Norethindrone acetate and ethinyl estradiol



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Norethindrone acetate and ethinyl estradiol


Junel Fe is a combined pill for birth control, and also an iron supplement. Ideal for you multi-taskers. All three doses (Junel Fe 1/20, 1.5/30 and 24) are available here.

With EveAdam, you can buy Junel Fe online and get the pill delivered to you on the schedule you want.

From only $29.60 per month


Junel Fe is a continuous birth control pill. Take it right, and you’ll make pregnancy highly unlikely. It also doubles as an iron supplement, which helps with energy levels, immune function, and skin, plus has a whole bunch of other benefits.

Getting your pill with EveAdam means repeat deliveries when you need them. Making keeping to your birth control plan a whole lot easier.

What is Junel Fe?

Junel Fe pills contain two hormones that help with birth control. These are called norethindrone acetate and ethinyl estradiol. In the body, these hormones work like progesterone and estrogen.

They make it so that your ovaries don’t release an egg each month. Another way they work is to keep the lining of your womb thin, so any eggs that do make it through can’t implant there. Something else they do is make fluid in the cervix thicker. For sperm, this is a little like trying to swim through maple syrup (not easy).

Is there more than one Junel Fe dosage?

Yes, there are a few.

You’ve basically got Junel Fe 1.5/30. This dose is for women who want to take a pill that can also help with menstrual symptoms.

There’s also Junel Fe 1/20, which is the lower dose. This is good for women who want to take combined birth control but get side effects on stronger doses.

Junel 24 is very similar to Junel Fe 1/20. The main difference is that there are three extra active hormone tablets (24 instead of 21).

Each of the Junel Fe dosages we offer are 28 tablet packs.

The inactive or “spacer” pills in Junel Fe don’t contain hormones, but do carry iron. 

You can get Junel in pack sizes of 21 (Junel 21). These work just the same for birth control, but without the iron spacer tablets.

Are there Junel Fe generics?

Yes. Other pills that have the same hormone concentrations (translated: are close to being the same pill) as Junel Fe are Microgestin Fe, Loestrin Fe, Gildess Fe, Larin Fe, Blisovi Fe, Aurovela Fe, Hailey Fe and Tarina Fe.

What’s different about these pills? Mainly the price, what the pills look like, the packaging and who makes them. But the way they work in the body should be the same, from effectiveness right down to side effects. So if you were taking one of the above pills, but can’t find it any more. Junel Fe could be a good option for you.

Page reviewed by:
Dr Bruce Oran
Dr Bruce Oran
Senior Medical Adviser
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Last updated September 3, 2021


How does Junel Fe birth control work?

There are two hormones in Junel Fe, called norethindrone and ethinyl estradiol. These work like progesterone and estrogen in the body. They help to:

  • stop the ovary from releasing an egg (no egg = no fertilization)
  • keep the uterus lining thin (this is where an egg implants and a baby grows during pregnancy)
  • thicken cervical fluid (making it more difficult for sperm to swim through)
  • Stopping the uterus lining from getting too thick also helps to lighten periods for some women.

Does Junel Fe have other health benefits?

Can you take Junel Fe for acne?

How effective is Junel Fe?

What’s the difference between Junel Fe 24, 1/20 and 1.5/30?

How to buy Junel Fe online

How to take Junel Fe

It’s important to take birth control pills exactly as the doctor has described. Not following the instructions provided may weaken your protection. Always read the package insert before taking any medical treatment.

Take orally, with water. You need to take Junel Fe at the same time every day. If this is the first time you’re taking Junel Fe and you’re not switching from a different birth control method, take the first tablet on the first Sunday which follows your period. If your period begins on a Sunday, take your first pill on that day. Use additional birth control, like condoms, for seven days following the start of this course. This does not apply if your period began on a Sunday and you started taking Junel Fe on that day.

If you’re taking Junel Fe 1/20 or 1.5/30, there are 21 white “active” pills. These contain the active ingredients required to prevent pregnancy. This is then followed by seven days of daily brown tablets, which are “inactive.” These pills will help you to keep track of when to start again, and also carry an iron supplement (to help prevent iron deficiency).

You’ll do the same with Junel 24, only there are 24 active pills instead of 21.

If you feel nauseous while taking this treatment, try and take it after an evening meal or at bedtime. You can pick any time of day to take Junel Fe, but once you’ve picked a time it’s important to stick to it.

What to do if you miss a Junel Fe pill

Junel Fe with food and alcohol

Will I get a period on Junel Fe?

What are the most common Junel Fe side effects?

All medication has the potential to cause side effects. Birth control is no different. It’s important to know what side effects can look like should you experience them.

The common side effects associated with Junel Fe include nausea, headache, vomiting, breast tenderness, swelling of the ankles or feet, fluid retention, changes in weight, spotting between periods, or irregular or missed periods. Irregular periods are more common when women start taking Junel Fe, but often go away after a short time.

What to do if you get side effects when using Junel Fe

Does Junel Fe cause weight gain?

Is there a generic Junel Fe pill?

There are pills with very similar hormone levels that should work in the same way as Junel Fe. These include: Gildess Fe, Larin Fe, Blisovi Fe, Aurovela Fe, Loestrin Fe, Hailey Fe, Microgestin Fe and Tarina Fe.

Teva makes Junel Fe, but other manufacturers may make the pills above, and they may look different too. Some will also be cheaper or more expensive than others.

Are Blisovi Fe and Junel Fe the same?

What’s the difference between Junel Fe and Loestrin Fe?

What if I want to switch from Junel Fe?


Always read the patient information leaflet provided with your treatment.

 More info

Junel Fe side effects

All medication can cause side effects. The common side effects associated with Junel Fe include nausea, headache, vomiting, breast tenderness, swelling of the ankles or feet, fluid retention, changes in weight, spotting between periods or irregular or missed periods. 

The following side effects have been associated with Junel Fe: absent, missed or irregular periods; anxiety; visual changes; skin color changes; chest pain or discomfort; chills; clay-coloure stools; constipation; cough; dark urine; diarrhea; constipation; coughing; dizziness or lightheadedness; fainting; an increased heart rate; fever; headache; hives; itchy skin; reduced appetite; vaginal bleeding; feeling sick; pain or discomfort in the arms, jaw or back; tenderness in the feet; chest, groin or leg pain; pounding sensation in the ears; red skin; severe headaches; changes to heart rhythm; stomach pain; sudden loss of coordination or slurred speech; sweating; breathing problems; fatigue; bloating; blotchy spots on the skin; changes to the breasts like swelling or enalregment; feeling sad or empty; irritability; vaginal itching; loss of libido; painful sex; cramps; vaginal discharge; sleeping problems and trouble wearing contact lenses.

If you think you may be having an allergic reaction you must stop taking Junel Fe immediately and seek urgent medical attention. Symptoms can include wheezing, coughing, difficult swallowing or breathing, rash, hives, watery eyes, redness or swelling of the throat, mouth, lips or tongue.

Junel Fe warnings


[1] National Research Council (US) Committee on Population (2011). Contraceptive Benefits and Risks. [online] Available at:

[2] Jaisarmarn, U Et al. 2014. A comparison of multiphasic oral contraceptives containing norgestimate or desogestrel in acne treatment: a randomized trial. National Library of Medicine. USA.