Low Dose Birth Control Pills
July 11, 2008
Here are the basics about Low Dose Birth Control Pills -the brands, the ingredients and the benefits.
Reducing the side effects of birth control pills (cheers in the gallery!) led to the reduction of the amount of synthetic hormones, estrogen and progestin, that they contained and to the development of the ‘new generation’, low dose birth control pills. “Low dose’ won’t have much meaning for you if you don’t know what this term refers to so the basic information below may help.
So How Low can I go with the dose of hormone ingredients and still be effective at preventing pregnancy?
Good question, as not all birth control pills contain exactly the same amount of estrogen and progestin. I thought a useful reference for you would be a list of low dose and ultra low dose pills so that you can at least discuss the pros and cons with your doctor and see if you are a good candidate to move from say, a low dose 0.035mg estrogen pill down to an ultra low dose 0.020mg estrogen pill. You may find you experience fewer or reduced side effects. Generic brands in low dose birth control pills are also available.
Birth control pills with the very lowest amount of estrogen, that is 0.02mg of estrogen (usually ethinyl estradiol) are classed as ‘ultra low dose’ contraceptive pills. 0.02mg of estrogen is sufficient for contraception but the side effects of spotting and breakthrough bleeding are more common with these types of ultra low dose birth control pills than with low dose pills containing 0.030mg or 0.035mg of estrogen.
Here are some brand names of the “ultra low dose” birth control pills on the market, you may find a generic version on line now that you know what amount of estrogen to look for. The estrogen component is listed first and the progestin component second.
Alesse (Aviane,Lessina,Lutera,Sronyx) contains 0.02 mg ethinyl estradiol and 0.1 mg levonorgestrel
Mircette contains 0.02 mg ethinyl estradiol and 0.15 mg desogestrel
Pills containing 0.02mg- 0.035mg.of estrogen are classed as ‘low dose’ pills.
Here are some brand names of “low dose” birth control pills :
- LoOvral contains 0.03 mg ethinyl estradiol and and 0.3 mg norgestrel
- Nordette contains 0.03 mg ethinyl estradiol and 0.15 mg levognorgestrel
- Ortho-Cept (Reclipsen, Solia) contains 0.03 mg ethinyl estradiol and 0.15 mg desogestrel
- Desogen contains 0.03 mg ethinyl estradiol and 0.15 mg desogestrel
- Levlen21 contains 0.03 mg of ethinyl estradiol and 0.15 mg of levonorgestrel
- Seasonale/Seasonique contain 0.03mg of ethinyl estradiol and 0.15 mg of levonorgestrel
If you are a fan of triphasic pills, here are some low dose ones:
Cyclessa
Phase 1: ethinyl estradiol 0.025 mg and desogestrel 0.1 mg
Phase 2: ethinyl estradiol 0.025 mg and desogestrel 0.125 mg
Phase 3: ethinyl estradiol 0.025 mg and desogestrel 0.15 mg
In a study of 5,654 women, over six menstrual cycles, some used the popular triphasic Ortho-Novum 7/7/7 and others used Cyclessa. It was found that women who used Cyclessa had significantly less breakthrough bleeding or spotting and experienced an average weight loss of 4lbs. versus an average weight gain of 2lbs. with those who took Ortho-Novum 7/7/7.
Ortho Tricyclen Lo : 3 types of pill in the pack
each white tablet contains 0.025 mg ethinyl estradiol and 0.180 mg of norgestimate
each light blue tablet contains 0.025 mg of ethinyl estradiol and 0.215 mg norgestimate each dark blue tablet contains 0.025 mg of ethinyl estradiol and 0.250 mg of norgestimate
(Ortho Tricyclen and Ortho-Cyclen, each with 0.035 mg of ethinyl estradiol, contain slightly higher amounts of estrogen in each type of pill than Ortho Tricyclen Lo)
YASMIN and YAZ are two more low dose birth control pills containing 0.03 mg and 0.02 mg respectively of estrogen but they have a different type of progestin from the other pills called drospirenone (3.0 mg). On the down side, since Yasmin/Yaz can increase levels of potassium, it is not recommended for women with liver, adrenal or kidney problems but on the up side, Yasmin/Yaz appear to reduce water retention and therefore bloating and in some women gives a sense of well being. These pills also have a following among acne sufferers as they seem to improve this skin condition in a lot of cases.
As with many other types of birth control pills, Yasmin may not be suitable for you if you also take other over-the-counter pain relievers, potassium sparing diuretics, potassium supplements or specific medications so you MUST check this out with a physician first.
Nursing Moms
You will have heard of the ‘mini’ pill (progestin only pill or POP) which is usually prescribed for women who are breastfeeding or who have an intolerance to estrogen. A ‘Mini pill’ can be started immediately after childbirth or abortion. There is no 7-day break or dummy pills as there are with the combined pill and it must be taken at the same time every day. Micronor contains 0.35 mg norethindrone and NO estrogen whatsoever. In other countries some brand names include: Microlut 28, Microval 28, Locilan 28 and Noriday.
Pills that contain high amounts of estrogen or progestin are used for emergency contraception and are known as ‘the morning after pill’ or Plan B. One common pill is Preven -each blue film-coated pill contains 0.25 mg levonorgestrel and 0.05 mg (that’s MILLIGRAMS not micrograms) of estrogen – usually you take 2 doses, 12 hours apart. Plan B is a ‘morning-after’ pill that contains only one hormone, progestin (Levonorgestrel) Tablets, 0.75 mg.
Sources; Donnica Moore, M.D.www.drdonnica.com/faqs/00005246.htm,www.mydr.com.au
For A FREE E-BOOK that answers all your common birth control
questions,for lighthearted videos and a ‘no nonsense’ website that
tells it like it is, visit: my main website
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1.
Lily Mao-Cheia | February 24, 2009 at 9:18 pm
my daughter of 17 who is still a virgin, has very bad period pains (she’s been rushed to hospital twice in terrible period pains) and the Dr has put her on the pill called “Mirelle” I’m not very happy as her personality has changed into a quieter person and feels depressed all the time (this is her 2nd different type of pill, the 1st ones which unfortunately i cannot remember the name, made her cry and worry for nothing the whole day). can you please recommend a pill that has less side effects. Hope to hear from you soon.
Regards
Lily
2.
contraceptives | May 14, 2009 at 2:30 am
Dear Lily,
My sincere apologies for the delayed reply. I have been unable to attend to my blog for a while and do hope that in the meantime you have found a solution for your daughter’s dysmenorrhea (period pains). I feel so sorry for her as trialling various pills can take months but it really is the only way to find one that suits her metabolism. The ‘ideal’ pill should produce insignificant side effects.
Taking Vit B complex for a couple of months is also worth trying as it helps lots of women with this condition- you do need to persevere with it though to notice an effect. Metaphoric acid is also prescribed for some women and using a tens machine is a favourite with many women too. Most pharmacies stock them, they send little electrical stimuli to the affected area to ‘block’ pain. I use one for my low back pain and it works.
Back to the pill…..
Please ask your Doctor about higher dose combination pills if the low dose ones do not reduce your daughter’s pain. I am not an advocate of higher dose contraceptive pills but they do work for some severe cases of period pain. .
If your daughter wishes to remain on low dose hormones, Alesse is one of the ‘ultra low dose’ contraceptive pills you could mention to the doctor (the active synthetic hormones in Alesse are 0.02 mg of ethinyl estradiol and 0.1 mg levonorgestrel which are combinations of synthetic estrogen and progesterone ). Ultra low dose birth control pills have 20 micrograms of estrogen, compared with 30-50 micrograms of estrogen in regular birth control pills and reduce side effects but may not be strong enough to reduce your daughter’s pain.
If your daughter will consider having only 4 periods a year there are pills on the market including SEASONIQUE, Seasonale and Lybrel that may be worth exploring. LYBREL is a birth control pill that delivers the same low dose of hormones every day but when you take LYBREL, the lining of your uterus does not go through the changes needed for menstruation and therefore, you do not have regular menstrual periods or a pill period. For more information, visit http://www.lybrel.com/faq/ and http://www.seasonale.com/
I wish you all the best Lily and sincerely hope that your daughter can return to the doctor’s to discuss a few of these options in the hope that one of them will eventually lead to a positive solution.
Kind regards Carole
3.
contraceptives | June 1, 2009 at 12:00 am
Dear Kate,
Thank you for your enquiry re the effectiveness of low dose birth control pills. be confident that if you follow the instructions on the pack you will be protected. A low dose birth control pill has a practical success rate of between 95 – 99.5%. Most failures are due to incorrect usage, the most dangerous time to miss a pill is at the end or the beginning of a pack. To be extra sure, use a condom (or one of the new female ones) Anxiety over pregnancy can reduce the joy of sex.
In general, “low dose” birth control pills are those that have 35 micrograms (mcg) or less of an estrogen (usually ethinyl estradiol). “Ultra low dose” or “very low dose” pills are those that have the lowest amount of estrogen in a birth control pill or 20 mcg (0.02 milligrams or mg). The 20 mcg estrogen dose is sufficient for contraception but pills with this so-called ultra low estrogen dose of 20 mcg are associated with more spotting and breakthrough bleeding than pills containing 30 or 35 mcg of estrogen
IF you are taking low dose birth control pills and medication for an STI that contains doxycycline AND you continue to be sexually active, you may become pregnant due to the interaction between the two medications- go see your doctor soon.
BOTTOM LINE
YOU are responsible for that birth control pill doing its job in your body – regardless of brand name, generic alternative, combination or ‘progestin only’ birth control pill, monophasic or multiphasic, if you don’t follow the instructions and take your birth control pill as directed, it will not deliver the amount of estrogen you need each month to protect you from getting pregnant ….. so you and your partner will end up playing ‘nursery roulette’!
Good Luck.