Hesperian Health Guides

Oral Contraceptives (Birth Control Pills)

The Medicines Pages

Most birth control pills contain 2 hormones similar to those normally made by the body. These hormones are called estrogen and progestin. Usually, brands that contain a smaller amount of both hormones are the safest and work best for most people.

Birth control pills come in different strengths of each hormone and are sold under many different brand names. We list only a few brands in the chart below. Groups 1, 2, and 3 list different types of combined pills

Group 1 - Triphasic pills

These contain low amounts of both estrogen and progestin in a mix that changes throughout the month. Since the amounts change, it is important to take the pills in order.
Brand names: Logynon
Qlaira
Synfase or Synphase Trinordiol
Trinovium
Triquilar
Triphasil

Group 2 - Low dose pills

These contain low amounts of estrogen and progestin in a mix that stays the same throughout the month.
Brand names: Alesse
Brevicon
Cilest
Diane
Femodene
Gynera
Harmonet
Norinyl 1+35,
1+50
Ovysmen 1/35

Group 3 - Low dose pills

These pills are high in progestin and low in estrogen.
Brand names: Lo-Femenal
Lo-Ovral
Microgynon 30
Microvlar
Nordette


Taking birth control pills will usually make your menstrual periods lighter. This may be good for your health if you have anemia.

To assure effectiveness and minimize spotting (small amounts of bleeding at other times than your normal period), take the pill at the same time each day. If spotting continues after 3 or 4 months, try one of the brands in Group 3.

If you have very heavy monthly bleeding or your breasts become painful before your period, a brand low in estrogen but high in progestin may be better. See the pills in Group 3.

Minipills (progestin-only pills) should be taken at the same time every day, even during your period. Menstrual bleeding is often irregular when using minipills. There is also an increased chance of pregnancy if you forget to take even one pill.


Group 4 - Group 4 - Minipills (progestin-only pills)

Minipills contain only progestin.

Brand names: Femulen
Microlut
Micronor
Micronovum
Neogest
Microval
Ovrette


This page was updated:13 Nov 2023