Our average rating based on 3344 reviews.

Starting from $48.00
Starting from $48.00
Here’s what's included in the price:
Answer a few questions about your health so we can get to know you better.
Free express shipping
Your treatment delivered in secure packaging, in 2-5 business days.
We’ll check in with you regularly to see how your treatment is going.

Buy Estarylla Online.

Estarylla is a birth control pill you take every day. It reduces your chances of getting pregnant so they’re super low.

Subscribe to Treated, buy Estarylla online and get your pill delivered regularly from a licensed US pharmacy.

Starting from $48.00
Here’s what's included in the price:
Answer a few questions about your health so we can get to know you better.
Free express shipping
Your treatment delivered in secure packaging, in 2-5 business days.
We’ll check in with you regularly to see how your treatment is going.
This page was medically reviewed by Ms Laurenmarie Cormier, Nurse Practitioner on August 02, 2022. Next review due on August 01, 2024.

Your partners in health

Ms Laurenmarie Cormier

Nurse Practitioner
Ms Laurenmarie Cormier

Registered with NPI (No. 1700446366)

Meet Laurenmarie  

Dr Bruce Oran

Senior Medical Adviser
Dr Bruce Oran

Registered with NPI (No. 1710957600)

Meet Bruce  

Dr Daniel Atkinson

GP Clinical lead
Dr Daniel Atkinson

Registered with GMC (No. 4624794)

Meet Daniel  

What’s included? Everything.

Shipping, consultation, treatment. It’s all included in the price.

EstaryllaNorgestimate/Ethinyl Estradiol

  • 0.25mg/0.035mg
Quantity Starting from
28 Tablets $35.00

ApriDesogestrel/Ethinyl Estradiol

  • 0.15mg - 0.03mg
Quantity Starting from
28 Pills $39.00
56 Pills $50.00 Save $28.00
84 Pills $60.00 Save $57.00
168 Pills $96.00 Save $138.00
252 Pills $123.00 Save $228.00
336 Pills $149.00 Save $319.00

FemynorNorgestimate and Ethinyl Estradiol

  • 0.25mg/0.035mg
Quantity Starting from
28 Tablets $49.00

YasminDrospirenone/Ethinyl Estradiol

  • 0.03mg-3mg
  • 0.03mg-3mg
Quantity Starting from
84 Pills $430.00
168 Pills $815.00 Save $45.00
336 Pills $1,587.00 Save $133.00
Quantity Starting from
28 Pills $166.00
56 Pills $298.00 Save $34.00

Choose how you do healthcare.

We know health, but you know you.
Our experts tell you what’s safe, but you decide what’s best.


Consult on your own time

Answer a few questions and tell us about yourself. Get tailored advice from our clinicians so you can choose better.


Treatments to fit your life

Choose your treatment and how often you have it delivered.

3Your health-continued

Your health, continued

We know things change. It’s the nature of life. We’ll check in regularly to make sure your treatment is still right for you.

4Control at your fingertips

Control at your fingertips

Pause. Change. Skip. Start again. Any time you like.

How are we doing?

Fast, efficient and speedy service. Would recommend!

My second time using your invaluable service. Efficient, effective and value for money. Thank you.

Treated have been a life saver for me. HRT provider 5 *. Promot and efficient personal service. Thank you once again. 😊

Very thorough and very helpful.

The service is on point, very fast and reliable.

Excellent service ,easy to order and next day delivery , definitely recommend this company


Our average rating based on 3344 reviews.

Give us the inbox treatment.

We're making healthcare more about you. Sign up to our newsletter for personalised health articles that make a difference.

Disclaimer: The information provided on this page is not a substitute for professional medical advice, diagnosis, or treatment. If you have any questions or concerns about your health, please talk to a doctor.

We’ll deliver to you by

What is Estarylla?

Estarylla (pronounced “es-tar-ill-ah”) is a combined hormonal birth control. It’s a pill you take every day at the same time. In combined birth control pills like Estarylla, you’ve got two hormones: an estrogen and a progestin. These trick your body into not doing the things it normally would to be pregnancy-ready.

Is Estarylla a combination pill?

Yes. Estarylla contains two hormones called norgestimate and ethinyl estradiol. These work in the body like natural hormones called progesterone and estrogen.

By altering the normal hormonal cycle your body goes through every month, they basically trick your ovaries into not releasing an egg. They also stop blood from settling on the uterine wall, so it’s harder for it to get thicker and accept a fertilized egg for implantation. Something else they do is make cervical fluid thicker. This makes it more difficult for sperm to get through to an egg.

Estarylla and Tri-Estarylla: What’s the difference?

Estarylla is a monophasic pill. This means that the 21 active pills in the pack contain the same level of hormones in them. In Estarylla, norgestimate and ethinyl estradiol are delivered into the body in a continuous dose over the active three weeks. The last 7 tablets in each pack are inactive pills (spacers to help you make sure you start taking the next batch of active pills on the right day).

Tri-Estarylla is a triphasic pill. The level of norgestimate in this pill rises from week to week, over the 21-day active pill period. These types of pills can be better for some women who experience progestogenic side effects (for example tender breasts or vaginal dryness) early in the month on a continuous dose.

Tri-Lo-Estarylla is very similar to Tri-Estarylla, only the estrogen is a little lower. This is a good alternative for women who have a slight estrogen sensitivity or who have experienced estrogenic side effects (for example nausea or bloating) on a higher dose.

Reference Popover #ref2
Reference Popover #ref1

How to take Estarylla

Estarylla comes in packs of 28 tablets. Take your pill at the same time each day.

If you’re not already taking a birth control pill or using hormonal birth control, you can start taking Estarylla on the day you get your period (Day 1 start), or on the first Sunday following your period.

You’re covered against pregnancy from the first day of taking it if you go for a Day 1 start. If you’re choosing a Sunday start, you’ll need to use condoms for the first seven days of use to stay protected.

Switching from another pill? Take your first Estarylla on the same day your other new pill pack would have started. If you’re switching from the ring or the patch, start on the day that your next ring or patch would have been inserted or applied.

How effective is Estarylla?

Pretty darn. When you take Estarylla right, it’s over 99% effective. This means that Estarylla pregnancy rates for women who take it perfectly are less than one in 100, over 12 months of use.

But as we all know, life happens. Forgetting a pill occasionally is pretty common. For typical, “real-world” use, the effectiveness of combined pills like Estarylla is around 91%. So we’re talking nine in 100 women getting pregnant over the course of a year.

Estarylla missed pill: What to do

If you forget to take a pill by more than 12 hours, it counts as a missed pill. Take a look at the package insert for guidance on what to do if this happens. If you’re still not sure, ask a doctor or pharmacist for help.

If you miss one active pill in weeks one, two or three (displayed on the pill packet), take the pill as soon as you remember. Then take the next active pill at the same time you normally would. This can mean taking two pills in one day. Your protection shouldn’t be reduced if this happens.

If you miss two active pills in week one or two, you should take two tablets on the day you remember and then another two the next day. After this, return to taking one pill daily until the pack is finished. You’ll need to make use of another birth control method, like condoms, for seven days following this.

If you forget to take two active birth control tablets in the third week or you miss three or more active tablets in a row, you should continue to take one pill only every day until the next Sunday. On this day, you should discard the rest of the pill packet and start a fresh pack on this day. Use condoms in the seven days that follow this, or abstain from sex until a week has passed after the normal resumption of treatment.

Medically reviewed by
Ms Laurenmarie Cormier
Nurse Practitioner
on August 02, 2022.
Meet Laurenmarie  
This page was medically reviewed by Ms Laurenmarie Cormier, Nurse Practitioner on August 02, 2022. Next review due on August 01, 2024.

How we source info.

When we present you with stats, data, opinion or a consensus, we’ll tell you where this came from. And we’ll only present data as clinically reliable if it’s come from a reputable source, such as a state or government-funded health body, a peer-reviewed medical journal, or a recognised analytics or data body. Read more in our editorial policy.

Estarylla: FAQ

Have something specific you want to know? Search our info below, or ask our experts a question if you can’t find what you’re looking for.

Can you take Estarylla for acne?

For some women, Estarylla might help with acne. But there are other birth control pills that are indicated for acne and may do a better job. Let the doctor know during your consultation if you have acne problems and are seeking a pill that can help you with these symptoms.

Does Estarylla stop your period?

When you take Estarylla, you’ll have a withdrawal bleed during your inactive pill week. So not quite the same as a period.

There is a way you can take Estarylla to stop bleeding altogether, which involves skipping the inactive pill week and going right onto your next pill pack. But you should check with the doctor before doing this, to make sure this method is right for you.

Are there many Estarylla generics?

There are. Other brands of the Estarylla pill include Mono-Linyah, Ortho-Cyclen, MonoNessa, Previfem, Femynor, Sprintec, Mili and VyLibra.

These pills all contain the same hormones in the same amounts. So technically, they should work the same in the body. The main difference is that they’re made by different companies, so the prices are different. Sprintec and Previfem are a little cheaper than the others.

What are the most common side effects with Estarylla?

Breast tenderness, nausea, headache and abdominal pain are listed as common side effects when starting Estarylla or similar pills.

Most medications carry a risk of side effects. With the pill, it’s typical for milder side effects to pass after a few weeks or months of use. Serious side effects are rare. But if you continue to have these side effects or find them uncomfortable, you let the doctor know.

Is Estarylla the same as Sprintec?

If you’re talking hormones and dosage, yes, Estarylla is the same thing as Sprintec. But they’re made with different ingredients, by different companies and are different prices. Sprintec is a little cheaper than Estarylla.

So while they should work just the same, there are some small differences.

What if I want a lower dose of Estarylla?

If you get mild side effects when taking Estarylla, Tri-Estarylla may be a better option. The level of progestin in this drug slowly increases over the three week active pill period. So it could be worth a switch if you get side effects like vaginal dryness or tender breasts.

There’s also a lower dose version of Tri-Estarylla, called Tri-Lo-Estarylla. This carries a slightly lower estrogen dose, and can be beneficial for women who get estrogenic side effects on higher doses.

If you’re experiencing side effects and want to ask about other pills, this is super simple to do with a Treated subscription. All you need to do is sign in to your account and send the doctor a message. They’ll get back to you with other more suitable suggestions, and switching to a different pill is easy.

Why should I buy Estarylla with Treated?

Imagine this: your Estarylla tablets just regularly showing up at your door. No repeat requests for your prescription with the physician. No repeat visits to the pharmacy or having to wait in line. Just setting up a delivery schedule online, and getting your birth control sent to you every three, six or 12 months.

It’s easy getting your birth control pill set up on a subscription plan with Treated. Take a consultation with a US physician to get recommendations. Choose a medication from their suggestions, and decide how often you want it to be delivered. You’ll receive your first package in just a few days from our preferred pharmacy, and again as often as you need. And you can change, pause or cancel your plan anytime, just by signing in to your account.
Want to know something else?

Add a treatment to compare.

Suggest a treatment

If there’s a particular treatment or condition you’re looking for, tell us and we’ll look into it for you.

Ask or suggest something.

Submit your question here, or tell us if you’ve found an issue on our site.

We may email you about your query, but you can opt out of these communications any time you like.

Our average rating based on 3344 reviews.

Tell us about a problem

I accept the terms of use.
We may email you about the problem, but you can opt out of these communications any time you like.

Is this your first time with us?

You can continue as a guest, or sign in with your Treated account if you have one. 


Our average rating based on 3344 reviews.


Sign up to our newsletter for all the latest on Combined Pills and more.

By clicking 'Subscribe now' you're agreeing to our Privacy Policy.

You’re signed up to our newsletter. Keep an eye on your inbox for our latest update.

We’ll get back to you very soon. We aim to respond to all queries in one working day.