Key Takeaways
- Many birth control pills come in either combination formulas or progestin-only formulas.
- Combination pills can help with painful periods, PMS, acne, and more.
- Combination pills come in different types, like low-dose and extended-cycle pills.
When selecting birth control pills, you can choose from combination pills with both estrogen and progestin, or progestin-only pills, all of which come with various brand and generic options. This diversity allows you to find a pill that best suits your reproductive needs and lifestyle.
Getty Images / Cris Cantón
How Combination Birth Control Pills Work
Combination birth control pills contain both estrogen and a progestin. They work by inhibiting reproductive hormone production, preventing ovulation, and thus avoiding pregnancy.
These pills may also change the endometrial lining, thicken cervical mucus, affect fertilization, modify egg transport, or even prevent implantation. Beyond contraception, they can help with:
They also aid in regulating menstruation in those with polycystic ovary syndrome and treat endometriosis.
There are many formulations of COCs available, including:
- Monophasic: These medications have the same dose of estrogen and progestin for the 21 to 24 active days.
- Biphasic: These medications mimic the natural fluctuations of estrogen and progestin during a menstrual cycle by providing two different doses during the cycle.
- Triphasic: These medications are designed to imitate the natural estrogen and progestin fluctuations that happen during a menstrual cycle by introducing three different doses throughout the cycle.
- Quadriphasic: These medications are designed to imitate the natural estrogen and progestin fluctuations that happen during a menstrual cycle by introducing four different doses throughout the cycle.
Pills with “Fe” in their name contain iron, while those with “Lo” have a lower dose of estrogen.
Monophasic Pill Names and Brands
Common monophasic pills include:
- Levonorgestrel/ethinyl estradiol
- Norethindrone/ethinyl estradiol
- Drospirenone/ethinyl estradiol/levomefolate
- Desogestrel/ethinyl estradiol
- Norgestimate/ethinyl estradiol
- Ethynodiol/ethinyl estradiol
- Drospirenone/estetrol
- Drospirenone/ethinyl estradiol
- Norgestrel/ethinyl estradiol
Levonorgestrel/Ethinyl Estradiol
Common brand names for levonorgestrel/ethinyl estradiol include:
- Altavera
- Amethia
- Ashlyna
- Balcoltra
- Camrese
- Daysee
- Dolishale
- Falmina
- Introvale
- Jaimiess
- Kurvelo
- Larissia
- Lessina
- Lutera
- Marlissa
- Portia
- Setlakin
- Simpesse
- Sronyx
- Vienva
Norethindrone/Ethinyl Estradiol
- Aurovela 1.5/30
- Aurovela 1/20
- Aurovela 24 Fe
- Aurovela Fe 1.5/30
- Aurovela Fe 1/20
- Balziva
- Blisovi 24 Fe
- Blisovi Fe 1.5/30
- Blisovi Fe 1/20
- Briellyn
- Gemmily
- Generess Fe
- Hailey 1.5/30
- Hailey 24 Fe
- Junel 1.5/30
- Junel 1/20
- Junel FE 1.5/30
- Junel FE 1/20
- Junel Fe 24
- Kaitlib Fe
- Larin 1.5/30
- Larin 1/20
- Larin 24 Fe
- Larin Fe 1.5/30
- Larin Fe 1/20
- Merzee
- Mibelas 24 Fe
- Nortrel 0.5/35
- Nortrel 1/35
- Philith
- Tarina Fe 1/20
- Taytulla
- Vyfemla
- Wera
- Wymzya Fe
- Zenchent
- Zenchent Fe
Drospirenone/Ethinyl Estradiol/Levomefolate
Desogestrel/Ethinyl Estradiol
Norgestimate/Ethinyl Estradiol
- Estarylla
- Mili
- MonoNessa
- Mono-Linyah
- Previfem
- Sprintec
Ethynodiol/Ethinyl Estradiol
Drospirenone/Estetrol
Drospirenone/Ethinyl Estradiol
- Nikki
- Ocella
- Syeda
- Vestura
- Zarah
- Zumandimine
Norgestrel/Ethinyl Estradiol
Multiphasic Pill Names and Brands
Multiphasic pills are broken down into biphasic, triphasic, and quadriphasic formulations. Common examples of each are included below.
Biphasic
- Azurette (desogestrel/ethinyl estradiol)
- Bekyree (desogestrel/ethinyl estradiol)
- Kariva (desogestrel/ethinyl estradiol)
- Femlyv, Lo Loestrin Fe (norethindrone acetate and ethinyl estradiol)
- Pimtrea (desogestrel/ethinyl estradiol)
- Viorele (desogestrel/ethinyl estradiol)
- Volnea (desogestrel/ethinyl estradiol)
Triphasic
- Alyacen 7/ 7/ 7 (norethindrone/ethinyl estradiol)
- Alyacen 777 (norethindrone/ethinyl estradiol)
- Aranelle (norethindrone/ethinyl estradiol)
- Caziant (desogestrel/ethinyl estradiol)
- Cyclessa (desogestrel/ethinyl estradiol)
- Dasetta 7/7/7 (norethindrone/ethinyl estradiol)
- Enpresse (levonorgestrel/ethinyl estradiol)
- Leena (norethindrone/ethinyl estradiol)
- Levonest (levonorgestrel/ethinyl estradiol)
- Nortrel 7/7/7 (norethindrone/ethinyl estradiol)
- Tilia Fe (norethindrone/ethinyl estradiol)
- Tri Femynor (norgestimate/ethinyl estradiol)
- Tri-Estarylla (norgestimate/ethinyl estradiol)
- Tri-Linyah (norgestimate/ethinyl estradiol)
- Tri-Lo-Estarylla (norgestimate/ethinyl estradiol)
- Tri-Lo-Marzia (norgestimate/ethinyl estradiol)
- Tri-Lo-Mili (norgestimate/ethinyl estradiol)
- Tri-Lo-Sprintec (norgestimate/ethinyl estradiol)
- Tri-Mili (norgestimate/ethinyl estradiol)
- Tri-Norinyl (norethindrone/ethinyl estradiol)
- Tri-Sprintec (norgestimate/ethinyl estradiol)
- Tri-Legest Fe (norethindrone/ethinyl estradiol)
- Trivora (levonorgestrel/ethinyl estradiol)
- Velivet (desogestrel/ethinyl estradiol)
Quadriphasic
Extended-Cycle Pill Names and Brands
Extended-cycle combined oral contraceptives (COCs) consist of 84 days of active hormonal pills followed by seven days of inactive or very low-dose estrogen pills.
This regimen results in menstruation every three months instead of monthly:
- Amethia (levonorgestrel/ethinyl estradiol)
- Amethyst (levonorgestrel/ethinyl estradiol)
- Ashlyna (levonorgestrel/ethinyl estradiol)
- Camrese (levonorgestrel/ethinyl estradiol)
- Camrese-Lo (levonorgestrel/ethinyl estradiol)
- Daysee (levonorgestrel/ethinyl estradiol)
- Introvale levonorgestrel/ethinyl estradiol)
- Jaimiess (levonorgestrel/ethinyl estradiol)
- Jolessa (levonorgestrel/ethinyl estradiol)
- LoSeasonique (levonorgestrel/ethinyl estradiol)
- Quartette (levonorgestrel/ethinyl estradiol)
- Quasense (levonorgestrel/ethinyl estradiol)
- Rivelsa (levonorgestrel/ethinyl estradiol)
- Seasonique (levonorgestrel/ethinyl estradiol)
- Setlakin (levonorgestrel/ethinyl estradiol)
- Simpesse (levonorgestrel/ethinyl estradiol)
Low-Dose Pills Names and Brands
Low-dose COCs contain up to 30 micrograms of estrogen:
- Apri (desogestrel/ethinyl estradiol)
- Aviane (levonorgestrel/ethinyl estradiol)
- CamreseLo (levonorgestrel/ethinyl estradiol)
- Levora (levonorgestrel/ethinyl estradiol)
- Lo Loestrin Fe (norethindrone acetate/ethinyl estradiol)
- Lo-Zumandimine (drospirenone/ethinyl estradiol)
- Loryna (drospirenone/ethinyl estradiol)
- Low-Ogestrel (norgestrel/ethinyl estradiol)
- Tri-Lo-Estarylla (norgestimate/ethinyl estradiol)
- Tri-Lo-Marzia (norgestimate/ethinyl estradiol)
- Tri-Lo-Mili (norgestimate/ethinyl estradiol)
- Tri-Lo-Sprintec (norgestimate/ethinyl estradiol)
- Yasmin (drospirenone/ethinyl estradiol)
- Yaz (drospirenone/ethinyl estradiol)
How Progestin-Only Birth Control Pills Work
The mini-pill, or progestin-only pills (POPs), can prevent pregnancy by suppressing ovulation, although the rate at which ovulation is suppressed can vary by individual. They work by thickening cervical mucus to prevent sperm penetration, lowering mid-cycle luteinizing hormone (LH) and follicle-stimulating hormone (FSH) peaks, slowing movement of the ovum through the fallopian tubes, and altering the endometrium.
POPs can be taken immediately postpartum when the risk of clotting is higher. Due to this risk, COCs are not recommended for three weeks after childbirth if you are not breastfeeding and four to six weeks after if you are breastfeeding.
POPs require strict adherence to the schedule since they are less forgiving if a pill is late or missed. You must take doses within three hours of the scheduled time.
Progestin-Only Pill Names and Brands
Norethindrone is a POP, and is available under the following brand names:
- Camila
- Deblitane
- Emzahh
- Errin
- Heather
- Incassia
- Jencycla
- Jolivette
- Nora-BE
- Norlyda
- Sharobel
- Slynd
How to Choose the Right Birth Control Pill for You
When discussing hormonal birth control methods with your healthcare provider, there are certain factors to consider.
If you’ve recently given birth and have additional risk factors for blood clots, avoid COCs for three to six weeks. Instead, consider using POPs during this period.
Natazia is a contraceptive that can also be used for heavy periods, making it a good option if you struggle with a heavy menstrual flow. Contraceptives with four placebo pills or extended-cycle regimens can also help manage heavy periods.
You should avoid COCs and choose progestin-only if you:
- Are over 35 and smoke
- Have a history of clotting issues
- Have a history of breast/ovarian/liver cancer
- Have uncontrolled high blood pressure
- Have migraines with aura
- Have diabetes with vascular disease
- Have unexplained bleeding
A combination pill is generally recommended for those dealing with acne.
For those with premenstrual dysphoric disorder, Yaz or Yasmin (both containing drospirenone) can help with PMS symptoms like bloating, headaches, breast tenderness, anxiety, mood swings, depression, and suicidal thoughts.


















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