills contain the same active ingredients in identical dosages but are marketed under different brand names. For example, Azurette and Kariva are essentially the same pill, as are Reclipsen and Apri.

Potential Side Effects of Desogestrel-Containing Pills

While these pills may offer benefits for some users, they can also cause common side effects associated with hormonal birth control, including:

• Headaches
• Upset stomach
• Mood changes
• Weight gain
• High blood pressure
• Increased risk of blood clots

Drospirenone: A Unique Progestin Option

Drospirenone is another type of progestin used in some birth control pills. What sets drospirenone apart from other progestins? It has diuretic properties, which may help prevent bloating – a common complaint among birth control pill users.

Some popular brands containing drospirenone include:

• Gianvi (3 mg drospirenone, 20 mcg ethinylestradiol)
• Loryna (3 mg drospirenone, 20 mcg ethinylestradiol)
• Ocella (3 mg drospirenone, 30 mcg ethinylestradiol)
• Yasmin (3 mg drospirenone, 30 mcg ethinylestradiol)
• Yaz (3 mg drospirenone, 20 mcg ethinylestradiol)

Drospirenone and PMDD

Is drospirenone effective for managing premenstrual dysphoric disorder (PMDD)? A 2012 study suggested that drospirenone-containing pills may help alleviate symptoms of PMDD, a severe form of premenstrual syndrome. This makes drospirenone-containing pills a potential option for those struggling with PMDD symptoms.

Safety Considerations for Drospirenone

While drospirenone offers unique benefits, it’s important to consider potential risks. The Food and Drug Administration (FDA) has noted that drospirenone may increase the risk of blood clots. However, The American College of Obstetricians and Gynecologists (ACOG) emphasizes that this risk is still relatively low.

Levonorgestrel: A Well-Studied Progestin Option

Levonorgestrel is a type of progestin that has been extensively studied and used in birth control pills for many years. What makes levonorgestrel-containing pills a popular choice? They appear to have a lower risk of side effects, particularly blood clots, compared to pills containing other types of progestin.

Some common brands containing levonorgestrel include:

• Aviane (100 mcg levonorgestrel, 20 mcg ethinylestradiol)
• Lessina (100 mcg levonorgestrel, 20 mcg ethinylestradiol)
• Levora (150 mcg levonorgestrel, 30 mcg ethinylestradiol)
• Lutera (100 mcg levonorgestrel, 20 mcg ethinylestradiol)
• Portia (150 mcg levonorgestrel, 30 mcg ethinylestradiol)

Levonorgestrel as a First-Line Treatment

Why do doctors often recommend levonorgestrel-containing pills? Many healthcare providers consider pills containing levonorgestrel and ethinylestradiol to be an effective first-line treatment for contraception. This is due to their long history of use, well-understood side effect profile, and lower risk of serious complications.

Norethindrone: A Testosterone-Derived Progestin

Norethindrone is a progestin derived from testosterone. How does this affect its properties as a birth control pill ingredient? Its testosterone-like properties may influence its effects on the body, potentially impacting factors such as acne, hair growth, and libido differently compared to other progestins.

Some brands containing norethindrone include:

• Loestrin Fe (1 mg norethindrone acetate, 20 mcg ethinylestradiol)
• Microgestin (1 mg norethindrone acetate, 20 mcg ethinylestradiol)
• Junel Fe (1 mg norethindrone acetate, 20 mcg ethinylestradiol)

Potential Benefits and Considerations

What are the potential benefits of norethindrone-containing pills? Some users may experience improvements in acne or reduced excess hair growth due to its androgenic properties. However, these effects can vary widely between individuals, and some may experience the opposite effect.

Choosing the Right Birth Control Pill: Factors to Consider

Selecting the most suitable birth control pill is a highly individualized process. What factors should be taken into account when choosing a birth control pill? Consider the following:

• Medical history and risk factors
• Specific health concerns (e.g., acne, PMDD, endometriosis)
• Desired non-contraceptive benefits
• Potential side effects and tolerance
• Cost and insurance coverage
• Personal preferences (e.g., pill regimen, bleeding patterns)

The Importance of Professional Guidance

Why is it crucial to consult with a healthcare provider when choosing a birth control pill? A medical professional can help assess individual risk factors, consider potential drug interactions, and recommend the most appropriate option based on a person’s unique needs and medical history.

Non-Contraceptive Benefits of Birth Control Pills

While the primary purpose of birth control pills is to prevent pregnancy, they often offer additional health benefits. What are some non-contraceptive advantages of using birth control pills?

• Regulation of menstrual cycles
• Reduction in menstrual cramps and pain
• Improvement in acne
• Reduction in excess hair growth
• Lowered risk of certain cancers (e.g., ovarian, endometrial)
• Management of endometriosis symptoms
• Treatment of polycystic ovary syndrome (PCOS)

Tailoring Pills to Specific Health Concerns

How can birth control pills be used to address specific health issues? Different formulations may be more effective for certain conditions:

• Acne: Pills containing drospirenone or cyproterone acetate may be more effective
• PMDD: Drospirenone-containing pills have shown promise in managing symptoms
• Endometriosis: Continuous or extended-cycle pills may help reduce pain and symptoms
• Heavy menstrual bleeding: Higher-dose estrogen pills or those containing certain progestins may be beneficial

Potential Side Effects and Risks of Birth Control Pills

While birth control pills are generally safe and well-tolerated, they can cause side effects in some users. What are the most common side effects associated with birth control pills?

• Nausea
• Breast tenderness
• Headaches
• Mood changes
• Spotting between periods
• Changes in libido

Serious Risks and Complications

What are the more serious risks associated with birth control pill use? While rare, some potential complications include:

• Blood clots (deep vein thrombosis, pulmonary embolism)
• Stroke
• Heart attack
• High blood pressure
• Liver tumors

It’s important to note that the risk of these serious complications is generally low, especially in healthy individuals without additional risk factors. However, certain groups may be at higher risk, including smokers, those over 35, and individuals with certain medical conditions.

Emerging Trends and Future Developments in Birth Control Pills

The field of contraception is continually evolving, with researchers working on new formulations and delivery methods. What are some emerging trends and potential future developments in birth control pills?

• Male birth control pills
• Pills with lower hormone doses
• Extended-cycle and continuous-use pills
• Pills with new progestin formulations
• Combination pills with additional health benefits

Personalized Contraception

How might birth control options become more personalized in the future? Advances in genetic testing and pharmacogenomics may allow for more tailored contraceptive recommendations based on an individual’s genetic profile, potentially reducing side effects and improving efficacy.

Alternative Contraceptive Methods: Beyond the Pill

While birth control pills are a popular choice, they’re not the only option for contraception. What are some alternatives to consider?

• Intrauterine devices (IUDs)
• Contraceptive implants
• Contraceptive injections
• Vaginal rings
• Transdermal patches
• Barrier methods (condoms, diaphragms)
• Sterilization (for permanent contraception)

Comparing Effectiveness

How do these methods compare to birth control pills in terms of effectiveness? Some methods, such as IUDs and implants, have higher efficacy rates than typical use of birth control pills. However, when used perfectly, birth control pills can be highly effective.

Effectiveness rates (with typical use):

• Birth control pills: 91%
• IUDs: >99%
• Implants: >99%
• Injections: 94%
• Vaginal rings: 91%
• Patches: 91%
• Male condoms: 82%

Making an Informed Decision: Choosing the Right Contraceptive Method

Selecting the most appropriate contraceptive method is a personal decision that should be made in consultation with a healthcare provider. What factors should be considered when choosing a contraceptive method?

• Effectiveness
• Ease of use
• Reversibility
• Side effects and health risks
• Non-contraceptive benefits
• Cost and insurance coverage
• Personal preferences and lifestyle factors

The Importance of Regular Check-ups

Why are regular check-ups important when using hormonal contraceptives? Routine visits allow healthcare providers to monitor for any potential side effects, adjust dosages if necessary, and ensure the chosen method remains appropriate as a person’s health needs and life circumstances change.

In conclusion, while there are many birth control pill brands available, the “best” option varies from person to person. By understanding the different types of pills, their potential benefits and risks, and considering individual health needs and preferences, users can work with their healthcare providers to find the most suitable contraceptive method. Regular follow-ups and open communication with healthcare professionals are key to ensuring safe and effective contraception.

What are the best birth control pill brands?

Birth control pills are medications that help prevent pregnancy. They contain synthetic hormones. Some pills contain estrogen and progestin, others only progestin.

Several types of birth control pills are available. Everyone has different needs, so it is important to speak with a healthcare professional about the different options.

Birth control pills typically contain progestin, estrogen, or a combination.

Keep reading to learn about the different birth control pill options and their advantages and disadvantages.

Combined birth control pills contain both progestin and estrogen. Different pills can help a person avoid pregnancy by preventing ovulation, thickening the cervical mucus, and thinning the uterus lining called the endometrium.

Progestin-only pills prevent pregnancy by thickening the cervical mucus, making it difficult for sperm to enter the uterus. They also thin the endometrium. About 40% of people who use progestin-only pills continue to ovulate.

Most commercially available oral birth control pills contain a combination of estrogen and progestin.

Each birth control pill brand may contain different dosages of estrogen and different types of progestin. A doctor can help a person decide which option is best for them.

According to a 2015 journal article, most combination birth control pills contain ethinylestradiol, and dosages vary between 20–35 micrograms (mcg).

Types of progestin in combination pills

Combination birth control pills contain different types of progestin. Manufacturers list the dosage in milligrams (mg) or mcg.

Progestin can cause increased water and salt retention, leading to bloating.

Some progestins act as androgens. High levels of androgens can play a role in acne and excess hair growth. This may concern someone who wants to use a birth control pill to help reduce acne or excess hair growth. However, not all birth control pills cause these side effects.

Currently, no data indicate that any pill is more effective than another at reducing acne or excess hair growth.

Desogestrel

Some people may prefer a birth control pill containing the progestin desogestrel. It may help reduce excess hair growth and acne somewhat better than other pills.

Combination birth control pills that contain desogestrel include:

• Apri (150 mcg desogestrel, 30 mcg ethinylestradiol)
• Azurette (150 mcg desogestrel, 20 mcg ethinylestradiol)
• Kariva (150 mcg desogestrel, 20 mcg ethinylestradiol)
• Mircette (150 mcg desogestrel, 20 mcg ethinylestradiol)
• Reclipsen (150 mcg desogestrel, 30 mcg ethinylestradiol)

Some birth control pills contain the same drugs in the same dosages but have different names. For example, a doctor may prescribe Azurette and Kariva or Reclipsen and Apri interchangeably because they contain the same active ingredients.

Desogestrel birth control may cause symptoms associated with hormonal birth control, such as a headache, upset stomach, mood changes, weight gain, high blood pressure, and an increased risk of blood clots.

The medication a doctor recommends may depend on insurance coverage and drug availability.

Drospirenone

Some people prefer birth control pills containing progestin drospirenone because they have diuretic properties, which help prevent bloating.

According to the Food and Drug Administration (FDA), drospirenone may increase the risk of blood clots. However, according to The American College of Obstetricians and Gynecologists (ACOG), this risk is low.

A 2012 study found that drospirenone may also help treat premenstrual dysphoric disorder (PMDD), a severe type of premenstrual syndrome.

Birth control brands that contain drospirenone include:

• Gianvi (3 mg drospirenone, 20 mcg ethinylestradiol)
• Loryna (3 mg drospirenone, 20 mcg ethinylestradiol)
• Ocella (3 mg drospirenone, 30 mcg ethinylestradiol)
• Syeda (3 mg drospirenone, 30 mcg ethinylestradiol)
• Yasmin (3 mg drospirenone, 30 mcg ethinylestradiol)
• Yaz (3 mg drospirenone, 20 mcg ethinylestradiol)
• Zarah (3 mg drospirenone, 30 mcg ethinylestradiol)

Levonorgestrel

Birth control pills containing levonorgestrel appear to have a lower risk of side effects, such as blood clots, than pills containing other types of progestin.

However, there is always the risk of some side effects with hormonal birth control.

Doctors consider pills containing levonorgestrel and ethinylestradiol to be an effective first-line treatment.

Pills that contain levonorgestrel include:

• Aviane (100 mcg levonorgestrel, 20 mcg ethinylestradiol)
• Lessina (100 mcg levonorgestrel, 20 mcg ethinylestradiol)
• Levora (150 mcg levonorgestrel, 30 mcg ethinylestradiol)
• Lutera (100 mcg levonorgestrel, 20 mcg ethinylestradiol)
• Portia (150 mcg levonorgestrel, 30 mcg ethinylestradiol)
• Sronyx (100 mcg levonorgestrel, 20 mcg ethinylestradiol)

Norethindrone

Norethindrone is a progestin that comes from testosterone.

People who take birth control pills containing norethindrone may experience side effects such as excess hair growth and acne. If this occurs, a doctor may recommend a different birth control pill.

Birth control pills that contain norethindrone include:

• Balziva (400 mcg norethindrone, 35 mcg ethinylestradiol)
• Junel 1/20 (1 mg norethindrone, 20 mcg ethinylestradiol)
• Junel 1. 5/30 (1.5 mg norethindrone, 30 mcg ethinylestradiol)
• Loestrin 1/20 (1 mg norethindrone, 20 mcg ethinylestradiol)
• Loestrin 1.5/30 (1.5 mg norethindrone, 30 mcg ethinylestradiol)
• Microgestin 1/20 (1 mg norethindrone, 20 mcg ethinylestradiol)
• Necon (500 mcg norethindrone, 35 mcg ethinylestradiol)
• Nortrel 0.5/35 (500 mcg norethindrone, 35 mcg ethinylestradiol)
• Nortrel 1/35 (1 mg norethindrone, 35 mcg ethinylestradiol)
• Ortho-Novum 1/35 (1 mg norethindrone, 35 mcg ethinylestradiol)

Norgestimate and norgestrel

People who use birth control pills containing norgestimate or norgestrel may also experience androgenic side effects, such as excess hair growth and acne.

Some brands containing these hormones include:

• Cryselle (300 mcg norgestrel, 30 mcg ethinylestradiol)
• Ortho-Cyclen (250 mcg norgestimate, 35 mcg ethinylestradiol)
• Previfem (250 mcg norgestimate, 35 mcg ethinylestradiol)
• Sprintec (250 mcg norgestimate, 35 mcg ethinylestradiol)

Each packet of extended cycle pills, such as Seasonique, contains 12 weeks of combined hormonal birth control. Packets also contain 1 week of placebo or low-dose ethinylestradiol.

Some people prefer this approach because it means they only get a period every 3 months. People wishing to delay their period longer using this method can do so safely for up to 12 months.

As with other birth control pills, extended cycle pills also come with a risk of side effects.

Each packet of triphasic birth control contains 21 days of pills containing different dosages of estrogen and progestin each week.

An example of a triphasic pill is Ortho-Tri-Cyclen. Each pill contains 35 mcg of ethinylestradiol. The dosage of norgestimate increases each week, imitating the natural changes of hormones throughout the menstrual cycle.

Triphasic birth control aims to reduce side effects by mimicking the natural fluctuation of hormones throughout the menstrual cycle.

However, there is limited research on whether triphasic pills cause fewer side effects than monophasic pills.

Healthcare professionals tend not to prescribe triphasic types of birth control. According to an older 2011 study, they do not appear to be more effective than standard monophasic birth control pills.

Monophasic pills provide the same amounts of hormones for 21 days, followed by 1 week of placebo.

A person can learn more about monophasic birth control here.

Anyone who cannot tolerate estrogen may consider taking progestin-only pills.

Micronor, which contains norethindrone, and Slynd, which contains drospirenone, are two brand-name examples.

Micronor may suit people who experience side effects on combination birth control pills.

However, Micronor contains norethindrone, which may cause side effects that include excess hair growth and acne.

The table below compares some of the most common types of birth control pills:

Medication Name	Type	Dose and hormones	Generic name
Apri	Combination	150 mcg desogestrel, 30 mcg ethinylestradiol	desogestrel and ethinylestradiol tablets
Yaz	Combination	3 mg drospirenone, 20 mcg ethinylestradiol	drospirenone/ethinylestradiol tablets
Aviane	Combination	100 mcg levonorgestrel, 20 mcg ethinylestradiol	levonorgestrel and ethinylestradiol tablets
Junel 1/20	Combination	1 mg norethindrone, 20 mcg ethinylestradiol	norethindrone and ethinylestradiol tablets
Sprintec	Combination	250 mcg norgestimate, 35 mcg ethinylestradiol	norgestimate and ethinylestradiol tablets
Seasonique	Extended cycle	84 light blue tablets containing: 0. 15 mg levonorgestrel, 0.03 mg ethinylestradiol. 7 yellow tablets containing: 0.01 mg ethinylestradiol	levonorgestrel/ethinylestradiol tablets and ethinylestradiol tablets
Micronor	Progestin-only	0.35 mg norethindrone	norethindrone

Birth control pills carry varying risks and side effects. It is important to discuss any underlying health issues and concerns with a medical professional before deciding on a birth control option.

Some factors to consider when picking a birth control pill include:

• The types of hormones. Estrogen is not safe for everyone, as it may increase the risk of blood clots. Additionally, some forms of progestin in high doses may increase the risk of blood clots and worsen acne.
• Underlying health conditions. People with health issues, such as high blood pressure or diabetes, should speak with a doctor about the safest birth control option.
• Insurance coverage. Though most plans must cover birth control pills, they may only cover certain options. “Religious exempt” plans do not need to cover birth control methods.

A person may try several different birth control methods before finding one that works best for them.

Doctors may prescribe pills with lower dosages of ethinylestradiol to prevent side effects.

According to the Office of Women’s Health (OWH), possible side effects of hormonal birth control pills include:

• headache
• upset stomach
• sore breasts
• changes in menstruation
• changes in mood
• weight gain
• high blood pressure
• spotting or bleeding between periods
• decreased libido

Taking a pill containing estrogen can increase the risk of developing blood clots, though this risk is typically low. However, smoking can increase this risk.

Doctors recommend that people who smoke and are at least 35 years old avoid birth control pills because of an increased risk of heart attack and stroke.

Another risk concerns pregnancy. It can be easy to forget to take the pill every day. Forgetting to take birth control can increase a person’s chances of getting pregnant.

Birth control pills cannot prevent the spread of HIV or other sexually transmitted infections. Barrier methods, such as a condom or dental dam, can prevent these infections.

Learn more about the side effects of birth control pills here.

A person may want to avoid taking a pill every day.

Some birth control options that do not involve taking pills include:

• a copper intrauterine device (IUD)
• a hormonal IUD
• hormonal implants
• medroxyprogesterone injections
• hormonal patches
• hormonal vaginal rings
• condoms
• diaphragms
• sponges
• a cervical cap
• tubal ligation, or “getting tubes tied”
• spermicide

Some people prefer to use more than one birth control option.

The Affordable Care Act typically provides free birth control for women. Most insurance also covers the majority of birth control costs.

Prices vary depending on coverage and the availability of generic options. Prices typically range from $10 to $50 per month.

Learn how to access free or low cost birth control here.

Below are answers to some common questions about birth control pills.

What is the most common birth control pill?

The most common type of pill is the combination pill.

What is the cheapest birth control pill brand?

The Affordable Care Act requires all insurance and Medicaid plans to cover the total cost of birth control, such as the pill. However, some plans can opt-out of this coverage for religious reasons.

If a person does not have insurance, they may be able to acquire free or lower-cost pills from local clinics.

Where can I get birth control pills?

A person needs a prescription from a doctor. They can get the pills:

• Online. Several retailers offer birth control pills online with valid prescriptions. Some companies have doctors on staff who provide consultations and prescriptions.
• At pharmacies. Most pharmacies have common types of birth control pills in stock. Learn about the best OTC birth control here.
• Clinics. Several low- or no-cost clinics offer birth control pills to people without insurance or with insufficient coverage.

Do I need to see a doctor to get birth control?

A person needs a prescription for birth control pills. People in good health may consider an online consultation to get a prescription.

People with medical conditions, allergies to medications, and other concerns should speak with a doctor about the various birth control options available.

What are mini pills?

Mini pills are progestin-only birth control pills. They contain progestin in the form of norethindrone or drospirenone. A pack of minipills contains no inactive pills or placebos.

Some people taking the mini pill experience spotting throughout the month or do not get their period. Others get their period after starting a new pack of minipills each month.

What is the difference between minipills and combination pills?

Combination pills contain a combination of estrogen and progestin. Minipills contain only progestin.

There are many types of birth control pills. Doctors most commonly prescribe combination birth control pills.

Birth control pills can cause side effects and increase some health risks.

Some people prefer birth control options that do not contain hormones, such as a copper IUD. People can discuss their options with a healthcare professional and find the right choice for their needs.

What are the best birth control pill brands?

Birth control pills are medications that help prevent pregnancy. They contain synthetic hormones. Some pills contain estrogen and progestin, others only progestin.

Several types of birth control pills are available. Everyone has different needs, so it is important to speak with a healthcare professional about the different options.

Birth control pills typically contain progestin, estrogen, or a combination.

Keep reading to learn about the different birth control pill options and their advantages and disadvantages.

Combined birth control pills contain both progestin and estrogen. Different pills can help a person avoid pregnancy by preventing ovulation, thickening the cervical mucus, and thinning the uterus lining called the endometrium.

Progestin-only pills prevent pregnancy by thickening the cervical mucus, making it difficult for sperm to enter the uterus. They also thin the endometrium. About 40% of people who use progestin-only pills continue to ovulate.

Most commercially available oral birth control pills contain a combination of estrogen and progestin.

Each birth control pill brand may contain different dosages of estrogen and different types of progestin. A doctor can help a person decide which option is best for them.

According to a 2015 journal article, most combination birth control pills contain ethinylestradiol, and dosages vary between 20–35 micrograms (mcg).

Types of progestin in combination pills

Combination birth control pills contain different types of progestin. Manufacturers list the dosage in milligrams (mg) or mcg.

Progestin can cause increased water and salt retention, leading to bloating.

Some progestins act as androgens. High levels of androgens can play a role in acne and excess hair growth. This may concern someone who wants to use a birth control pill to help reduce acne or excess hair growth. However, not all birth control pills cause these side effects.

Currently, no data indicate that any pill is more effective than another at reducing acne or excess hair growth.

Desogestrel

Some people may prefer a birth control pill containing the progestin desogestrel. It may help reduce excess hair growth and acne somewhat better than other pills.

Combination birth control pills that contain desogestrel include:

• Apri (150 mcg desogestrel, 30 mcg ethinylestradiol)
• Azurette (150 mcg desogestrel, 20 mcg ethinylestradiol)
• Kariva (150 mcg desogestrel, 20 mcg ethinylestradiol)
• Mircette (150 mcg desogestrel, 20 mcg ethinylestradiol)
• Reclipsen (150 mcg desogestrel, 30 mcg ethinylestradiol)

Some birth control pills contain the same drugs in the same dosages but have different names. For example, a doctor may prescribe Azurette and Kariva or Reclipsen and Apri interchangeably because they contain the same active ingredients.

Desogestrel birth control may cause symptoms associated with hormonal birth control, such as a headache, upset stomach, mood changes, weight gain, high blood pressure, and an increased risk of blood clots.

The medication a doctor recommends may depend on insurance coverage and drug availability.

Drospirenone

Some people prefer birth control pills containing progestin drospirenone because they have diuretic properties, which help prevent bloating.

According to the Food and Drug Administration (FDA), drospirenone may increase the risk of blood clots. However, according to The American College of Obstetricians and Gynecologists (ACOG), this risk is low.

A 2012 study found that drospirenone may also help treat premenstrual dysphoric disorder (PMDD), a severe type of premenstrual syndrome.

Birth control brands that contain drospirenone include:

• Gianvi (3 mg drospirenone, 20 mcg ethinylestradiol)
• Loryna (3 mg drospirenone, 20 mcg ethinylestradiol)
• Ocella (3 mg drospirenone, 30 mcg ethinylestradiol)
• Syeda (3 mg drospirenone, 30 mcg ethinylestradiol)
• Yasmin (3 mg drospirenone, 30 mcg ethinylestradiol)
• Yaz (3 mg drospirenone, 20 mcg ethinylestradiol)
• Zarah (3 mg drospirenone, 30 mcg ethinylestradiol)

Levonorgestrel

Birth control pills containing levonorgestrel appear to have a lower risk of side effects, such as blood clots, than pills containing other types of progestin.

However, there is always the risk of some side effects with hormonal birth control.

Doctors consider pills containing levonorgestrel and ethinylestradiol to be an effective first-line treatment.

Pills that contain levonorgestrel include:

• Aviane (100 mcg levonorgestrel, 20 mcg ethinylestradiol)
• Lessina (100 mcg levonorgestrel, 20 mcg ethinylestradiol)
• Levora (150 mcg levonorgestrel, 30 mcg ethinylestradiol)
• Lutera (100 mcg levonorgestrel, 20 mcg ethinylestradiol)
• Portia (150 mcg levonorgestrel, 30 mcg ethinylestradiol)
• Sronyx (100 mcg levonorgestrel, 20 mcg ethinylestradiol)

Norethindrone

Norethindrone is a progestin that comes from testosterone.

People who take birth control pills containing norethindrone may experience side effects such as excess hair growth and acne. If this occurs, a doctor may recommend a different birth control pill.

Birth control pills that contain norethindrone include:

• Balziva (400 mcg norethindrone, 35 mcg ethinylestradiol)
• Junel 1/20 (1 mg norethindrone, 20 mcg ethinylestradiol)
• Junel 1. 5/30 (1.5 mg norethindrone, 30 mcg ethinylestradiol)
• Loestrin 1/20 (1 mg norethindrone, 20 mcg ethinylestradiol)
• Loestrin 1.5/30 (1.5 mg norethindrone, 30 mcg ethinylestradiol)
• Microgestin 1/20 (1 mg norethindrone, 20 mcg ethinylestradiol)
• Necon (500 mcg norethindrone, 35 mcg ethinylestradiol)
• Nortrel 0.5/35 (500 mcg norethindrone, 35 mcg ethinylestradiol)
• Nortrel 1/35 (1 mg norethindrone, 35 mcg ethinylestradiol)
• Ortho-Novum 1/35 (1 mg norethindrone, 35 mcg ethinylestradiol)

Norgestimate and norgestrel

People who use birth control pills containing norgestimate or norgestrel may also experience androgenic side effects, such as excess hair growth and acne.

Some brands containing these hormones include:

• Cryselle (300 mcg norgestrel, 30 mcg ethinylestradiol)
• Ortho-Cyclen (250 mcg norgestimate, 35 mcg ethinylestradiol)
• Previfem (250 mcg norgestimate, 35 mcg ethinylestradiol)
• Sprintec (250 mcg norgestimate, 35 mcg ethinylestradiol)

Each packet of extended cycle pills, such as Seasonique, contains 12 weeks of combined hormonal birth control. Packets also contain 1 week of placebo or low-dose ethinylestradiol.

Some people prefer this approach because it means they only get a period every 3 months. People wishing to delay their period longer using this method can do so safely for up to 12 months.

As with other birth control pills, extended cycle pills also come with a risk of side effects.

Each packet of triphasic birth control contains 21 days of pills containing different dosages of estrogen and progestin each week.

An example of a triphasic pill is Ortho-Tri-Cyclen. Each pill contains 35 mcg of ethinylestradiol. The dosage of norgestimate increases each week, imitating the natural changes of hormones throughout the menstrual cycle.

Triphasic birth control aims to reduce side effects by mimicking the natural fluctuation of hormones throughout the menstrual cycle.

However, there is limited research on whether triphasic pills cause fewer side effects than monophasic pills.

Healthcare professionals tend not to prescribe triphasic types of birth control. According to an older 2011 study, they do not appear to be more effective than standard monophasic birth control pills.

Monophasic pills provide the same amounts of hormones for 21 days, followed by 1 week of placebo.

A person can learn more about monophasic birth control here.

Anyone who cannot tolerate estrogen may consider taking progestin-only pills.

Micronor, which contains norethindrone, and Slynd, which contains drospirenone, are two brand-name examples.

Micronor may suit people who experience side effects on combination birth control pills.

However, Micronor contains norethindrone, which may cause side effects that include excess hair growth and acne.

The table below compares some of the most common types of birth control pills:

Medication Name	Type	Dose and hormones	Generic name
Apri	Combination	150 mcg desogestrel, 30 mcg ethinylestradiol	desogestrel and ethinylestradiol tablets
Yaz	Combination	3 mg drospirenone, 20 mcg ethinylestradiol	drospirenone/ethinylestradiol tablets
Aviane	Combination	100 mcg levonorgestrel, 20 mcg ethinylestradiol	levonorgestrel and ethinylestradiol tablets
Junel 1/20	Combination	1 mg norethindrone, 20 mcg ethinylestradiol	norethindrone and ethinylestradiol tablets
Sprintec	Combination	250 mcg norgestimate, 35 mcg ethinylestradiol	norgestimate and ethinylestradiol tablets
Seasonique	Extended cycle	84 light blue tablets containing: 0. 15 mg levonorgestrel, 0.03 mg ethinylestradiol. 7 yellow tablets containing: 0.01 mg ethinylestradiol	levonorgestrel/ethinylestradiol tablets and ethinylestradiol tablets
Micronor	Progestin-only	0.35 mg norethindrone	norethindrone

Birth control pills carry varying risks and side effects. It is important to discuss any underlying health issues and concerns with a medical professional before deciding on a birth control option.

Some factors to consider when picking a birth control pill include:

• The types of hormones. Estrogen is not safe for everyone, as it may increase the risk of blood clots. Additionally, some forms of progestin in high doses may increase the risk of blood clots and worsen acne.
• Underlying health conditions. People with health issues, such as high blood pressure or diabetes, should speak with a doctor about the safest birth control option.
• Insurance coverage. Though most plans must cover birth control pills, they may only cover certain options. “Religious exempt” plans do not need to cover birth control methods.

A person may try several different birth control methods before finding one that works best for them.

Doctors may prescribe pills with lower dosages of ethinylestradiol to prevent side effects.

According to the Office of Women’s Health (OWH), possible side effects of hormonal birth control pills include:

• headache
• upset stomach
• sore breasts
• changes in menstruation
• changes in mood
• weight gain
• high blood pressure
• spotting or bleeding between periods
• decreased libido

Taking a pill containing estrogen can increase the risk of developing blood clots, though this risk is typically low. However, smoking can increase this risk.

Doctors recommend that people who smoke and are at least 35 years old avoid birth control pills because of an increased risk of heart attack and stroke.

Another risk concerns pregnancy. It can be easy to forget to take the pill every day. Forgetting to take birth control can increase a person’s chances of getting pregnant.

Birth control pills cannot prevent the spread of HIV or other sexually transmitted infections. Barrier methods, such as a condom or dental dam, can prevent these infections.

Learn more about the side effects of birth control pills here.

A person may want to avoid taking a pill every day.

Some birth control options that do not involve taking pills include:

• a copper intrauterine device (IUD)
• a hormonal IUD
• hormonal implants
• medroxyprogesterone injections
• hormonal patches
• hormonal vaginal rings
• condoms
• diaphragms
• sponges
• a cervical cap
• tubal ligation, or “getting tubes tied”
• spermicide

Some people prefer to use more than one birth control option.

The Affordable Care Act typically provides free birth control for women. Most insurance also covers the majority of birth control costs.

Prices vary depending on coverage and the availability of generic options. Prices typically range from $10 to $50 per month.

Learn how to access free or low cost birth control here.

Below are answers to some common questions about birth control pills.

What is the most common birth control pill?

The most common type of pill is the combination pill.

What is the cheapest birth control pill brand?

The Affordable Care Act requires all insurance and Medicaid plans to cover the total cost of birth control, such as the pill. However, some plans can opt-out of this coverage for religious reasons.

If a person does not have insurance, they may be able to acquire free or lower-cost pills from local clinics.

Where can I get birth control pills?

A person needs a prescription from a doctor. They can get the pills:

• Online. Several retailers offer birth control pills online with valid prescriptions. Some companies have doctors on staff who provide consultations and prescriptions.
• At pharmacies. Most pharmacies have common types of birth control pills in stock. Learn about the best OTC birth control here.
• Clinics. Several low- or no-cost clinics offer birth control pills to people without insurance or with insufficient coverage.

Do I need to see a doctor to get birth control?

A person needs a prescription for birth control pills. People in good health may consider an online consultation to get a prescription.

People with medical conditions, allergies to medications, and other concerns should speak with a doctor about the various birth control options available.

What are mini pills?

Mini pills are progestin-only birth control pills. They contain progestin in the form of norethindrone or drospirenone. A pack of minipills contains no inactive pills or placebos.

Some people taking the mini pill experience spotting throughout the month or do not get their period. Others get their period after starting a new pack of minipills each month.

What is the difference between minipills and combination pills?

Combination pills contain a combination of estrogen and progestin. Minipills contain only progestin.

There are many types of birth control pills. Doctors most commonly prescribe combination birth control pills.

Birth control pills can cause side effects and increase some health risks.

Some people prefer birth control options that do not contain hormones, such as a copper IUD. People can discuss their options with a healthcare professional and find the right choice for their needs.

Birth Control: An Overview – Women’s Health in General

July 9, 2021 July 6, 2017

There are several different types of birth control, but deciding which one (if any) is right for you you takes time, research and thought. If you are interested in birth control, our doctors and staff will work with you to find the right birth control.

As a quick overview, below are some common forms of birth control you may want to consider. One is not necessarily better than the other, it just depends on what suits you.

Hormonal IUD : Small, almost undetectable IUD that prevents pregnancy for at least one year (sometimes up to five years). Hormonal IUDs prevent pregnancy by secreting a very small amount of the progestin hormone levonorgestrel daily. Progestin acts locally in the uterus to prevent pregnancy.

Non-hormonal IUD : The non-hormonal IUD prevents pregnancy by using a tiny copper thread wrapped around a T (a form of IUD). We offer Paraguard (non-hormonal) and Mirena (hormonal) IUDs. Call us for more information on these methods.

implant : An implant is a very small rod that is inserted under the skin of a woman’s upper arm to provide birth control. It is invisible and prevents pregnancy for up to 4 years.

Shot : The shot, sometimes referred to as “Depo”, is an injection of the hormone progestin that provides birth control for three months. It can be administered at home or by a healthcare professional.

Patch : The patch is a thin beige plastic piece that looks like a square patch. It’s easy to use and works like a pill, but you only need to change the patch once a week.

Pill : Combination birth control pill is a daily pill containing two hormones (estrogen and progestin) to prevent pregnancy.

Ring : The ring is a small, flexible piece of plastic that is inserted into the vagina to provide birth control. It works like a pill, but you only need to insert it once a month.

Condom : Condoms are one of the most popular forms of birth control. They slide over the penis to prevent pregnancy and reduce the risk of STIs by keeping semen inside the condom and out of the vagina.

Internal condom : Sometimes called a female condom. This is the pouch that you insert into your vagina. This is a method that gives you complete control. Internal condoms work just like condoms, except you wear them inside rather than on the penis. They keep sperm inside the condom and out of the vagina.

Diaphragm valve : The diaphragm is a domed silicone cup that is inserted into the vagina a few hours before intercourse to prevent pregnancy. To work effectively, it must be used along with spermicides to prevent sperm from reaching the eggs.

Cervical Cap : A cervical cap is a silicone cap that you insert into your vagina to cover your cervix and keep sperm from entering your uterus. For it to work effectively, it must be used with a spermicide.

Sponge : The sponge is a small piece of white foam that is inserted into the vagina. It can be inserted 24 hours before sex.

Spermicide : Spermicide is a chemical that you inject deep into your vagina right before sex. Spermicide can be used alone or in combination with other birth control methods.

Emergency contraception : Post-sex pills can be used after sex to stop a pregnancy before it starts. Most brands and generic tablets are available in stores without a prescription. You can also get emergency contraception (Plan B) at any of our clinics.

If you have questions about birth control methods and would like to speak to someone and/or make an appointment with one of our doctors, call our EmpowerLine at 877-835-1090.

G.K. Chesterton. Birth control

I HOPE that I don’t get a secret inner arrogance if I say that I don’t consider myself extremely arrogant; and even if such arrogance arises in me, still my faith will prevent me from being proud of my pride. However, there is sometimes a great temptation to display intellectual superiority in the midst of the mish-mash of wordy and worthless philosophies that surround us today. However, there are not so many things in the world that I personally feel only contempt for and that can tempt me to fall into a state of arrogance. I have no contempt for the atheist, who is often just a limited person, bound by his own logic, forcing him to reduce his worldview to a very sad simplification. I have no contempt for the Bolshevik, who is a man who carries out a positive rebellion against the many errors of our time, but who has reduced his worldview to the same negative simplification. But there is one group of people for whom I can feel nothing but pure contempt – a group of popular propagandists of an idea that is absurdly called “birth control”.

I despise “birth control” primarily because it is a weak, shaky and cowardly phrase. But it is also a completely meaningless phrase; and it is used to ingratiate itself even with those who would at first recoil from its true meaning. Quack doctors love to use it, but they just tend not to do birth control or childbirth – but they guarantee that there will be no births that could be controlled. They do not have to control and determine anything in their affairs, for example, to determine the sex or even to make selection within the framework of eugenic pseudoscience. Normal people do everything to make the birth happen; while these people do everything to prevent the birth. But these people will never dare to write simply “birth control”, so they write the hypocritical “birth control”. They know as well as I do that the very phrase “fertility prevention” will shock the public if it appears in the headlines, or is proclaimed from the podium, or becomes a ubiquitous advertising slogan, like any other charlatan seadobe. They dare not call this thing by its name, because its very name is very bad publicity. So they use a mundane and meaningless word, as if it could make quackery medicine more harmless.

Secondly, I despise birth control because it is weak, shaky and cowardly. It’s not even a step down that dirty road called eugenics; it is a categorical refusal to take the first and most obvious step on the eugenics road. It can be recognized that the eugenic philosophy is correct – then the course of action of the supporters of eugenics is obvious and consistent; but the proponents of “birth control” will not dare to say so. If there is no authority in things that Christendom has called moral because of their mystical origin, then eugenicists are free to ignore all differences between animals and people; and treat people the way we treat animals. They don’t need to mess around with the outdated and timid compromises and conventions called “birth control” – nobody cares about birth control in cats. The obvious course for eugenicists is to act towards babies in the same way that humans act towards kittens. Let all the children be born, and then let’s drown the ones we don’t like. I don’t see any objection here at all that could be raised against the prevention of childbearing; apart from the moral or mystical objections which we raise. And in such eugenics there is its own realism and its own rationality; for in this way we may select the best, or at least the fittest, and sacrifice the so-called unfit. But by resorting to the weaker birth control trade-off proposed by the proponents of “birth control,” we are very likely to sacrifice the fit and only produce the unfit. The births we prevent might be the best and most beautiful children; the ones we allow are the weakest or worst. Indeed, this is so; for today’s young and energetic people are in the habit of postponing the birth of children to later years, when they will no longer be the same young and energetic – and postpone mainly for mercantile reasons. Until I see a true trailblazer and progressive leader coming forward with a good, bold, scientific agenda for drowning babies, I will not stand in solidarity with this movement.

But there is a third reason for my contempt, much deeper and therefore much more difficult to express; in which all my reasons for being who I am or try to be are rooted; and above all, to be a distributor. Perhaps, if one tries to describe this reason, I should say that when I hear the common suggestion that childbirth is avoided because people want to be “free”, want to afford to go to the movies or buy a gramophone or loudspeaker, my contempt for such people are ready to push me to the most radical actions. I’m just ready to wipe my feet on such people for using the word “free” itself. For if they act upon these words of theirs, they chain themselves to the most slavish and mechanistic system that men have ever come into contact with. The cinema is a machine for displaying certain regular patterns, moving pictures; expressing the idea of ​​the most vulgar millionaires about the tastes of the most vulgar millions. A gramophone is a device for recording tunes sold and promoted by stores and music kiosks. The same kind and wireless communication; and all three of these human inventions are marked by one feature: the receiving party in conjunction with any of these devices is completely powerless and passive. The movie buff cannot challenge the actor, or even talk to him; the householder will find it futile to shout into the gramophone; the crowd cannot throw rotten eggs at the modern speaker, especially when the speaker is nothing more than a loudspeaker. People become a controlled part of the mechanism, and they are dominated by the central “brain”, which gives people exactly what, in the opinion of the masters of life, they should have.

At the same time, a child is the very sign and sacrament of a person’s personal freedom. He is a new and youthful free will added to the will of the world; he is the one whom the parents freely chose to be born and whom they, by their free choice, agreed to protect. They may feel that whatever fun and entertainment he provides (which is often significant) actually comes from him and them, and no one else. He was born without the intervention of any external master or master. He is creation and contribution; but he is their own creative contribution to creation. It is also a much more beautiful, wonderful, funny and amazing thing than any of the aging tapes of cinema or the jingling jazz tunes produced by sound machines. If people no longer feel that the child is such, they lose their understanding of the primary being, and, consequently, all their sense of proportion in the world. People who prefer mechanical pleasures to such a miracle are satiated and enslaved, for they prefer its empty eructation to the primary fountain of life.