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Vienva is a daily birth control pill that contains Levonorgestrel (a progestin) and Ethinyl Estradiol (an estrogen). It’s a low-dose, monophasic pill that contains fewer hormones than other birth control pills. This medicine can also help you have lighter, more regular periods.
Other brand-name versions of Levonorgestrel and Ethinyl Estradiol include Afirmelle, Altavera, Amethia, Amethyst, Aubra EQ, Aviane, Ayuna, Balcoltra, Chateal EQ, Daysee, Dolishale, Enpresse, Falmina, Iclevia, Introvale, Jolessa, Kurvelo, Larissia, Lessina, Levonest, Levora, Lillow, Lutera, Marlissa, Orsythia, Portia, Setlakin, Sronyx, Trivora, Twirla and Tyblume.
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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 Vienva (Levonorgestrel and Ethinyl Estradiol)
How does it work?
Vienva and other combination birth control pills help prevent pregnancy in three ways:
- Stops the ovaries from releasing an egg
- Thickens the mucus around the cervix, so sperm can travel as easily
- Makes it harder for eggs to implant in the uterus
What symptoms or conditions can it help manage?
- Painful periods
- Heavy menstrual bleeding
- Irregular cycles
- Ovarian cysts
- Polycystic ovary syndrome (PCOS)
- Premenstrual Syndrome (PMS) symptoms
- Endometriosis pain and inflammation
What forms does it come in?
This form of birth control comes in a blister pack with 28 pills. It includes 21 active tablets (containing hormones) and 7 placebo pills (no hormones) to help you stay on schedule. It’s a monophasic pill, which means all the active pills have the same amount of hormones in them.
Vienva vs. Levonorgestrel and Ethinyl Estradiol
Vienva is just a brand name for this medicine. Levonorgestrel and Ethinyl Estradiol are the active hormones in Vienva. They can also be found in other birth control pills, but the amounts or packaging could be slightly different.
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 Afirmelle (3 28-tablet blister packs) start at $17.29.
* Prices shown with drug discount card applied. Price may differ depending on location.
Afirmelle (3 28-tablet blister packs)*
More Birth Control Prescriptions
Looking for a different medication? Here are some options.
Vienva (Levonorgestrel and Ethinyl Estradiol) prescription FAQ
What are the benefits of taking Vienva (Levonorgestrel and Ethinyl Estradiol)?
- Prevents pregnancy 99% of the time (when used correctly)
- Lowers anemia risk
- Regulates menstrual cycles
- Reduces heavy menstrual bleeding
- Eases menstrual cramps
- Improves acne
- Lessens premenstrual syndrome (PMS)
- Treats polycystic ovary syndrome (PCOS) symptoms
- Helps endometriosis and uterine fibroids
- Lowers the risk of ovarian, endometrial and uterine cancer
- Reduces the risk of breast and ovarian cyst formation
- Lessens the risk of pelvic inflammatory disease (PID)
Who should not take this medication?
- People with allergies or hypersensitivity to Vienva ingredients
- People who are pregnant or breastfeeding
- Anyone with a history of blood clots or blood vessel issues
- People with heart or liver problems
- Anyone with diabetes that affects their blood vessels, or who have had diabetes for more than 20 years
- People with some kinds of headaches
- People who have breast, endometrial cancer or other hormonal cancers
- People with high blood pressure that’s not under control
If you have any of these conditions, speak with your medical provider before starting Vienva.
How do you take this medication?
Swallow one pill every day, at the same time each day. Start with the active pills for 21 days, then take the placebo (inactive) pills for 7 days.
What happens if I miss a dose?
If you miss a pill, take it as soon as you remember. Use a backup contraceptive method, like condoms, for the next 7 days. Contact your healthcare provider for advice if you miss more than two pills.
What happens if I take too much?
Taking too much of your birth control can cause nausea, vomiting, spotting or tiredness. If you’ve taken too much Vienva, call your licensed provider or local poison control center (800-222-1222) immediately.
Can I get Vienva (Levonorgestrel and Ethinyl Estradiol) online?
You can get birth control online with Dr. B! To get started, simply complete a virtual health consultation. A licensed medical provider will review your health history and work with you to help you get convenient, effective birth control – right from home.
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.
Vienva contains lower amounts of hormones than other hormonal birth control, so it can be a good choice for people who struggle with side effects. If you do have side effects, they’re usually mild. This birth control method could cause:
- Nausea and vomiting
- Stomach cramps or bloating
- Spotting (bleeding between periods)
- Breast tenderness
- Changes in your weight
- Increased blood pressure
Tell your health provider right away or get emergency help if your side effects are bothering you, or if you notice any worrying symptoms. These could include dizziness, confusion, chest pain, breathing problems, muscle cramps or sudden weakness or numbness.