Some women use a multiphasic pill and like it. Also, the changing hormone levels in multiphasic COCs can make low mood symptoms worse in some women. Secondly, you can’t take pill packages back-to-back in order to skip a period. Firstly, you need to be more careful about the order in which you take the pills. There are a couple of shortcomings of multiphasic COCs. But there’s no data that they have any important advantages over monophasic pills. Multiphasic COCs (like Tricyclen®/Tricira) were first introduced as an attempt to reduce hormone-related side effects and unscheduled bleeding. These tend to be easier to use and offer a consistent hormone dose. Our doctors recommend monophasic pills (like Alesse®/Alysena or Marvelon®/Mirvala), which means each active pill has the same hormone dosing. Brand name COCs are more expensive out-of-pocket and there is no evidence that generic COCs are less effective than the brand name ones. We prefer generic COCs because they’re more affordable. But mainly, COCs are used to prevent undesired pregnancies. Low-dose COCs are a safe and reliable contraceptive option for the vast majority of women.ĬOCs have many advantages including rapid reversibility (you can stop the pill if you want to get pregnant), regulation of menstrual bleeding (more regular and hopefully decreased flow), less cramping (yes, please!), and potentially lower risk of certain cancers such as uterine and ovarian cancer. All COCs are equally effective when taken correctly, which is at the same time daily. Combined estrogen-progestin oral contraceptives (COCs) are also known as birth control pills or “the pill.” COCs contain an estrogen and a progestin component, both of which are hormones produced mainly by the ovaries.
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