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Estarylla (Norgestimate and Ethinyl Estradiol) is a daily birth control pill. It contains two hormones that help prevent pregnancy. In addition, this pill works to regulate periods and treat moderate acne.
Other brand-name versions of Norgestimate and Ethinyl Estradiol include Femynor, Mili, Mono-linyah, Nymyo, Ortho Tri-cyclen, Ortho Tri-cyclen LO, Previfem, Sprintec, Tri Femynor, Tri LO Sprintec, Tri-estarylla, Tri-linyah, Tri-LO-estarylla, Tri-Lo-Marzia, Tri-LO-mili, Tri-mili, Tri-Nymyo, Tri-previfem, Tri-sprintec, Tri-VyLibra and VyLibra.
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How Dr. B treats birth control
Tell us about your condition with a $15 online consultation—no video call necessary.
A medical provider will review your information and prescribe treatment, if appropriate.
Pick up and pay for the medication at the pharmacy of your choice. Or, get it delivered.
About Estarylla (Norgestimate and Ethinyl Estradiol)
How does it work?
Estarylla is a form of contraception that contains Norgestimate (a progestin) and Ethinyl Estradiol (an estrogen). These hormones prevent pregnancy by:
- Stopping ovulation (the release of an egg)
- Thickens cervical mucus, making it harder for the sperm to reach the egg
- Thinning the uterine lining so eggs can’t implant as easily
What symptoms or conditions can it help manage?
- Endometriosis pain and inflammation
- Heavy menstrual bleeding
- Moderate acne
- Irregular menstrual cycles
- Ovarian cysts
- Painful periods
- Polycystic ovary syndrome (PCOS)
- Premenstrual Syndrome (PMS) symptoms
What forms does it come in?
This form of birth control comes in a blister pack with 28 tablets. It’s monophasic, so all the active pills have the same level of hormones. Each pack contains 21 active tablets and 7 placebo tablets.
Estarylla vs. Norgestimate and Ethinyl Estradiol
Norgestimate and Ethinyl Estradiol are the hormones in this medicine that help prevent pregnancy. Other brands can also contain these hormones. They might have different hormone levels or packaging, though.
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 Estarylla (3 28-tablet blister packs) start at $16.97.
* Prices shown with drug discount card applied. Price may differ depending on location.
Estarylla (3 28-tablet blister packs)*
More Birth Control Prescriptions
Looking for a different medication? Here are some options.
Estarylla (Norgestimate and Ethinyl Estradiol) prescription FAQ
What are the benefits of taking Estarylla (Norgestimate and Ethinyl Estradiol)?
- Prevents pregnancy 99% of the time
- Lowers the risk of anemia
- Regulates menstrual cycles
- Reduces heavy menstrual bleeding
- Eases menstrual cramps
- Improves acne
- Lessens premenstrual syndrome (PMS) symptoms
- Treats polycystic ovary syndrome (PCOS) symptoms
- Treats endometriosis and uterine fibroids
- Lowers the risk of some cancers
- Reduces the risk of breast and ovarian cyst formation
- Lowers the risk of pelvic inflammatory disease (PID)
Who should not take this medication?
- People with allergies or hypersensitivity to Estarylla ingredients
- People who are pregnant or breastfeeding
- People who get severe migraines
- Anyone with a history of blood clots or stroke
- People with heart problems or heart disease
- People with breast cancer (now or in the past)
- People with uncontrolled high blood pressure or diabetes
- Those who have undiagnosed vaginal or uterine bleeding
- People with liver problems
- People who are taking hepatitis C medication with Ombitasvir, Paritaprevir, and Ritonavir, with or without Dasabuvir
- Smokers over 35 years old
If you have any of these conditions, or if you take any medications, tell your medical provider before starting Estarylla.
How do you take this medication?
This form of birth control works best when you take your pill every day, at the same time each day. Try using an alarm to help you remember.
What happens if I miss a dose?
Take your missed pill as soon as you remember. Use a backup, like condoms, for the next 7 days. Reach out to your healthcare provider if you miss more than two pills in a row.
What happens if I take too much?
Don’t take more of your birth control than prescribed because of the risk of side effects, like nausea. If you’ve taken too much Estarylla, call your medical provider or local poison control center (800-222-1222) immediately.
Can I get Estarylla (Norgestimate and Ethinyl Estradiol) online?
If you’re looking for a convenient way to get your birth control, Dr. B can help. Fill out a short health questionnaire to connect with a licensed medical provider. If appropriate, they’ll send a refill or new prescription to your preferred pharmacy.
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.
If you experience side effects that bother you or don’t go away, let your healthcare provider know. These might include:
- Breast swelling or tenderness
- Mood changes
- Nausea or vomiting
- Spotting between periods
- Stomach cramps or bloating
- Weight gain
- Vaginal discharge or infection
Watch for signs of a more severe problem, like chest pain, breathing problems, confusion, vision changes or severe headaches. If you develop any concerning symptoms, get emergency help right away or contact your health provider.