4.9 - 2259 Reviews
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Equivalent Generic Brands: TriLegest Fe Tilia FE
Estrostep Fe is super easy to use. Simply take one pill every day, at the same time each day. Many women find that taking Estrostep before bedtime or just after their evening meal helps reduce nausea and other side effects. After taking 21 days of active pills, you’ll switch to 7 inactive pills with no hormones that are there to keep you in the habit of taking your pill every day.
Estrostep Fe uses a blend of two hormones, Norethindrone (progesterone) and Ethinyl Estradiol (estrogen) in different doses along the 28 days tablet cycle: Each white triangle-shaped tablet contains 1 mg norethindrone acetate and 20 mcg ethinyl estradiol; each white square-shaped tablet contains 1 mg norethindrone acetate and 30 mcg ethinyl estradiol; and each white round tablet contains 1 mg norethindrone acetate and 35 mcg ethinyl estradiol. The last 7 pills contain Ferrous Fumarate.
The risks are very low, but some women have experienced unwanted side effects when taking Estrostep Fe. Minor ones include breast tenderness, headaches, nausea, swollen feet or ankles, and slightly elevated blood pressure or blood sugar levels. Positive side effects are also a possibility, too — reduced acne, fewer mood swings, and other perks are fairly common.
The chances of serious side effects are extremely unlikely, but some cases have been documented such as blood clotting, shortness of breath, migraines, vision problems, slurred speech, confusion, and fainting. Those who wear contacts or are nearsighted may notice vision problems as well.
These may sound scary, but remember — they’re very rare.
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Currently discontinued. Generic equivalent available from $46/Pack without insurance
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Estrostep Fe is a triphasic combination oral contraceptive pill (OCP, birth control medication, birth control pills). It prevents pregnancy by preventing the release of an egg (ovulation), and thickening the cervical mucus, blocking sperm from getting into the uterus and getting to the egg.
Our CEO and Co-Founder, Dr. Sophia Yen generally does not recommend triphasics because life is better on monophasics. Watch our video on Triphasics vs. monophasics here.
If you have high blood pressure or take blood pressure medications, Estrostep Fe is NOT for you. Instead, Pandia Heath Medical group’s doctors recommend progestin-only pill (POPs), IUD with hormone (Mirena, Liletta, Kyleena, Skyla), implant (nexplanon), the birth control shot (depo-provera), or condoms and spermicide. Pandia Health’s doctors are always happy to help you choose the right birth control for you.
Every prescription comes with a tiny risk of allergies, including with Estrostep Fe. The symptoms are usually mild and include: rashes, itching, dizziness. A severe allergic reaction would be: trouble breathing, and swollen lips, throat, or tongue. If this happens, call 911! Depending on your medical history, hormone-based birth control may not be for you. It’s important to discuss your medical history with your physician or one of our helpful Pandia Health Patient Care Advisors before you get started on Estrostep, especially if you’ve health problems such as cancer, heart disease, blood clots, uncontrolled diabetes, or high blood pressure.
Estrostep Fe should be available at just about any pharmacy in your area. It does require a prescription from a doctor, though. If you’re hesitant to approach your doctor about Estrostep or simply prefer the privacy, convenience, and ease of the internet, give Pandia Health a try. We have licensed, birth control passionate doctors in every state we operate in. We also accept most forms of private insurance at Pandia Health.
Estrostep Fe prevents pregnancy by preventing the release of an egg (ovulation), and thickening the cervical mucus, blocking sperm from getting into the uterus and getting to the egg. Estrostep Fe is also prescribed to: treat acne, reduce the risk of ovarian cysts (as in polycystic ovarian syndrome [PCOS]), treat painful or heavy periods, and more.
As with any new prescription, you should go over anything you’re already taking with your doctor or Pandia Health Care Advisor before starting on Estrostep Fe. This includes recreational drugs, over-the-counter meds, and even herbal supplements. Even something that seems relatively harmless such as St. John’s wort can cause Estrostep Fe to be less effective at preventing pregnancy. There are certain meds you should absolutely bring up. These are aromatase inhibitors, cancer, HIV, seizure, and chronic hepatitis C medications.
If you choose to pay out-of-pocket, Estrostep Fe is an expensive option ($281/pack) since it is a brand name. You can save money as well by choosing any other Estrostep Fe generic equivalent such as Tilia FE, Tri-Legest FE for $0 with insurance or as little as $16/pack (3 pack minimum) without insurance. Generics have the SAME active ingredients and dosage as the name brand. Watch our video explaining generics vs. brand birth control pills.
No, Estrostep Fe birth control does not usually stop your periods. There are 28 tablets on each packet and you should have a withdrawal bleed at some point during the last 7 days of each pack (aka placebo/sugar pill week). If you want to skip your period you can try using Estrostep Fe for that. But you might be more successful with a monophasic pill (learn about monophasic vs. triphasic here). Learn more about #PeriodsOptional and how to skip your period here.
We're here to make women's lives easier by providing a one-stop shop for recurring medications. Pandia Health brings convenient expert telemedicine care and medication delivery to you from the comfort of your home or wherever you may be. We specialize in women's health to provide affordable, convenient, and confidential access to telehealth and pharmacy services.
Get Started- Kennedy
“Amazing!! Cara has always taken care of me and responds quickly. She makes sure that I get my prescriptions right on time whenever I need them. Very impressive”
- Christina
"They are very quick to respond and help with anything that may come up. I feel like I have my own personal doctors right on hand. I highly recommend them."
- Nicole
“Great Company for Birth Control! I get 3 months supply and dont have to physically make a dr. appt/in person visits. I am a nurse so im extremely busy and Pandia Health helps me with my busy lifestyle! Azul was very helpful also!"
- Brittany
“It has never been easier to get the birth control I need and also ask for help on the best one! I always get a reply and answer quickly it's fast and easy I will never use any other way to get my birth control! Plus the site always works it's not constantly changing it's amazing!"
- Jane
“Pandia is affordable, always makes sure I get my pills on time, and when my health insurance changed the doctors helped change my prescription to make sure I was still getting coverage for my medication.”
- Joselyn
“I've been having issues with previous birth control that wasn't working well with me and I almost gave up. The doctors at Pandia were able to help me find a birth control that worked for me which I didn't think was possible!! I didn't realize how many factors there were to consider before choosing a certain bc. Now I'm not experiencing any side effects!”
- Holly
"AMAZING SERVICE. Quick responses. They accept my insurance. Convenient $30 telehealth fee saves me from finding a new doctor when I move. Shipped right to my home w emergency contraception and sometimes stickers."
- Karina
"I’ve been getting my birth control from them for a bout a year now and they’re amazing. They always check up and always make sure to mail my birth control on time. They even add little things in the package like stickers and little candies. They’re so nice and it’s very easy to get in touch with someone if you ever need any help. I definitely would recommend them to anyone who is interested in getting on birth control."
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