Which Birth Control Pill is Right for You? (Australian Edition)

Choosing a birth control pill can feel overwhelming – especially with so many options on the market. In Australia, there are several types of birth control pills (often called “the Pill”) available online with a prescription. Each type contains a different combination of hormones, which can affect everything from effectiveness and side effects to bonus benefits like clearer skin or lighter periods. So, which birth control pill is right for you?

In this article, we’ll break down the common birth control pill options in Australia, explain how their hormone combinations work, and highlight their benefits. We’ll also tackle common concerns (like weight gain or mood swings) and show you how you can get your birth control prescriptions online in Australia – no waiting rooms required. Let’s get started!

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Understanding Different Types of Birth Control Pills

Most birth control pills are combined oral contraceptives, meaning they contain two hormones: an estrogen and a progestogen (also called progestin). The standard estrogen in combined pills is Ethinylestradiol, a synthetic form of estrogen. The progestogen component varies between different pills – and that’s what often differentiates one pill from another. Each progestogen can have slightly different effects on your body:

• Cyproterone Acetate – a progestogen with strong anti-androgen (anti-“male” hormone) effects, great for managing acne and excess hair growth.
• Levonorgestrel – a well-established “second-generation” progestogen. It’s considered the gold standard for safety and is used in many first-line pills.
• Drospirenone – a newer progestogen related to the diuretic spironolactone. It has anti-androgen effects and a mild diuretic (water-reducing) effect, which can help reduce bloating.
• Desogestrel – a “third-generation” progestogen with high specificity for progesterone receptors. It tends to cause fewer androgenic side effects (like oily skin or unwanted hair) than older types.
• Dienogest – another newer progestogen with anti-androgen properties. It’s used in some unique pills and is known to help reduce heavy menstrual bleeding.

Along with the above, one pill in Australia uses a different estrogen: Estradiol Valerate, which is a form of estrogen that the body converts to natural estradiol. This is paired with dienogest in a specific pill. We’ll talk about that soon.

How do these hormones work? All combined pills essentially prevent pregnancy by stopping ovulation (the release of an egg) and by making conditions unfavorable for conception (like thickening cervical mucus). However, the specific hormone combo can offer extra perks. For instance, some pills are better for acne, some are preferred for severe PMS, and others might be chosen to help lighten heavy periods. The trade-off is that different combos can also have different side effect profiles or risks (for example, some newer pills carry a slightly higher risk of blood clots than the older ones​, though the overall risk is still very low for most young women).

Below, we’ll go through five common hormone combinations used in Australian birth control pills, and discuss who they might be right for. Remember, everyone’s body is different – what’s perfect for one person might not be for another. It’s always a good idea to talk with a doctor about your individual needs. (Thanks to NextClinic, you can even do that online, which lets you get prescriptions online!)

Cyproterone Acetate + Ethinylestradiol (for Stubborn Acne and Androgen-Related Issues)

One well-known pill combination in Australia pairs Cyproterone acetate (a progestogen) with Ethinylestradiol (estrogen). Brands like Diane-35 ED (and its generics such as Estelle-35 or Brenda-35) contain this combo. This pill was originally developed not just for contraception but also to treat symptoms of androgenisation – in other words, conditions caused by excess “male” hormones in women, like severe acne or hirsutism (unwanted hair growth)​.

How it works: Cyproterone is a special progestogen that blocks androgen hormones. It can reduce the effect of testosterone on the skin, which means fewer acne breakouts and less excess facial/body hair. The Ethinylestradiol in the pill boosts sex-hormone-binding globulin, which also helps lower free testosterone levels in your blood. Together, these effects make this pill a powerful option for clearing up hormonal acne and reducing symptoms like polycystic ovary syndrome (PCOS)-related hirsutism.

Benefits: If you’ve been struggling with persistent acne or oily skin, a cyproterone + EE pill might be a game-changer. Research indicates that pills with cyproterone/EE improve acne better than pills with levonorgestrel/EE. Doctors often prescribe Diane-35 or its equivalents specifically for women who need contraception and help with severe acne that hasn’t responded to other treatments. Many women find their skin becomes noticeably clearer after a few months on this pill. It also provides the usual pill benefits: reliable pregnancy prevention, more regular periods, and often lighter bleeds with less cramping.

Another perk for some is improved confidence and comfort – clearing up severe acne or reducing unwanted hair can be a huge relief. It’s not just vanity; acne can deeply affect one’s self-esteem, so this pill’s benefits in that area can greatly improve quality of life.

Considerations & side effects: Because Diane-35 (cyproterone + EE) is typically a higher-estrogen pill (35 µg ethinylestradiol), you might have estrogen-related side effects like breast tenderness, nausea, or headaches when starting. These usually fade after a couple of cycles as your body adjusts. There’s also a slightly higher risk of blood clots with this pill compared to older types like levonorgestrel pills. The risk is still small in absolute terms, but it’s something your doctor will consider – especially if you have other risk factors for clots (like a family history or smoking). Because of this, doctors in Australia generally prescribe cyproterone+EE pills primarily when the anti-acne/hirsutism benefit is needed, rather than as a first-choice routine contraceptive if you have perfectly clear skin.

It’s worth noting that Diane-35 and similar brands aren’t intended to be used alongside other hormonal contraceptives (so you wouldn’t combine it with, say, a vaginal ring or another pill)​. It’s meant to be a stand-alone treatment.

Who it’s right for: If you’re a woman who wants effective birth control and suffers from severe acne or PCOS symptoms, this pill could be ideal. It tackles both issues at once. Many Australian women in their teens and 20s who have tried long courses of antibiotics or topical treatments for acne without success find this pill very helpful. However, if you don’t have any androgen-related skin issues, you might not need such a pill – a different type might suit you better with potentially fewer side effect concerns.

Availability: Cyproterone + Ethinylestradiol pills are prescription-only (like all combined pills in Australia). You can get your cyproterone + ethinylestradiol prescription online through NextClinic.The prescription is sent electronically, so you can pick up the medication at your local pharmacy or even have it delivered. (Pretty convenient, right?) Having the option of online prescriptions means even if you’re stuck at home or busy with work, you can still start managing your acne and contraception without delay.

Get your Cyproterone Acetate + Ethinylestradiol prescription for $29.90.

Levonorgestrel + Ethinylestradiol (Tried and True Classic)

The combination of Levonorgestrel and Ethinylestradiol is one of the most commonly used birth control pill formulas in Australia – and worldwide. You’ll find this combo in well-known brands like Levlen ED, Microgynon 30, Monofeme, and others. It’s often considered the “classic” Pill.

How it works: There’s nothing fancy or gimmicky here – levonorgestrel is a second-generation progestogen that’s been used for decades. It’s combined with ethinylestradiol (usually 30 µg, though some pills have 20 µg for a lower dose). Together, they reliably prevent ovulation and regulate your cycle. Levonorgestrel is a bit more “androgenic” than newer progestins (meaning it’s chemically a bit closer to male hormones), but at the low doses in the pill, it still works great for most women with minimal side effects.

Benefits: Reliability and safety. This combo has the longest track record, which means doctors trust it and there’s lots of data on its use. In fact, Australian guidelines consider levonorgestrel+EE pills (and those with a similar older progestin, norethisterone) as first-line options for most women starting the Pill. Why? They have a slightly lower risk of blood clots compared to some newer pills, and they’re affordable on the Pharmaceutical Benefits Scheme (PBS). If cost is a concern, these pills shine – a four-month supply might cost around $20 with a subsidy, whereas newer non-PBS pills could be $80-$100 for the same duration.

Beyond cost and safety, levonorgestrel/EE pills provide all the usual benefits you expect from the Pill:

• Highly effective contraception (less than 1 in 100 women will get pregnant in a year with perfect use; more on effectiveness later).
• Regular, predictable periods: You’ll typically have a 28-day cycle with a withdrawal bleed during the sugar pills. No more guessing when your period will show up!
• Lighter periods with less pain: Many women find their menstrual bleeding is reduced and cramps are milder on the Pill.
• Some improvement in acne: While levonorgestrel isn’t specifically marketed for acne, being on any combined pill raises your SHBG (sex hormone binding globulin), which lowers free testosterone, often leading to better skin. In other words, even the “plain Jane” levonorgestrel pills can help clear up mild acne or at least prevent hormonal breakouts for many users. (That said, if acne is a major concern, other pills in this list might do more, as discussed above.)

Another benefit: If you’re someone who prefers to skip periods occasionally (say, for a holiday), monophasic levonorgestrel/EE pills make that easy – you can just skip the inactive tablets and go straight into the next pack. There’s no increased risk in doing this, and continuous use up to 12 months has been shown to be safe.

Considerations & side effects: Because this formulation is so widely used, it’s often the benchmark for side effects. Common side effects when starting any pill – mild nausea, breast tenderness, slight moodiness – may occur, but they usually settle after the first 2–3 months. If you experience spotting (light breakthrough bleeding) initially, that can be normal as your body adjusts to the hormones. With a 30 µg estrogen pill, many women have good cycle control, but if you happen to be on a 20 µg version and get frequent spotting, let your doctor know – a slightly higher dose or different pill can fix that.

Levonorgestrel is a slightly more androgenic progestin, so in some individuals it could cause or worsen acne or oily skin. However, as noted, most people actually see improvement in skin on any combined pill. If you do notice skin issues or mood changes that don’t settle, you might consider switching to a pill with a different progestin later. But give it a fair try for a few months unless side effects are really bothersome.

One other consideration: because this type is generally lower risk in terms of blood clots, doctors often prefer it for women who have some risk factors (like higher BMI or a family history of clots) as long as those risk factors aren’t absolute contraindications. Of course, if you have a significant risk (e.g. you’re over 35 and a smoker, or you have a clotting disorder), combined pills might be off the table entirely – a progestin-only method might be recommended instead. But for most young healthy women, levonorgestrel combo is a very safe choice.

Who it’s right for: If you’re new to the Pill and want a dependable starter option, or you’ve never had any particular issues like acne or severe PMS that need addressing, a levonorgestrel + ethinylestradiol pill is likely a great fit. It’s also ideal if you’re budget-conscious (since many brands are PBS-subsidised) or if your doctor is aiming to minimize clot risk. In short, it’s the go-to for a lot of Aussie women. Think of it as the trusty all-rounder.

Availability: Easily available via prescription in Australia. Because it’s so common, getting a prescription online for a levonorgestrel pill is typically straightforward. Simply hop onto a service like NextClinic, fill in a quick medical questionnaire or speak to a doctor about starting the Pill, and mention if you have any preferences or concerns. The doctor might very well suggest a levonorgestrel combo as a start if everything looks suitable. Your script can be sent to you or your pharmacy digitally, saving you the trip. Online birth control prescriptions have made access so much easier, especially for repeat scripts when you just need a refill without a full GP visit.

Get your Levonorgestrel + Ethinylestradiol prescription for $29.90.

Drospirenone + Ethinylestradiol (Bye-Bye Bloating and PMS Blues)

Next up is the combination of Drospirenone and Ethinylestradiol. This is found in brands like Yasmin (which has 3 mg drospirenone + 30 µg EE in a 21-day active pill cycle) and Yaz (3 mg drospirenone + 20 µg EE in a 24-day active pill cycle). Drospirenone is often talked about as a “fourth-generation” progestogen and has some unique qualities.

How it works: Drospirenone is a synthetic progestin derived from the same drug (spironolactone) that’s used as a diuretic and for treating acne. What does that mean for you? It means drospirenone can block androgens (helping with acne and oily skin) and has a mild diuretic effect (helping your body shed water). So, it prevents pregnancy just like any pill by stopping ovulation, but these extra properties give it an edge for certain non-contraceptive benefits.

Benefits: The drospirenone + EE pills are often chosen by women who experience frustrating premenstrual symptoms such as bloating, mood swings, or even a more severe form called PMDD (Premenstrual Dysphoric Disorder). In fact, the 24/4 drospirenone pill (brand Yaz) has been shown to improve the emotional and physical symptoms of PMDD – women taking it had less impairment in daily life from PMS symptoms compared to those on placebo. This has made Yaz popular for those who really suffer in the luteal phase of their cycle (the week or two before the period). Many users report feeling more “even” in mood through the month on this pill.

Another big plus: less bloating and perhaps less weight fluctuation. Because drospirenone has a diuretic effect, it counteracts the estrogen-related fluid retention that some women get on the pill. You might not get that slight pre-period puffiness or breast swelling that can happen on other formulations. Some women even feel that they lose a pound or two of water weight on Yaz/Yasmin or at least don’t gain any. (Of course, it’s not a weight loss drug, but it’s nice that it generally doesn’t cause weight gain – more on weight concerns later.)

Skin benefits: Drospirenone, like cyproterone, is good for acne. It’s not quite as potent an anti-androgen as cyproterone, but it still helps. In Australia, drospirenone-containing pills have been used for treating moderate acne in women who also want contraception​. If you have bothersome breakouts and want a pill to help, Yaz or Yasmin might be an option. In practice, a doctor might prescribe this if you had tried a levonorgestrel pill and found your skin got worse, or if you specifically ask for something for acne but maybe don’t need the heavy-duty cyproterone pill.

Cycle control: The 24 active + 4 inactive day regimen of Yaz means shorter hormone-free interval, which can reduce breakthrough bleeding and the chance of ovulation if you miss a pill. Many women also enjoy that their “period” on Yaz is only 4 days long and often very light. Yasmin, with the traditional 21/7 schedule, will give a slightly longer withdrawal bleed week, but cycle control is usually good too.

Considerations & side effects: Drospirenone pills tend to cost more since they historically haven’t been PBS-subsidized (though there were moves to list them on PBS for their acne and PMDD indications – as of 2024 they were recommended for PBS listing, which is promising). Cost aside, the main caution with drospirenone is the slightly higher risk of blood clots compared to older pills like levonorgestrel. We’re still talking small numbers overall, but studies have found drospirenone/EE pills might have about 2-3 additional women per 10,000 per year getting a clot versus levonorgestrel/EE pills​. To put that in perspective, pregnancy itself carries a higher clot risk than any of these pills, but it’s something to be aware of. If you have risk factors for clots (e.g., strong family history of DVT, obesity, smoking, etc.), your doctor might lean toward a levonorgestrel pill instead. For most healthy young women, however, drospirenone pills are considered safe – just be mindful of warning signs (leg swelling/pain, chest pain, etc., which are very rare but important to catch).

Drospirenone, due to its spironolactone lineage, can increase potassium levels slightly. It’s usually not an issue unless you have kidney problems or are on certain medications that also raise potassium. As a standard precaution, the pill’s leaflet might mention avoiding drospirenone if you have kidney or adrenal disease. Your GP will screen for these, but it’s good to mention any other meds or conditions you have during your consult.

Common side effects for drospirenone pills are similar to other pills: mild nausea, breast tenderness, or headaches early on. Some people actually report improved mood on these (because it’s helping PMS), but a few might still feel mood swings – it’s individual. If you start a drospirenone pill and feel more depressed or irritable (uncommon, but possible), speak with your doctor about alternatives.

Who it’s right for: Consider a drospirenone + EE pill if you:

• Suffer from bad PMS or PMDD (mood swings, irritability, depression before periods – Yaz is the only pill with evidence for treating PMDD).
• Feel bloated often or are very sensitive to water retention (this pill may help you feel less bloated, especially around periods).
• Have acne that you’d like to manage along with contraception (it’s approved for moderate acne and many users see clearer skin).
• Tried an older pill and had issues with mood or skin, and want to try a newer generation pill.

It’s a bit of a “premium” pill – both in cost and in targeted benefits. If those benefits align with your needs, it could be a great choice.

Availability: You will need a prescription (like all these pills). You can get drospirenone + ethinylestradiol prescriptions online in Australia through platforms like NextClinic. Simply indicate the pill you’re interested in (e.g., “I’d like to try Yaz for birth control, I have issues with PMS and I’ve heard it might help”) during your online consult. Australian telehealth doctors are familiar with these brands. Since Yaz/Yasmin may soon be (or have been) added to PBS, check with the doctor or pharmacy about the current price. If it’s not PBS-covered yet, they can also discuss generic equivalents (there are a few generic versions of Yasmin in Australia, like Isabelle, Petibelle, etc., which might save cost). The convenience of an online prescription means you can address your PMS or acne concerns without waiting weeks for a GP appointment. Plus, these telehealth services often operate long hours, so you can do it after work or on the weekend. (Fun fact: NextClinic’s doctors are online 6am to midnight, and they can send prescriptions or medical certificates online to your inbox within an hour​.)

Get your Drospirenone + Ethinylestradiol prescription for $29.90.

Desogestrel + Ethinylestradiol (A Balanced Third-Generation Pill)

Another common hormone combo is Desogestrel with Ethinylestradiol. Brands you might hear of include Marvelon and Mercilon (Mercilon is a lower estrogen 20 µg version; Marvelon is 30 µg). Desogestrel is a third-generation progestogen, and like drospirenone, it’s designed to be very specific to progesterone receptors and have minimal androgenic side effects.

How it works: Desogestrel + EE pills work the same way as other combined pills to prevent pregnancy. The difference lies in how your body might respond in terms of side effects. Desogestrel has less androgenic activity than levonorgestrel, meaning it’s less likely to cause things like acne or weight gain. In theory, that makes it a “kinder, gentler” progestin for women who are sensitive to those issues.

Benefits: The key benefit of desogestrel/EE pills is good tolerability. Many women who experience mood swings or breakouts on older pills find a switch to desogestrel helps. It still provides excellent cycle control and contraceptive efficacy. In terms of non-contraceptive perks:

• It can help with acne and oily skin, similar to drospirenone pills, because it’s low-androgen. While all pills help acne to some degree, desogestrel is often recommended as one of the options for acne-prone women. The evidence that it’s better than levonorgestrel for acne is not strong, but plenty of anecdotal reports support it, and some women really do notice a difference in their skin when switching to desogestrel.
• It may have a slightly lighter touch on mood for some. Again, individual, but some report fewer mood issues on a third-gen pill.
• It’s a solid all-rounder for cycle regulation and reducing period pain/flow, just like other combined pills.

Desogestrel pills often come in a 21 active/7 inactive format, and you can run packs back-to-back to skip periods if desired (with your doctor’s guidance).

Considerations & side effects: The side effect profile is largely the same as any pill: possible nausea, breast tenderness, or headaches initially. Because desogestrel is usually paired with a 30 µg dose of EE (in Marvelon), the estrogenic side effects should be similar to a 30 µg levonorgestrel pill. If you use a 20 µg version (Mercilon), you might see fewer estrogen side effects but possibly a bit more breakthrough bleeding.

One consideration is cost. Desogestrel + EE pills are typically not covered by PBS in Australia (the PBS mainly covers a few older types like levonorgestrel and norethisterone pills). This means you’ll likely pay full price, which could be around $50-$80 for a 3-month supply (varies by brand and pharmacy). Some people don’t mind the extra cost for the sake of finding the right pill that suits them.

There is also the discussion of blood clot risk: as with other newer gen pills, some studies suggested desogestrel/EE pills have a slightly higher risk of venous thromboembolism than levonorgestrel/EE pills. The data has been somewhat conflicting, but it’s something to keep in mind. The absolute risk remains low (on the order of a few extra cases per 10,000 women-year of use). If you have no personal risk factors and are otherwise healthy, this risk shouldn’t deter you if desogestrel is the pill that makes you feel best. Just be aware, as always, of symptoms of clots and discuss any concerns with your doctor.

Who it’s right for: If you’ve tried an older pill and had unpleasant side effects (like moodiness or acne), a desogestrel + EE pill could be a great next option. It’s often chosen for women who want a reliable pill but didn’t love how their body reacted to levonorgestrel. It’s also suitable for someone who wants acne benefits but maybe doesn’t need the full intensity of Diane-35’s cyproterone – think of desogestrel as a middle-ground option that can still help skin without the higher estrogen dose.

Some women are started on desogestrel/EE from the get-go if they request a “newer” pill or have a family member who did well on it. There’s no hard rule – it really comes down to personal preference and how your body responds.

Availability: You guessed it – prescription only. You can absolutely obtain a Desogestrel + Ethinylestradiol prescription online in Australia if this is the pill you decide on. Telehealth doctors (like those at NextClinic) are usually comfortable prescribing it as long as there’s no contraindication. During your online consult, mention any past experiences with other pills (“I felt depressed on Levlen, so I’d like to try something like Marvelon to see if I tolerate it better”) – this gives the doctor context to approve a switch. Once prescribed, you’ll get the script in your email or your pharmacy will get it, and you’re set. The convenience of online prescriptions means switching pills or starting a new one is easier than ever – it can often be done on the same day after a quick chat with a GP. Just remember to have a blood pressure reading handy (some doctors will ask for a recent BP, as that’s a standard check before starting the pill; you can often get this done at a pharmacy or use a home machine).

Get your Desogestrel + Ethinylestradiol prescription for $29.90.

Estradiol Valerate + Dienogest (The Heavy-Period Helper)

Last but not least, we have a rather unique pill in Australia that contains Estradiol valerate (an estrogen) and Dienogest (a progestogen). The most known brand for this combo is Qlaira. This pill is different in that it uses estradiol valerate, which is converted in the body to estradiol – the same estrogen your ovaries naturally produce – instead of using ethinylestradiol. It’s also formulated as a quadriphasic pill, meaning the hormone doses change throughout the pack to mimic a natural cycle more closely.

How it works: Like all combined pills, Qlaira prevents ovulation. The dienogest component is a progestin that has strong effects on the lining of the uterus (the endometrium) – it thins it significantly, which is one reason this pill is great for heavy periods. Dienogest is also anti-androgenic, so it can help with acne or hirsutism to some extent (in fact, another pill called Valette uses dienogest + ethinylestradiol and is indicated for acne treatment). The estradiol valerate provides estrogen support but is thought to have potentially a lower impact on some liver proteins (like perhaps a slight reduction in clotting factor changes or less effect on libido – though results vary). Many women consider this a “more natural” pill because of the estradiol component.

Benefits: The standout benefit of estradiol valerate + dienogest (Qlaira) is its effectiveness in managing heavy menstrual bleeding. It’s actually indicated in Australia not only for contraception but also for the treatment of heavy and/or prolonged menstrual bleeding in women who want a birth control method. Studies have shown it can significantly reduce the number of days of bleeding and the volume of blood loss, compared to a standard EE/levonorgestrel pill. So if you’re someone who normally has very heavy periods that flood through super tampons or last 8-10 days, this pill could lighten and shorten them substantially, improving your daily life (no more double-padding or worrying about accidents during your period!).

Women on this pill often report very light periods or sometimes almost no period at all after a few cycles. Keep in mind Qlaira’s pack has 26 active pills and only 2 placebo pills, so the hormone-free interval is short – this also helps reduce bleeding and may reduce typical PMS symptoms due to the lack of a long drop in hormones.

Besides the heavy period help, Qlaira offers:

• Contraception effectiveness comparable to other pills when taken correctly.
• Potential acne improvements (though it’s not primarily marketed for acne, dienogest’s anti-androgen effect means it can help skin similarly to desogestrel or drospirenone pills).
• Possibly a more “natural” hormonal feel for some women – some anecdotal reports say that being on an estradiol-based pill feels more like their normal cycle (less hormonal “weirdness”), but this is subjective. There is ongoing research into whether these newer estrogen pills have any advantages in terms of mood or metabolism. For example, one newer pill (Zoely, which uses estradiol with a different progestin) showed a positive mental health response in some women. While that study was not on Qlaira specifically, it suggests the concept of using a natural estrogen could be beneficial for some women’s well-being. At the very least, Qlaira is an alternative for those who didn’t tolerate ethinylestradiol well.

Considerations & side effects: Qlaira’s dosing schedule is a bit complex (with four phases of hormone changes), so it’s important to follow the pack in order. It’s not like a monophasic pill where every active tablet is the same. If you miss a pill or take them out of order, the guidance on what to do is a little different than standard pills – you’ll want to keep the pamphlet handy or use a reminder app. This also makes it not ideal for extended continuous use (it’s meant to be taken as per pack; there isn’t a well-established way to skip periods on Qlaira by combining packs, due to the phased doses).

When first starting, you might experience some spotting or irregular bleeding – this can be a bit more common with Qlaira in the first few months, as your body adjusts to the changing hormone levels. Don’t be discouraged; by the third pack most women settle into a steady pattern and have their bleeding well controlled (and much lighter than before).

General side effects like headache, mood swings, or nausea can happen, just as with any pill. Not every woman loves Qlaira – some try it and don’t like the irregular bleeding at first or feel off with the changing doses. But others absolutely swear by it for fixing their heavy periods and will never go back to a regular pill.

As for risks, since Qlaira is still a combined hormonal contraceptive, it carries the usual small risk of blood clots and other rare complications. Dienogest-containing pills were studied for clot risk: one meta-analysis found the risk of VTE (clots) with dienogest/EE combos was around 8-11 per 10,000 women-years, versus 5-7 per 10,000 on levonorgestrel/EE. Qlaira has estradiol valerate instead of EE, but until more data is available, we generally consider its risk similar to other pills in the same low range. If you have any contraindications to combined pills (migraines with aura, history of clots, etc.), Qlaira would be contraindicated as well.

One more note: Qlaira (Estradiol valerate + Dienogest) is not yet as commonly prescribed as the other pills, so not every GP will think of it unless you bring up your heavy periods or interest in it. It’s also not on PBS, so it can be pricier than a standard pill (ballpark $80 for 3 packs). If heavy bleeding is severely impacting you, however, many feel it’s worth it.

Who it’s right for: Women who have very heavy or prolonged periods and want both contraception and menstrual management in one. Also, those who prefer a pill that uses a form of natural estrogen might be interested in Qlaira. If you’ve tried standard pills and found that the week off hormones gives you migraines or bad PMS, Qlaira’s shorter break might help (only 2 days off). It’s a good option for someone in their 30s as well, who maybe is done having kids or spacing kids and wants to tame heavy periods without having to resort to more invasive measures (like an IUD or surgery). Essentially, Qlaira occupies a niche: birth control + therapeutic relief for heavy bleeding.

Availability: Qlaira is available via prescription in Australia. If you suspect this is the right pill for you, discuss it with your doctor – whether in person or through an online consultation. Telehealth doctors at NextClinic can certainly prescribe Qlaira; just be clear about your symptoms (e.g., “I have very heavy periods and heard Qlaira could help, can I try it?”). As always, they’ll go through a checklist to ensure you can safely take it. Once prescribed, you can fill it at your pharmacy. Because it’s a bit specialized, not every small pharmacy stocks Qlaira, but they can order it in a day or two if needed. Using an online prescription service means you can get the ball rolling on addressing those heavy periods from the comfort of home. And while you’re at it, NextClinic can also sort you out with any medical certificates online (for instance, if heavy periods have caused you to miss work or you need a doctor’s note)​, making it truly a one-stop convenient experience.

Get your Estradiol Valerate + Dienogest prescription for $29.90.

Addressing Common Concerns: Weight Gain, Mood Changes, and Effectiveness

Choosing a pill isn’t just about specific medical indications – you probably have some personal worries, too. Let’s tackle a few of the big ones:

1. “Will I gain weight on the Pill?” This is one of the most frequent questions! The good news: most research shows that combined birth control pills do not cause significant weight gain for most women. A large review of 49 studies found no association between combined hormonal contraceptives and weight gain. So if you’ve been dreading ballooning on the pill, rest assured, major weight gain is not the norm. That said, some women notice minor changes in weight or how their clothes fit, especially in the first few months. This is often due to water retention (estrogen can make your body hold a bit more fluid). It’s usually mild (think a kilogram or two at most) and often temporary. Pills like those containing drospirenone can actually help reduce water retention because of the diuretic effect, which is one reason they’re popular for those worried about bloating.

Another factor is appetite – occasionally, hormones can shift your appetite or cravings slightly. Being mindful of diet and continuing your regular exercise can counteract that. But again, many people notice no change in appetite at all.

The only contraceptive clearly linked to weight gain is the Depo-Provera injection (which is not a pill but a shot of progestin) – that one can stimulate appetite and weight increase in some women. Combined pills are a different story. Bottom line: the Pill is unlikely to make you gain significant weight, and if you feel puffy, it might be just water weight that often stabilizes. If you do feel like a pill is making you gain real weight and it’s bothersome, talk to your doctor – sometimes switching the type of progestin can help, though again, evidence is mixed. Ensure other factors (like thyroid function or lifestyle) are in check too.

2. “What about mood swings or depression?” Hormones and mood are deeply connected, and each person’s brain chemistry is different. Some women find the Pill improves their mood (for example, if you had horrible mood swings tied to your cycle, smoothing out the hormonal highs and lows can help). In particular, the drospirenone-containing pill (Yaz) has been shown to help with severe mood symptoms of PMS/PMDD. On the flip side, a small percentage of women might feel more anxious or down on a given pill. Most women do not experience major mood changes on modern low-dose pills, but if you have a history of depression or anxiety, it’s important to mention it to your doctor. They’ll help monitor your response.

There have been large studies (including one in over 250,000 women) that suggested a possible increase in depression diagnoses, especially in adolescents, after starting the pill. However, these studies can’t prove causation and the topic is still debated. If you’re 16 and on a pill, is it the pill making you moody, or just the fact that you’re 16? It can be hard to tease apart. The prevailing medical advice is: if you notice persistent mood changes after starting the pill (crying spells, loss of interest in activities, etc.), don’t just tolerate it – check in with your GP. There are many pill options; one may affect you differently than another. Some women try two or three before finding one that meshes perfectly with their body and mind. And some find they prefer a non-hormonal method if none sit right with their mood.

The good news is that there are options. For example, if a pill with one type of progestin makes you feel blah, another type might be better. It’s not all in your head – you know your body best. So keep an open dialogue with your healthcare provider. And remember, stress and other life factors can affect mood too, so try to consider the whole picture.

3. “How effective is the Pill, really?” When taken correctly, the combined oral contraceptive pill is extremely effective. With perfect use (meaning you take it on time every day, never miss a pill), the pregnancy rate is about 0.3% per year (3 in 1000 women). With typical use (acknowledging that many of us are not perfect – we sometimes forget a pill or take it late), the effectiveness is around 91% per year (about 9 in 100 women might get pregnant in a year of use). That typical-use rate reflects human error more than the pill failing. The pill itself is working, but if you miss doses or take them irregularly, ovulation can sneak through.

To boost your protection:

• Take your pill at the same time every day. Some find it easiest to link it with a daily routine (morning alarm, or teeth brushing at night).
• If you do miss a pill, follow the instructions in the leaflet or app (typically, if you miss 1 active pill, take it as soon as you remember and continue; if you miss 2, you may need to use backup contraception for 7 days, etc., depending on where in the pack you are).
• Set reminders on your phone or use a pill tracking app.
• If you’re very forgetful, consider using those newer 24/4 schedules (like Yaz or Qlaira’s 26/2) as they have less wiggle room, or think about long-acting methods like the IUD or implant. But plenty of forgetful folks do manage fine on the pill with alarms and habits.

Also note: certain things like vomiting, severe diarrhea, or some medications (like anti-epilepsy drugs or even St. John’s Wort) can reduce the pill’s effectiveness. Always check with a pharmacist or doctor if you start a new medication – even some antibiotics (rifampicin, for example) can interfere. In such cases, use condoms as backup during that cycle.

Speaking of condoms: the pill does not protect against STIs. So if you have new or multiple partners, using condoms is still important for your sexual health.

4. “Are birth control pills safe?” Combined birth control pills have been around for over 60 years and have been used by hundreds of millions of women. For the vast majority of users, the pill is very safe. In fact, long-term studies have found pill users have lower rates of certain cancers (ovarian and endometrial cancer risk is significantly reduced after being on the pill, and that protection can last years after stopping). The pill can also help prevent fibroids, ovarian cysts, and of course improves life for many by controlling periods and acne.

However, like any medication, there are risks. The one most talked about is venous thromboembolism (VTE) – blood clots in the legs or lungs. To put it in perspective: A woman not on any pill has about a 2 in 10,000 chance per year of a clot; on the pill it might increase to about 5-12 in 10,000 per year (depending on pill type). During pregnancy, the risk jumps to about 20+ in 10,000, and even higher just after giving birth. So the pill’s risk is much smaller than pregnancy’s, but it’s not zero. That’s why doctors screen for risk factors like personal or family history of clots, uncontrolled high blood pressure, smoking (especially over age 35), or migraines with aura – those conditions might mean the combined pill isn’t the safest choice for you. In that case, a progestin-only pill or non-hormonal methods would be advised.

Other rare but serious risks include arterial clots (heart attack or stroke). These are exceedingly rare in young women on low-dose pills, but if you have risk factors like smoking and being over 35, or a history of migraine with neurological symptoms, the combined pill isn’t recommended. Always be honest with your medical provider about your medical history to ensure you choose a safe method.

For most healthy young women, the pill is well tolerated. Millions have taken it safely. The key is that it’s medically supervised – hence requiring a prescription. If you experience any warning signs like severe headaches, chest pain, significant leg pain/swelling, sudden vision loss, etc., seek medical attention. These are very uncommon, but it’s important to be aware.

5. “What if I experience side effects or don’t like the first pill I try?” Don’t be discouraged! It can take a couple of tries to find the pill that fits you best. Give each pill a fair chance (usually ~3 months) unless the side effects are unbearable or dangerous. Many initial side effects (nausea, spotting, breast tenderness) improve after 2-3 cycles as your body adapts. If they persist or you develop something like low mood or low libido that doesn’t resolve, you can try a different formulation. There are so many options: different progestogens, different estrogen doses. For example, if a 30 µg estrogen pill gives you headaches, a 20 µg pill might be better. If one progestin gave you acne, another might clear your skin. It’s a bit of trial and error, and that’s okay.

The beauty of having online prescription services is that you can follow up and say “Hey doc, this pill isn’t agreeing with me, can I try another?” without much hassle. NextClinic and similar platforms often allow follow-up consults or messages so you can adjust your prescription as needed. Ultimately, you should feel comfortable on your birth control. When you find the right one, you might even forget you’re on it (aside from the routine of taking it) because you just feel like yourself – but with bonus benefits of no pregnancy worries and maybe clearer skin or smoother periods!

Getting Your Birth Control Prescription Online in Australia

By now you might be thinking, “Alright, I have an idea of which pill I want to try – but how do I get it?” In Australia, all combined pills are prescription-only medications (Schedule 4). Traditionally, you’d book a GP appointment, sit in the waiting room, discuss birth control, get a script, then take it to a pharmacy. These days, there’s a more convenient route: online prescriptions through telehealth services.

Platforms like NextClinic (a leading Australian telehealth provider) allow you to consult with a registered doctor through an online form, chat, or video call. The doctor will review your medical history, ask pertinent questions (e.g., about migraines, smoking, etc.), and help you choose an appropriate pill. If everything is in order, they’ll issue a prescription electronically. You can have that prescription sent straight to your email, or sometimes directly to a partner pharmacy. Many pharmacies can even deliver medications to you once they have your prescription.

The whole process can often be done in under an hour. For example, NextClinic advertises online prescriptions and even medical certificates delivered to your inbox within an hour of your consult. That means you could be reading this in the morning and start your birth control pill the same day without leaving home! This is especially helpful for busy professionals, parents at home, or anyone who finds it hard to schedule an in-person visit.

What about follow-up or questions? Telehealth services usually have channels for you to ask follow-up questions (via email or another mini-consult). And you should still have a regular GP for general health check-ups. But when it comes to something straightforward like renewing a birth control prescription or getting a quick consult for a known issue, online services fill a nice gap. They are staffed by Australian-registered doctors who work under the same guidelines as your clinic GPs.

Cost: Some telehealth consults are covered by Medicare (especially if it’s a phone/video consult with certain providers), while others might be private (e.g., a small fee that you pay for the convenience). NextClinic’s website indicates they have affordable options for services like medical certificates and scripts. Consider it similar to paying for the convenience of UberEats – you’re paying a bit for the service of not having to travel. Always ensure the service you use is legitimate and the doctors are registered – with NextClinic, that’s a given, as they are a known platform in Australia.

Important: Even though it’s online, the doctor will still need accurate info from you. They might ask for your height, weight, blood pressure, and a rundown of your medical history. Have that info ready. If you haven’t had your blood pressure checked in a while, pop into a pharmacy and use a self-service machine or ask a pharmacist; high blood pressure is one of the things that might make the Pill unsuitable, so it’s good to know your numbers.

In summary, getting your prescriptions online for birth control is a safe and legal option in Australia, and it can make managing your reproductive health a lot easier. It also means you can swiftly switch pills if needed or get a refill without missing a day, which helps with the pill’s effectiveness.

TLDR

Disclaimer

This medical blog provides general information and is not a substitute for professional medical advice, diagnosis, or treatment. Always consult with your regular doctor for specific medical concerns. The content is based on the knowledge available at the time of publication and may change. While we strive for accuracy, we make no warranties regarding completeness or reliability. Use the information at your own risk. Links to other websites are provided for convenience and do not imply endorsement. The views expressed are those of the authors and not necessarily representative of any institutions.