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.

If fewer than 12 hours have passed since you missed a pill, take the pill you missed immediately and any further pill as you would normally, even if this means taking two pills at the same time. Your protection from pregnancy shouldn’t be affected.

Should you find that it’s been more than 12 hours since your missed pill, or if you’ve missed more than one pill, take the pill you missed most recently straight away. Leave any pills you missed earlier than this in the strip. Take any pills that follow at the usual time, even if you have to take two pills in one day. You’ll need to use extra contraception such as a condom for the next 7 days.

Read the patient info that comes with your pill for more info. If you miss a pill towards the end of the pack, you may be advised to skip the inactive pill break and carry straight on to the next pack.

Trivora strips contain three different dosages of hormones, and the pills are in three different colours, to indicate to you which dosage is which.

Six pills are blue (containing 30/50 micrograms of ethinyl estradiol and levonorgestrel), five pills are white (containing 40/75 micrograms of ethinyl estradiol and levonorgestrel) and 10 pills are pink (containing 30/125 micrograms of ethinyl estradiol and levonorgestrel).

Because the strips contain pills which have different quantities of hormones in them, it’s especially important to take them in the correct order (by following the arrow and days of the week on the strip), so that the pills can work effectively.

With Trivora pills, due to the mix of different hormones in the pills, you should check with the doctor first before taking packs one after another to delay your period.

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.

There’s no definitive evidence that any birth control pill causes considerable weight gain.

In a small number of cases, women may gain a bit of weight when they first start to use the combined pill, but most of the time, any increases in weight are unlikely to be caused by the pill itself.

Taking the combined pill can lead to greater retention of water in the body to begin with, but the weight gain that you may get from this isn’t significant, and should only persist for a few months at most.

Some women have reported experiencing depression or low mood whilst using the pill.

If you find that your depressive or mood symptoms persist with Trivora, let our doctor know. They may suggest switching to an alternative pill.

In some cases, yes. According to research, hormones in the combined pill can help to manage androgen levels in the body, which keeps the body’s production of sebum (an oily substance in the skin) in check.^[2] This in turn helps to keep the pores in the skin clearer, and reduces the number of pimples you might get.

But some people find that the combined pill doesn’t help with acne, and it’s unlikely to fully clear the skin of acne altogether.

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.

The only difference between the Enpresse combined pill and Trivora is the manufacturer. Enpresse pills are made by Teva, rather than by Mayne Pharma, so the packaging and the appearance of the pills won’t be the same.

But otherwise, both pills work in the same way, and you take them in the same way.

With an EveAdam subscription, you can switch whenever you want. We like to keep things easy.

Just log in to your account and drop our doctor a message. Taking your medical history and any side effects or symptoms you may get into consideration, they can recommend other pills to you.