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Combined pills

What are combined birth control pills? 

They’re pills that combine two types of hormone: oestrogen and progesterone. These hormones affect how and when your body prepares for pregnancy. 

There are several different types of combined birth control pill and they’re all just about equally effective at preventing pregnancy. However, some contain higher doses of hormones than others, or use different types of progestin and oestrogen. This means one pill might be ideal for easing specific PMS symptoms, while another pill works great for women who are extra-sensitive to hormones. 

It can feel a bit overwhelming, so we’re here to help. 

How does the combination pill work?

The combined pill works in three ways to prevent pregnancy. Here’s the big one: it stops ovulation. That’s when your ovary releases an egg, and it happens once a month. Each egg has the chance to become fertilised, leading to pregnancy. If fertilisation doesn’t happen, the lining of your womb breaks down and the whole thing happens again next cycle (lots of fun, we know). 

Because the combined birth control pill stops ovulation, your chances of becoming pregnant are significantly reduced. 

The combined birth control pill also protects you by making the mucus in your cervix thicker. “Thick mucus” isn’t something you normally want to hear but in this case, it’s great news. When it’s thicker, sperm have a much harder time reaching the egg. 

The pill also makes your uterine lining thinner. This lining builds throughout the month and then breaks down during your period. When you’re using birth control, the lining doesn’t build in the same way. And so the period you have while taking the pill should be shorter, lighter and more predictable.

Which contraceptive pills are combination pills?

Any that contain two active ingredients, a progesterone and an oestrogen. To find out if your pill is a combined pill, just check the active ingredients. 

In the leaflet that comes with your pill, the ingredients should be clearly listed at the top underneath the name of the drug. For combined pills you should see two ingredients, front and center, that are progestin and oestrogen. 

With Loestrin, for example, the active ingredients are norethindrone acetate and ethinyl estradiol. This pill is clearly stated as a progestin-oestrogen combination. 

We offer a range of combined birth control pills, so there’s plenty of choice for you. But if you can’t take combination pills, for any reason, it’s important to share this with us for your safety.  

Medically reviewed by
Dr Daniel Atkinson
GP Clinical Lead
on August 02, 2022.
Meet Daniel  
Daniel
This page was medically reviewed by Dr Daniel Atkinson, GP Clinical Lead on August 02, 2022. Next review due on August 01, 2024.

How we source info.

When we present you with stats, data, opinion or a consensus, we’ll tell you where this came from. And we’ll only present data as clinically reliable if it’s come from a reputable source, such as a state or government-funded health body, a peer-reviewed medical journal, or a recognised analytics or data body. Read more in our editorial policy.

Combined pills

How effective are combined birth control pills?

There are two ways of measuring how effective pills are at preventing pregnancy. One way is according to perfect use. This means you take the pill exactly as you should, every day, without making a mistake. The level of effectiveness of the combined oral contraceptive pill when taken like this is over 99%. So in a whole year, fewer than 1 in 100 women taking the combined birth control in that time will become pregnant.

The other way is typical use. This is when you take the pill but make realistic errors, such as forgetting the occasional pill or taking it late. It’s 91% effective when taken like this, which means about 9 in 100 women taking it over a year will become pregnant.

The best way to make sure the pill is effective then is to follow the instructions as closely as you can when you take it.

When to start taking the combined pill

It depends on whether you’re taking the pill for the first time, coming back after a break, or switching from a different type of birth control. If you’re using the pill for the first time, you can start on any day.

When you start using the pill on the first day of your period, you’re protected from becoming pregnant immediately — so you don’t need to worry about using a condom. You’ll also be protected immediately if you start taking the pill before the fifth day of your period. 

If you start using the pill after the fifth day of your cycle, you won’t be protected right away. Use a back-up birth control method (like condoms) for seven days while the pill starts to work.

Another option is the Sunday start approach. If you start taking the pill on the first Sunday after your period begins, you avoid withdrawal bleeding on a weekend (if you want to skip having your period on a weekend, this is the way to go).

When to start the combined pill if you’re already on birth control

You shouldn’t leave a gap when you’re switching from one birth control method to the combined pill. If you’re already taking a hormonal birth control pill, start your new prescription the day after you finish your last pill.

If you’re using the vaginal ring, start the pill a day before you’re set to take out the ring.

If you normally have the Depo-Provera injection, you can start taking your pill up to 15 weeks after your last shot.

And if you have an IUD (copper or hormonal), you should begin your combined birth control pill pack a week before having your IUD removed.

Medically reviewed by
Dr Daniel Atkinson
GP Clinical Lead
on August 02, 2022.
Meet Daniel  
Daniel
This page was medically reviewed by Dr Daniel Atkinson, GP Clinical Lead on August 02, 2022. Next review due on August 01, 2024.

How we source info.

When we present you with stats, data, opinion or a consensus, we’ll tell you where this came from. And we’ll only present data as clinically reliable if it’s come from a reputable source, such as a state or government-funded health body, a peer-reviewed medical journal, or a recognised analytics or data body. Read more in our editorial policy.

Combined pills

Are all combination pills the same?

No. Whilst all contraceptive pills have the same effectiveness (so over 99% when they’re used correctly), some pills contain variations of the same hormone, or higher or lower doses of hormones than others. It may be that you’re more sensitive to progestin (or oestrogen) in the combined pill for instance, and so you’ll be better off taking a particular pill that restricts the number of side effects you get. 

If you’re more sensitive to progestin for example, combined pills like Microgynon, Levest and Ovranette are the safest, and the least likely to trigger side effects. And if you’re more sensitive to oestrogen, combination pills such as Lucette, Yasmin and Yacella should offer you the best protection from side effects. 

How do I know which is the best combined pill for me?

Unless you’ve tried a few different pills and found one that works well for you, there’s a good chance that you won’t know which is the best option. Finding the right combination pill for you can involve some trial and error. And our bodies can change over time, so what was effective before might not suit you as well now. A consultation with our clinician will help you to narrow down your options. 

Besides your sensitivity to hormones in pills and whether you’re prone to certain side effects, there are other factors that may play a role in identifying the right pill for you too. If you’re looking for a pill that can also help with acne, for example, the likes of Yasmin (or the generic version, Lucette) are thought to be particularly strong choices. But at the same time, you may be at a slightly higher risk of getting a blood clot with these treatments, so the pros and cons of specific pills also need to be taken into account.

In short then, we can help you to pick out the best (and safest) combination pills for you by weighing these things up, using your health background as the basis. 

Medically reviewed by
Dr Daniel Atkinson
GP Clinical Lead
on August 02, 2022.
Meet Daniel  
Daniel
This page was medically reviewed by Dr Daniel Atkinson, GP Clinical Lead on August 02, 2022. Next review due on August 01, 2024.

How we source info.

When we present you with stats, data, opinion or a consensus, we’ll tell you where this came from. And we’ll only present data as clinically reliable if it’s come from a reputable source, such as a state or government-funded health body, a peer-reviewed medical journal, or a recognised analytics or data body. Read more in our editorial policy.

Combined pills

FAQ: Combined pills

Have something specific you want to know about Combined pills? Search our info below, or ask our experts a question if you can’t find what you’re looking for.

Femme-Tab vs Microgynon: how are they different?

Answer:
Femme-Tab is another medication that has the same active ingredients, in the same amounts, as Microgynon (although Femme-Tab doesn’t have a 50 ED version). This means it works the same and has the same possible side effects and interactions with other treatments.

Because the inactive ingredients are different, it’s possible you’ll react better to one pill than the other. Let us know if you get any side effects on either pill, and we’ll go through some alternatives with you.

How does Logynon work?

Answer:
There are three ways in which Logynon gives you protection from pregnancy.

The two hormones in it stop the ovaries from releasing an egg during ovulation, and thicken the mucus in the neck of the womb, which makes it more difficult for sperm to reach an egg.

They also make the lining of the uterus thinner, which reduces the chances of a fertilised egg latching on to the uterine wall, which it needs to do in order to grow.

The combined pill tends to make your periods lighter, regular and less sore, so there are additional benefits to taking it too.

What ingredients are in Logynon?

Answer:
Logynon consists of two active ingredients, ethinylestradiol and levonorgestrel, which are artificial hormones that behave in the same way as oestrogen and progesterone in the body in preventing pregnancy.

It’s these ingredients that control the menstrual cycle and prevent pregnancies from occurring.

Can Logynon help treat acne?

Answer:
According to research, hormones in the combined pill can help to manage androgen levels in the body, which keeps the body’s production of sebum (an oily substance in the skin) in check. This in turn helps to keep the pores in the skin clearer, and reduces the number of spots you might get.

But some people find that the combined pill doesn’t help with acne, and it’s unlikely to fully clear the skin of acne altogether.

Logynon vs Microgynon: what’s the difference?

Answer:
Logynon and Microgynon are both combined hormonal contraceptive pills, and both pills contain the same two hormones, ethinylestradiol and levonorgestrel. They also work in the same way in the body, and are even made by the same company: Bayer.

The difference is that Logynon is a triphasic pill, whereas Microgynon is what’s called a monophasic pill, which just means that each pill has the same amount of hormones in it.

Which pill is best for you depends on how your body reacts to higher, lower or mixed dosage hormones. Our prescriber can help to guide you on this during your consultation, taking your medical background and any symptoms or side effects you’ve experienced previously with combined pills into account.

Is Triphasil the same as Logynon?

Answer:
The only difference between the Triphasil combined pill and Logynon is the manufacturer. Triphasil pills are made by Pfizer, rather than by Bayer, so the packaging and the appearance of the pills won’t be the same.

But otherwise, both pills work in the same way, and you take them in the same way.

Why should I buy Logynon online from Treated?

Answer:
When you start a subscription plan from Treated you control every aspect of service with the minimum of effort. Once you complete the online consultation our clinicians can offer the most suitable treatments for you to choose from. Once you’ve made your choice, it’s then up to you how often you want it delivered.

You can then access our aftercare service to let us know how you’re getting on with the medication and if you have any other concerns regarding the condition or service.

What side effects can I get on the combination pill?

Answer:
Most women don’t get any side effects but some of the most common side effects when you start using the pill include nausea, headaches, tender breasts, changes to your mood, bloating and breakthrough bleeding.

A lot of the time, these side effects are pretty mild and will normally go away as you continue using the pill, usually after the first two to three months.

But if you get any side effects that concern you, or don’t go away after a couple of months of use, tell us. Our clinician may suggest moving you on to a different pill.

Serious side effects like allergic reactions or blood clots are rare, but you should go to your nearest hospital right away if you get any signs of these.

Can I take combined pills with other medications?

Answer:
Combined pills can interact with other medications, so it’s important for you to let us know if you’re currently taking medication for any health issues.

For the most part, antibiotics are safe to take when you’re on the pill — except for rifampin, which is used to treat tuberculosis. These antibiotics can affect your periods, making them irregular, so your chances of becoming pregnant increase.

Let us know if you’re currently taking medication to treat HIV, as some of these treatments can impact your pill. Medications like Darunavir, Efavirenz and Nevirapine all interfere with the combined birth control pill, so another birth control option may be better for you.

Anti-fungal medications used to treat skin conditions like jock itch may interfere with your pill, as can anti-seizure drugs. Drugs like carbamazepine, phenobarbital and primidone can affect how the hormones in birth control are broken down. If you’re using these treatments, another birth control option should be used instead of the combined birth control pill.

Modafinil (you may know this under the name Provigil) is used to treat sleep issues like narcolepsy and shift work sleep disorder. It can reduce the effectiveness of your pill, so you shouldn’t use a combined birth control method if you’re taking this medication.

Be mindful of herbal remedies too, because they can have an impact on your pill. St John’s Wort (used to treat mild depression or sleep disorders) can affect how oestrogen is broken down, so the pill may not work as well and the chances of breakthrough bleeding increase.

Saw palmetto (used for hair loss), alfalfa (for kidney or bladder problems), garlic pills (taken for heart and blood diseases) and flaxseed (for digestion problems) can all impact the effectiveness of your pill. Combined birth control pills will probably not be a good fit for you if you’re using any of these treatments.

Who can’t use combined birth control pills?

Answer:
As we’ve mentioned, combined birth control pills aren’t suitable for all women to use. That’s why it’s important to share any health problems with our clinician. You should not use combined birth control pills if you:

  • have uncontrolled high blood pressure

  • are in the first month of breastfeeding your baby

  • currently have, or have a history of deep vein thrombosis or pulmonary embolism

  • have a history of stroke or heart disease

  • you smoke and are older than 35 years of age

  • are older than 50

  • get migraines with aura (you might see flashing lights just before the migraine begins)

  • have liver complications

  • have unexplained vaginal bleeding

What is a generic birth control pill?

Answer:
A lot of the birth control pills you know will probably be branded versions. You’ll know them by name, they’re popular choices and you know what’s in them and what to expect.

But there are also “generic” versions of those pills.

Generic versions have the same ingredients and are tested in the same way as their branded counterparts. So while their name may be different, these options are completely safe for you to use.

The main difference is the company that makes them. For instance, there may be several names for a specific formulation of a pill, in a specific dose, because multiple companies make that pill.

So if we use Levlen as an example, it contains 0.15mg levonorgestrel and 0.03mg ethinyl estradiol. Evelyn, Nordette and a number of other pills contain exactly the same hormones in the same amounts, but may look slightly different and come in different packaging. But there shouldn’t be any real difference in how they work. In some cases, one version of a pill may be cheaper than the other, because different companies make and market them.

How much do combined pills cost?

Answer:
There isn’t a single price for combined birth control pills. Because they’re made by different pharma companies, the price of the pill can vary. But at Treated, we have a number of options at different prices, so you can find a pill that suits you and fits within your budget.

Why should I buy combination pills with Treated?

Answer:
We like to keep ‘the pill’ simple. Consult with our clinicians about your health, and they’ll advise you on suitable (and safe) combination pill options.

Once you’ve chosen your pill, and let us know how often you’d like us to deliver it to you (and in what quantity), we’ll ship your medication to you.

We’ll reach out to you regularly to find out how you’re getting on with your pill. So if you have any questions about your treatment, or if you’d like to make any changes (or both), our medical experts will be at hand to help you.

Change, pause or cancel your plan whenever you like.

Reference Popover #ref1
Reference Popover #ref2
This page was medically reviewed by Dr Daniel Atkinson, GP Clinical Lead on August 02, 2022. Next review due on August 01, 2024.
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    Combined pill: Here's what we've got.
    Marvelon-blister

    Marvelon

    Desogestrel and Ethinyl Estradiol

    Pill with a 'regular' oestrogen dose. Comes in a 21 pack. Very similar to Cimizt and Gedarel 30.

    • Starting from AUD85.95
    Out of stock
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    Yasmin-blister

    Yasmin

    Drospirenone and Ethinyl Estradiol

    Well known pill that reduces PMS symptoms and can help to make your periods more regular.

    • Starting from AUD194.95
    Out of stock
    Read more
    Femme-Tab-blister

    Femme-Tab

    Levonorgestrel, ethinyl estradiol

    The same active ingredients as Microgynon. A birth control pill you take every day.

    • Starting from AUD79.95
    Out of stock
    Read more
    Levlen

    Levlen

    Levonorgestrel and Ethinyl Estradiol

    Safest category pill, helps with heavy menstrual bleeding. Very similar to Nordette and Microgynon.

    • Starting from AUD83.95
    Out of stock
    Read more
    Evelyn-blister

    Evelyn

    Levonorgestrel and Ethinyl Estradiol

    Safest category combined pill, with a lower risk of oestrogen side effects. Very similar to Levlen.

    • Starting from AUD79.95
    Out of stock
    Read more
    Nordette

    Nordette

    Levonorgestrel and Ethinyl Estradiol

    Very similar to Microgynon and Levlen. Safest category pill that helps with heavy menstrual bleeds.

    Not available
    Read more
    Triphasil 28

    Triphasil

    Levonorgestrel and Ethinyl Estradiol

    Triphasic pill. Similar to Microgynon, but with phased doses to match changes during your cycle.

    • Starting from AUD106.95
    Out of stock
    Read more
    Trifeme

    Trifeme

    Levonorgestrel and Ethinyl Estradiol

    A triphasic pill giving you three different doses of hormones throughout the month.

    • Starting from AUD79.95
    Out of stock
    Read more
    Seasonique_blister (1)

    Seasonique

    Levonorgestrel and Ethinyl Estradiol

    Extended cycle pill that comes in a larger pack.

    • Starting from AUD149.95
    Out of stock
    Read more
    Yaz

    Yaz

    Drospirenone and Ethinyl Estradiol

    Like Yasmin but in a lower dose.

    • Starting from AUD194.95
    Out of stock
    Read more
    Zoely

    Zoely

    Nomegestrol and Estradiol

    Higher oestrogen dose pill, helps to make periods more regular.

    • Starting from AUD197.95
    Out of stock
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