Levonorgestrel, ethinyl estradiol



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Levonorgestrel, ethinyl estradiol


Lutera is a birth control pill that helps prevent pregnancy. It’s a low-dose pill and has a lower risk of side effects than other pills.

Buy Lutera online and have it sent to you from a US pharmacy with an EveAdam subscription.

From only $11.85 per month


Lutera is a low-dose birth control pill. It’s just as good at lowering your chances of becoming pregnant as other pills, but is better for women who normally get side effects (win-win).

Start an EveAdam subscription plan today and get Lutera sent right to your door, with refills as often as you need them. All it takes is a quick consultation with a licensed doctor and your prescription is on the way to an online pharmacy to be filled. You just ordered birth control without having to leave your home.

What is Lutera?

Lutera birth control is a pill used to prevent pregnancy. It’s called a “combined” pill because it contains two versions of naturally produced hormones. These are called levonorgestrel (a type of progesterone) and ethinyl estradiol (a kind of estrogen). 

When you take Lutera, your hormone levels change, and this stops the body from doing the regular things it does to make you ready for pregnancy. There’s three main ones, but they all work together to make pregnancy very, very unlikely. First, Lutera works to stop eggs being released by the ovaries. No egg, no fertilization, no pregnancy. 

It also thickens mucus inside the vagina, so that sperm have a much harder time reaching the egg. Lutera also changes the environment in the uterus, so that even if an egg does release and become fertilized, it’s unable to attach to the uterine walls and grow. Combined pills like Lutera are one of the most effective methods of birth control. 

Does Lutera have a generic name?

Yes, quite a few. Let’s back up a second — generics are pills that have the same ingredients, in the same amounts. Generics for Lutera include Alesse, Aviane, Delyla, Falmina, Larissa, Lessina, Orsythia, Sronyx, Vienva, Evaluna 20, Anulette 20, Prionelle, Leanore, Microlite and Aubra EQ. 

Because all of these birth control pills contain exactly the same levels of the same hormones, the way they work and the types of side effects you could get are the same. The main differences are what the pills look like, who makes or markets them (Mayne makes Lutera) and how much they cost.

Lutera is pretty cheap for this type of pill, but Vienva is a little cheaper.

Is there more than one Lutera dosage?

Yes. Levora is a slightly higher dose of the Lutera pill. It’s recommended for women who tried Lutera but found it didn’t do enough to control menstrual symptoms, like acne or heavy periods. 

The best thing to do is let the doctor you’re consulting with know what you want out of your pill. Plain and simple birth control? Lighter or more regular periods? Help controlling symptoms like vaginal dryness or swollen breasts? We’ll work with you to find a birth control method that meets your needs. And if you try it for a few months and aren’t feeling it, switching to a different pill is easy with an EveAdam subscription.

Page reviewed by:
Dr Bruce Oran
Dr Bruce Oran
Senior Medical Adviser
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Last updated November 1, 2021


How does Lutera work?

There are two hormones in Lutera. They’re pretty much the same as progesterone and estrogen. You have these hormones naturally in your body, and they fluctuate over the course of your menstrual cycle. When they rise and fall, they tell your body to do different things like ovulate and shed your womb lining (that’s when your period happens).

The way the pill works is by supplementing hormone levels in the body. This tricks your body into thinking that ovulation has already happened. The ovaries don’t release an egg, and fertilization can’t take place.

These hormones also stop the lining inside the womb from getting thicker, making it less likely that an egg would be able to implant itself there, assuming it somehow got fertilized. For some women, this has the added benefit of making periods lighter.

Does Lutera have any other health benefits?

How effective is Lutera?

Does Lutera help acne?

How can I buy Lutera online?

How to take Lutera

It’s important to take Lutera exactly as the doctor tells you. There’s detailed advice on the package insert that comes with your Lutera pill, which also includes everything you need to know about what to do if you miss a pill. You can always speak with your doctor or pharmacist if you’re unsure.

There are a few different ways to start taking Lutera. They’re listed here, but you should discuss them with the doctor to decide what’s best for you.

One way is to start on the first day of your period. This way, you’re protected immediately.

Alternatively, you can wait until the Sunday after your period starts. On that Sunday, take the first white pill in the pack. You’ll need to use a back-up birth control method like condoms for a week because this way doesn’t protect you immediately.

Make sure you take Lutera at the same time each day. The Lutera pack contains 21 “active” white pills (which contain hormones) and seven inactive pills (which are included to help you get into the routine of taking Lutera every day).

Lutera with food and alcohol

Lutera dosage information

What are the most common Lutera side effects?

Common side effects associated with Lutera include sleep disturbances, headaches, nausea, vomiting, diarrhea, bleeding or spotting between periods, sore breasts and changes in libido.

In the majority of cases, mild side effects will go away on their own after a few weeks or a couple of months of use.

See a doctor if you get side effects that cause discomfort or don’t go away. They may suggest switching to a different pill.

Does Lutera cause weight gain?

When to see a doctor about side effects

Are there any serious side effects associated with Lutera?

Can you get generic Lutera?

Yes, there are several other brands that are the same as Lutera. They include Alesse, Aviane, Falmina, Larissa, Lessina, Orsythia, Sronyx, Vieva, Evaluna 20, Anulette 20, Prionelle, Leanore, Microlite and Aubra EQ. These all contain the same ingredients as Lutera and work in the same way.

If you used to take one of the above pills but it has been discontinued, Lutera may be a good alternative for you.

Which is better: Aviane or Lutera?

Are Lutera and Vienva the same?

What if I want to change from Lutera?


Always read the package insert thoroughly before taking any medical treatment.

More info

Lutera side effects

Lutera can cause side effects. It’s important to familiarize yourself with any potential side effects and know what to do about them. If you become pregnant or have an allergic reaction to Lutera, stop taking it immediately. 

The common side effects associated with Lutera include sleep disturbances, headaches, nausea, vomiting, diarrhea, bleeding or spotting between periods, sore breasts and changes in libido. Other side effects include appetite changes, depression, nervousness, hair loss or dizziness. You may also encounter unscheduled or breakthrough bleeding. This is often temporary and is not typically serious. If you wear contact lenses, Lutera can cause visual changes or make it difficult to apply them. Other side effects include fluid retention and melasma. 

Lutera warnings


[1] 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. 


[Accessed 21 June 2021]

[2] Lindh, I, Et al. 2011. The long-term influence of combined oral contraceptives on body weight. Human Reproduction. U.K. Oxford Academic.


[Accessed 22nd June 2021]