The oestradiol valerate with dienogest pill has a quadriphasic regimen which reduces menstrual blood loss through its effect on the endometrium. According to a 2015 article, most combination birth control pills contain ethinyl estradiol, which is an estrogen component, although the doses among brands will vary. Relevant, timely and evidence-based information for Australian health professionals and consumers. A key advance was a decrease in the dose of oestrogen to the currently used low-dose formulation (standard dose of ≤ 35 microgram ethinyloestradiol).1 Subsequently it has been found that formulations with ethinyloestradiol 20 microgram are likely to be as effective as the 30–35 microgram pills while possibly reducing the oestrogenic effects such as nausea, bloating and breast tenderness.2 However, there may be an increase in unscheduled bleeding.3 More recent developments, which may improve the safety and efficacy of the combined oral contraceptive pill, include using oestradiol instead of ethinyloestradiol and extended pill regimens with fewer or no inactive pills.4-6. If the pill is the chosen method, prescribe a pill with the lowest effective dose of oestrogen and progestogen. A quadriphasic combined oral contraceptive pill that contains oestradiol valerate and desogestrel is formulated with an oestrogen step-down and progestogen step-up sequence.15, The pill is a user-dependent method. The two types of oral contraception available in Australia are the combined pill, known as the Pill, and the mini pill. However, formulations that combine oestradiol (1.5 mg) in a micronised form with a newer progestogen (nomegestrol) appear to offer good cycle control.8 Oestradiol has also been combined with a synthetic ester in the form of oestradiol valerate to improve its oral bioavailability and extend its half-life.9 At the doses prescribed in pills, oestradiol may have a more favourable impact on haemostasis and lipid and carbohydrate metabolism (and therefore on cardiovascular risk) when compared with ethinyloestradiol.10,11 However, there is insufficient evidence to preferentially prescribe these pills to women with cardiovascular risk factors.12. Only the pills containing levonorgestrel and norethisterone are listed on the PBS (Table 1). This is in part because of a rise in sex hormone binding globulin. They are effective if taken correctly, have a relatively low risk of venous thromboembolism, and are listed on the Pharmaceutical Benefits Scheme. The other is the progesterone-only pill, sometimes called the mini-pill. Extending the days women take active pills while reducing or eliminating inactive pills can be useful for heavy menstrual bleeding. These hormones are similar to the ones made in your ovaries. If headache occurs in hormone-free week, consider: Extended pill regimen to reduce the frequency of bleeding, No evidence supports a benefit of one type of oral contraceptive pill over another. Contraception is an important and necessary part of our lives, but finding a perfect match can be difficult. This includes a progestogen-only method, such as the contraceptive implant or levonorgestrel intrauterine system, or the non-hormonal copper intrauterine device. It's sometimes referred to as the 'morning after pill', although it can be taken up to five days after unprotected sex. But all contraceptive pills have these advantages, and the evidence for supporting one over the other is limited or conflicting. Exclude pregnancy you forgot to take your usual contraceptive pills; you were sexually assaulted; What emergency contraception is available in Australia? Aside from abstinence and sterilisation, the most effective forms of contraception are long-acting reversible contraception (LARC). The most common form of emergency contraception in Australia is a single pill available over the counter without a prescription. 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