Levonorgestrel, ethinyl estradiol



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Levonorgestrel, ethinyl estradiol


Trivora is a type of birth control pill. It offers a very high level of protection from pregnancy if you take it correctly. 

Subscribe to EveAdam to buy Trivora online, and get fast delivery from a US pharmacy. 

From only $15.85 per month

Getting your repeat pill just got simpler. Buy Trivora online.

Trivora is a combined birth control pill that contains two hormones (fancy word alert): levonorgestrel and ethinyl estradiol. These two hormones work in the same way as estrogen and progesterone in the body to stop you from getting pregnant.

Prescriptions posted promptly to your door. How does that sound? With an EveAdam subscription, you can buy Trivora online and we’ll deliver it to you as often as you need it. Start a consultation to get contraception suggestions from a licensed doctor, and choose an option. They’ll then put together your prescription and our pharmacy will do the rest.

Your first package will be delivered to you in 2-5 working days and after that, every 1, 2, 3, 6, 9 or 12 months, depending on your preference.

No stress. No fuss.

How does Trivora work?

There are three ways in which Trivora gives you protection from pregnancy.

The two hormones in it stop the ovaries from releasing an egg during ovulation, and thicken the mucus in the cervix, which makes it more difficult for sperm to reach an egg.

They also make the lining of the uterus thinner, which reduces the chances of a fertilized egg latching on to the uterine wall and growing.

The combined pill tends to make your periods lighter, regular and less painful, so there are additional benefits to taking it too.

So it’s an all-round multitasker.

What’s the difference between Trivora and other pills?

Like other hormonal birth control pills, you take Trivora at the same time every day. It’s a “combined” pill, so it’s made from a synthetic estrogen and progesterone. There are a few things that make Trivora special, though.

Trivora is a triphasic birth control pill while the most common pills are monophasic. Monophasic pills contain one (mono) dose of hormones in all of the active pills. You can guess where we’re going here — Trivora has three different doses of hormones. (That’s also why it’s called Trivora!) Changing up the hormone levels is thought to more closely mimic natural hormone fluctuations, which can help with birth control side effects.

Each package of Trivora comes with 21 active pills and 7 inactive pills, which don’t contain any hormones. That’s because some women prefer to stay in the routine of taking a pill every day, rather than taking a 7-day break, just to reduce the risks of ever forgetting a pill. The extra 7 placebo pills that you get with Trivora help to provide this security.

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


What is Trivora?

Trivora is a branded combined contraceptive pill that protects you from getting pregnant.

It’s known as a “triphasic” pill, which sounds a bit like something out of a natural history show, but it’s pretty simple. A triphasic pill is a pill that contains three different dosages of progestin and estrogen that you take for 21 days, followed by 7 days of inactive pills with no hormones.

The 21 active pills are three different colours, for each of the three dosages. Six are blue (containing 30/50 micrograms of ethinyl estradiol and levonorgestrel), five are white (containing 40/75 micrograms of ethinyl estradiol and levonorgestrel) and 10 are pink (containing 30/125 micrograms of ethinyl estradiol and levonorgestrel). So speaking plainly, different pills with different hormones in them.

As a triphasic pill, because it contains different amounts of hormones and mimics the body’s natural cycle very closely, it’s very important that Trivora pills are taken in the correct order.

How effective is Trivora?

What ingredients are in Trivora?

How do you buy Trivora online?

How to take Trivora pills

Each pill in the pack has a day of the week marked next to it, and you should take each one on the day of the week that it corresponds with. Take one pill at the same time every day.

It’s best to take your first pill on the first day of your period, as this will give you immediate protection from pregnancy.

Start by taking pill number 1, and mark that day of the week beneath the heading, “I took my first pill on” by piercing the small, foil disc that isn’t numbered. This is there to help remind you of the day you started your strip on.

Follow the direction of the arrows on the pack until you have taken all 21 active pills. You can swallow each pill whole with water if you prefer to, but don’t chew the pills. Then, you’ll take 7 pills without hormones before starting a new pack.

A couple of days after taking the last active pill, you should get your period. You may still be having your period when you start your next pack of pills; this is absolutely fine and nothing to worry about. It’s important that you start your new pack on time.

So long as you’ve taken your pills correctly and start your next pack of pills when you should, you don’t need to use any additional contraception during your 7 inactive-pill days.

Provided that you take Trivora correctly, you’ll always start a new pack on the same day of the week.

What to do about a Trivora missed pill

Why are Trivora pills different colors?

Can I take Trivora back-to-back to delay my period?

What are the most common Trivora side effects?

Some of the most common side effects are feeling nauseous, a sore stomach, headaches and sore or painful breasts. These side effects should go away on their own after a short period of time, but if you find that they persist, drop our doctor a message via your EveAdam account. They may advise you to try an alternative pill, and can discuss your options with you.

Does the Trivora pill cause weight gain?

Can the pill affect my moods?

Can Trivora help treat acne?

Trivora vs Levora: what’s the difference?

Trivora and Levora are both combined hormonal contraceptive pills, and both pills contain the same two hormones, ethinyl estradiol and levonorgestrel. They also work in the same way in the body, and are even made by the same company: Mayne Pharma.

The difference is that Trivora is a triphasic pill, whereas Levora is what we call a monophasic pill, which just means that each pill has the same amount of hormones in it.

In terms of which pill is best for you, it depends on how your body reacts to a higher, lower or a more mixed amount of hormones. The doctor can help to guide you on this during your consultation, taking your medical background and any symptoms or side effects you’ve experienced previously with combined pills into account.

Is Enpresse the same as Trivora?

If I want to switch from Trivora to another pill, what should I do?


Before you start using Trivora, it’s very important that you read the patient info that comes with your pills.

If you’re uncertain about anything at all, we can help. Chat with a doctor through your EveAdam account anytime.

More on safety using oral contraceptives here

Can Trivora interact with other medications?

Just like other combined birth control pills, Trivora may interact with other types of medication, and certain medications can impact on how effective it is. So it’s very important that you tell our doctor during your consultation if you’re taking, or have recently been taking, other medications.

This includes any vitamins, supplements or recreational drugs you use (or have recently used), just so that we can make sure that Trivora is safe for you to take. 

For a full list of medications that can interact with Trivora, see the package insert that comes with your pills. Or let our doctor know if you're unsure. They should be able to help. 

Can anyone take Trivora?


[1] Cooper, D.B. and Mahdy, H. 2020. Oral Contraceptive Pills. Stat Pearls. U.S.A. NCBI. 


[Accesssed 21st July 2021]

[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.


[Accessed 2nd July 2021]