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Ashlyna is a daily birth control pill. It’s a combination of Levonorgestrel (a progestin) and Ethinyl Estradiol (an estrogen). It’s an extended-cycle birth control method. That means most people only get their periods every three months while using this medicine.
Other versions of Levonorgestrel / Ethinyl Estradiol and Ethinyl Estradiol include Camrese, Fayosim, Jaimiess, Loseasonique, Quartette, Rivelsa, Seasonique and Simpesse.
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About Ashlyna (Levonorgestrel / Ethinyl Estradiol and Ethinyl Estradiol)
How does it work?
Ashlyna contains 2 hormones that help prevent pregnancy: Levonorgestrel and Ethinyl Estradiol. These hormones prevent pregnancy by:
- Stopping the release of eggs from the ovaries
- Thickening cervical mucus to make it harder for sperm to reach an egg
- Making the womb unfriendly to eggs by thinning out the lining of the uterus
What symptoms or conditions can it help manage?
- Painful periods
- Heavy menstrual bleeding
- Irregular periods
- Endometriosis pain and inflammation
- Ovarian cysts
- Polycystic ovary syndrome (PCOS)
- Premenstrual Syndrome (PMS) symptoms
What forms does it come in?
Ashlyna is a biphasic birth control pill. That means the pills in each pack contain two different doses of estrogen in them. This is more in line with the natural hormone changes that happen during your cycle.
It’s also an extended-cycle pill, so you’ll probably only get your period every three months while using this medicine. It typically comes in a blister pack with 91 pills that are taken by mouth.
Ashlyna vs. Levonorgestrel / Ethinyl Estradiol and Ethinyl Estradiol
Ashlyna is a brand of birth control pill that contains two active hormones, Levonorgestrel and Ethinyl Estradiol. Levonorgestrel and Ethinyl Estradiol can also be found in other birth control pills, Other brands could differ slightly in packaging or formulation.
How much will it cost?
Dr. B offers online consultations for $15—which is less than most copays. If a birth control prescription is appropriate, your out-of-pocket medication cost will depend on your insurance and where you decide to get your prescription filled. With a drug discount card, prices for Ashlyna (91 tablet blister pack) start at $28.08.
* Prices shown with drug discount card applied. Price may differ depending on location.
Ashlyna (91 tablet blister pack)*
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Ashlyna (Levonorgestrel / Ethinyl Estradiol and Ethinyl Estradiol) prescription FAQ
What are the benefits of taking Ashlyna (Levonorgestrel / Ethinyl Estradiol and Ethinyl Estradiol)?
- Highly effective
- Lessens heavy menstrual bleeding
- Lowers risk of anemia
- Regulates your cycle
- Eases period cramps
- Improves acne
- Lessens premenstrual syndrome (PMS) symptoms
- Treats polycystic ovary syndrome (PCOS) symptoms
- Treats endometriosis and uterine fibroids
- Lowers the risk of ovarian, endometrial and uterine cancer
- Reduces the risk of breast and ovarian cyst formation
- Lowers risk of pelvic inflammatory disease (PID)
Who should not take this medication?
- People with allergies or hypersensitivity to Ashlyna ingredients
- People who are pregnant or breastfeeding
- Anyone with a history of blood clots
- Females over 35 years old who smoke
- People who get bad migraines
- People with certain medical conditions, like diabetes or heart disease
- People with liver disease
- People who are taking certain medications, such as St. John's wort or some antibiotics
- People with breast cancer
- Anyone with unusual vaginal bleeding
Talk to your medical provider about your medical history and any medicines you’re taking before starting this treatment.
How do you take this medication?
Take one pill every day, at the same time of day. Follow the order of pills in the pack. The first 84 pills contain 0.15 mg of levonorgestrel and 30 mcg of ethinyl estradiol. The last 7 pills contain 10 mcg of ethinyl estradiol.
What happens if I miss a dose?
Take the missed tablet as soon as you remember. Then continue taking one tablet per day. Use a backup birth control method, like condoms, for the next 7 days.
There are no placebo or reminder pills in this 91-day regimen, so it's important to stay on schedule. Contact your healthcare provider for advice if you miss more than two pills.
What happens if I take too much?
Taking too many pills may lead to nausea or other side effects. If you’ve taken too much Ashlyna, call your licensed medical provider or local poison control center (800-222-1222) immediately.
Can I get Ashlyna (Levonorgestrel / Ethinyl Estradiol and Ethinyl Estradiol) online?
You can get a prescription for bill control pills, like Ashlyna, through Dr. B! Just complete a virtual health consultation to get started.
Medical information reviewed by Dr. Sudip Bose
Sudip Bose, MD is a world-leading emergency medicine physician, combat veteran, professor, and entrepreneur. With a wide variety of experience, Dr. Bose is focused on endeavors with large-scale health and educational impact. He founded The Battle Continues, a nonprofit assisting veterans with healthcare needs. Dr. Bose is also a clinical professor at Texas Tech and University of Illinois College of Medicine. He is a graduate of the honors program at Northwestern University, where he continued his medical school education at The Feinberg School of Medicine.
Some people notice side effects while using this medicine. Let your licensed provider know about any side effects, which could include:
- Spotting between periods
- Weight changes
- Discomfort when using contact lenses
- Skin color changes (brown or black patches–often on the face)
Watch for signs of a severe reaction, like numbness or tingling, chest pain, blurry vision, severe headaches or any other worrying symptoms. Tell your health provider about these issues right away, or get emergency medical help.