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Category	Prescription Drug	Amount	Cost
Birth Control	Alesse Mircette Ortho Evra Ortho Tri-Cyclen Ortho Tri-Cyclen Lo Seasonale Triphasil Yasmin	1 month supply 1 month supply 1 month supply 1 month supply 1 month supply 1 month supply 1 month supply 1 month supply	$40 $60 $74 $36 $63 $58 $46 $63

Alesse (natural hormone contraceptive)

Alesse is one of the most effective methods for birth control (99% effective when taken as directed). Alesse contains natural hormones (levonorgestrel and ethinyl estradiol) that stop the ovary from releasing an egg and prevent sperm from entering the uterus. Alesse is normally supplied in a 28 tablet packet of 21 active pink pills and 7 placebo green pills.

Mircette (extended hormone contraceptive)

Mircette is an extended hormone contraceptive available in packets of 28 tablets. The first 21 tablets provide a combination of progestin and estrogen hormones for 3 weeks. The next 2 tablets are placebos to mark the start of your period. The final 5 tablets provide a lower dosage of just estrogen to help reduce unwanted and painful menstrual symptoms.

Ortho Evra (contraceptive skin patch)

Ortho Evra is a contraceptive skin patch used to prevent pregnancy. It is a combination hormonal contraceptive because it contains two hormones, estrogen and progestin. It does not protect against HIV infection and other sexually transmitted diseases.

Ortho Tri-Cyclen (regular and low hormone birth control)

Ortho Tri-Cyclen is an estrogen and progestin combination used to prevent pregnancy. It may also be used to regulate the menstrual cycle, treat symptoms of menopause, or treat other conditions as determined by your doctor. Ortho Tri-Cyclen Lo is a lower strength version containing only 0.18 mg of the active ingredients.

Seasonale (3 month extended hormone contraceptive)

Seasonale is an extended hormone oral contraceptive sold in 3 month packets with one pill for each day. This reduces the number of periods to just 4 per year. Seasonale has a low hormone dosage of 0.15 mg per day. Do not skip pills even if you are spotting, bleeding or feel sick to your stomach. To find Seasonale in the Discount Meds USA Pharmacy, go to the Women's Health listing rather than Birth Control.

Triphasil (combination oral contraceptive)

Triphasil is a combination oral contraceptive containing two active ingredients (levonorgestrel and ethinyloestradiol) that are similar to natural hormones. Triphasil is used to both prevent pregnancy or to regulate your menstrual cycle. It is supplied in packets of 21 tablets which are taken for 3 weeks followed by a 1 week break.

Yasmin (most popular US birth control pill)

Yasmin is the most popular birth control pill used in the United States. Yasmin differs from most other birth control pills, containing a progestin hormone called drospirenone along with ethinyl estradiol. Yasmin is supplied in 28 tablet packages with 21 yellow active pills and 7 white inert pills. Like all birth control pills, it does not protect against HIV infection and other sexually transmitted diseases.

There are many methods of birth control. When making your choice, consider that only a condom will protect you from sexually transmitted diseases (STD). To protect yourself and your partner against STDs, use a condom (along with your chosen birth control method) every time you have sex.

Hormones

Hormones are a very reliable means of birth control. There are two basic formulas: progestin hormone only and combinations of progestion with estrogen.  Hormone based birth control methods are avaialable as pills, skin patches, implants, shots and rings.

Combination pills seem to be the most popular and may reduce acne, pain during ovulation and premenstrual symptoms. Both the combination and progestin-only pills reduce heavy bleeding and cramping. Unlike the combination pill, the progestin-only pill can be taken by almost all women, including those who are breast-feeding, although it must be taken at the same time each day to be effective. (Combination pills are also taken daily but without as much attention to time of day.) When you first start taking either type of birth control pill, it is necessary to use a backup birth control method for the first week.

Patches or vaginal rings are similar to combination pills, but they don't require taking a daily pill. The patch is changed weekly, and the ring is changed monthly (with 1 off-week after 3 weeks of use).

Progestin-only hormonal methods include pills, also called "mini-pills," implants and injections (Depo-Provera). If you cannot take estrogen, a progestin-only method may be an option for you. See information about the progestin-only Mirena intrauterine device (IUD) below under IUDs. The progestin-only (Depo-Provera) shot does not require taking a daily pill. Instead, you see your health professional once every 3 months for the injection. Impanon is a tiny rod that is implanted by a doctor under the skin.  It lasts for 3 years and then must be removed by your doctor. Implanon is an improvement on the older implant called Norplant which required six rods and had some trouble upon removal.

Extended and Continuous Hormones

The typical birth control pill (such as Yasmin) provides hormones for 21 days and followed by a 7 day break allowing for a traditional period. Extended hormone contraceptives (such as Mircette) provide hormones for more than 21 days which may reduce unwanted menstrual symptoms.  Mircette offers 21 days of combination hormones followed by a 2 day break and a 5 day course of low dose estrogen. Effectiveness is said to be 99% like other forms of hormonal contraceptives.

Seasonale takes this concept one step further to reduce menstrual cycles to just 4 per year. Active Seasonale pills are used for 84 consecutive days followed by a 1 week break. During this week, break-through bleeding usually occurs for the first year or so. After that, bleeding is greatly reduced or even eliminated.  Lybrel is set for FDA approval in the near future and will be used continuously without any breaks. Both of these pills may potentially reduce symptoms of PMS, menstrual migraine, mood swings and weight gain.

Intrauterine Device

An intrauterine device (IUD) is a small device that is placed in the uterus to prevent pregnancy. IUDs are wrapped with copper (Copper T 380-A) or contain a hormone (the Mirena IUD releases a progestin called levonorgestrel). Once an IUD is in place, it can provide birth control for 5 to 10 years, depending on the type. Unlike IUDs that were used in the 1970s, present-day IUDs are small, safe, and highly effective. If a sexually transmitted disease is present at the time the IUD is inserted, the infection can be carried into the uterus. This can lead to pelvic inflammatory disease (PID), which can lead to infertility.

The progestin IUD (Mirena) typically reduces menstrual flow and cramping over time. On the other hand, the copper IUD can cause longer and heavier periods. However, the progestin IUD can have other side effects, including spotting, mood swings, and breast tenderness. These side effects occur less frequently than with other progestin-only methods.

Barrier Methods

Barrier methods (including the diaphragm; cervical cap; Lea's Shield; male condom; female condom; and spermicidal foam, sponge, gel, suppository or film) prevent sperm from entering the uterus and reaching the egg. Typically, barrier methods are not highly effective, but they generally have fewer side effects than hormonal methods or IUDs. Spermicides and condoms should be used together or along with another method to increase their effectiveness.

Condoms (male or female) should always be used if you are at risk of getting or spreading a sexually transmitted disease, such as genital herpes, chlamydia, or HIV.

Fertility Awareness

Fertility awareness requires that a couple chart the time during a woman's menstrual cycle when she is most likely to become pregnant and avoid intercourse or use a barrier method during that time. Fertility awareness is not a good choice if you need a highly effective form of birth control.

Breast-feeding can be an effective means of birth control in the first 6 months after giving birth if you follow specific guidelines, such as breast-feeding your baby every feeding. This is called the lactational amenorrhea method (LAM). Although LAM has been shown to be 98.5% effective when these conditions are met, many doctors recommend that you use another birth control method.

Plan B Emergency Protection

If you have unprotected sex or your birth control method fails, an over-the-counter medication called Plan B is available for women over 18 years of age. It prevents pregnacy by stopping the release of eggs from the ovary and by thickening cervial mucous to trap sperm and prevent fertilization. If used within 72 hours, it will lower the chance of pregnancy by 89%. Plan B will not cause an abortion and will simply not work if you are already pregnant. Plan B is not designed as a primary method of birth control. It is just for emergencies when your Plan A fails.

Permanent Birth Control

Sterilization is a surgical procedure done for men or women who decide that they do not want to have any (or more) children. Sterilization is one of the most effective forms of birth control. Sterilization is intended to be permanent, and while you can try to reverse it with another surgery, reversal is not always successful.

Tubal ligation or implants: Tubal ligation is a surgical procedure where the fallopian tubes, which carry the eggs from the ovaries to the uterus, are tied, cut or blocked. A new nonsurgical sterilization technique uses a small metal coil, or tubal implant, inserted up into each fallopian tube. Over time, scar tissue grows around each tubal implant, permanently blocking the tubes. Most women are able to return home within a couple of hours after either procedure. However, tubal implants can require a repeat procedure.

Vasectomy: In this minor surgery, the vas deferens, the tube that carries sperm from the testicles to the seminal fluid (semen), are cut and blocked so that the semen no longer contains sperm. This does not interfere with a man's ability to have an erection or enjoy sex.

Contraception Following Pregnancy

Birth control is an important consideration after you have had a child. Your ability to become pregnant again may return within 3 to 6 weeks after childbirth. Think about what type of birth control you will be using, and make a plan during your pregnancy. Start using birth control as soon as possible after childbirth. Most methods of birth control can be started soon after childbirth, though some may not be recommended if you are breast-feeding.

Disclaimer

This drug information is for educational purposes only. It is not intended that this information covers all uses, directions, drug interactions, precautions, or adverse effects of your medication. This is only general information, and should not be relied on for any purpose. It should not be construed as containing specific instructions for any particular patient. We disclaim all responsibility for the accuracy and reliability of this information, and/or any consequences arising from the use of this information, including damage or adverse consequences to persons or property, however such damages or consequences arise. No warranty, either expressed or implied, is made in regards to this information.