Tri-Estarylla

What is Tri-Estarylla?

Tri-Estarylla is a combination hormone medication that’s used to prevent pregnancy. It contains two different hormones that work to stop you from getting pregnant: norgestimate and ethinyl estradiol. When used correctly it’s over 99% effective at preventing pregnancy.

It releases varying levels of hormones in the active birth control pills, making it follow your natural cycle more closely. This is known as tri-phasic birth control. This phased dose can be better to control PMS symptoms that are usually associated with your period. Tri-Estarylla comes in packs of 28 pills.

How does Tri-Estarylla work?

The hormones in Tri-Estarylla work in three different ways to prevent pregnancy. First, it stops your body from releasing an egg during ovulation. It also stops your womb lining from thickening so an egg can’t implant itself. Finally, it makes your cervical fluid thicker so that sperm can’t get through.

So it all works together to make pregnancy less likely. Tri-Estarylla can also help to regulate your period and make it lighter. It can even help with PMS symptoms that many women experience during their menstrual cycle.

What doses of Tri-Estarylla are there?

Every package of Tri-Estarylla has 21 active birth control pills and 7 inactive pills. The ‘inactive’ pills don’t have any hormones. Taking a break from the hormones means you can have your period, while still taking the inactive pills helps you remember to take it everyday.

The active birth control pills contain norgestimate and ethinyl estradiol (0.18mg - 0.215mg - 0.25 mg/0.035mg) to phase the delivery of hormones throughout the month. These hormones change through the month on a 7/7/7 basis, which means 7 days at each phase of hormones.

The pills are color-coded to make it simple to identify which dose of hormones they have. You’ll start off taking the white pills for seven days, which have 0.18 mg of norgestimate and 0.035 mg of ethinyl estradiol.

On days 8-15 of each pack of Tri-Estarylla, you’ll take the light blue pills which have the same dose of estrogen and 0.215mg of norgestimate. Then you’ll take the blue pills for seven days, which have 0.25mg of norgestimate. Finally, you take the inactive pills, which are green and don’t contain any hormones.

There’s a low hormone dose version available Tri-Lo-Estarylla which may be better for people who have side effects from birth control with a higher dose of hormones. There’s also a version that gives you the same dose of hormones each month (known as mono-phasic) called Previfem.

How to take Tri-Estarylla

You should make sure to always follow your clinician’s advice on taking Tri-Estarylla, but it’s pretty simple. Take one pill a day, at the same time every day. Using an alarm or a medication reminder app on your phone can help you remember. You can also make taking the pill part of your routine, like always taking Tri-Estarylla with breakfast. Since Tri-Estarylla contains different levels of hormones, it’s important to take the right pill on the right day. Following the arrows on the pack will help you to know which pill you need to take.

How long does it take Tri-Estarylla to work?

There’s a few things that affect how long it takes Tri-Estarylla to protect you against pregnancy. In some cases, you’ll be protected right away. If you aren’t switching from another method of birth control, and you start taking Tri-Estarylla on the first day of your period, your pill will be effective right away. If you’ve just had an IUS, vaginal ring or vaginal patch removed on the day you start Try-Estarylla, it should provide protection immediately. It’s the same with birth control pills, mini or combined. If there’s been a break between switching to Tri-Estarylla, or you haven’t taken birth control pills before and you’re not starting on the first day of your period, you need extra protection. Same with the copper IUD. You’ll need to use a barrier method like condoms for the first seven days. If you have any questions about starting Tri-Estarylla, just message our clinician. We make it easy to get the advice you need, wherever you are.

What should I do if I make a mistake when taking Tri-Estarylla?

What happens if you forget a pill? Because Tri-Estarylla is a phased pill, it depends on how many you’ve missed, and which type. If you miss one light blue, blue or white pill (the ones with hormones), just take it as soon as you remember and keep taking Tri-Estarylla as normal. If you miss more than one active pill, you need to use an extra form of birth control like condoms for seven days to prevent pregnancy. If you’ve forgotten to take a green pill, you’re still protected, as these don’t have hormones. Just skip that day, then take tomorrow’s pill at the right time. If you have any questions, you can message one of our clinicians from your account. Remember to treat vomiting or diarrhea within three to four hours of taking your pill in the same way you would treat a missed pill. Taking too much Tri-Estarylla is unlikely to cause any serious problems, but you might have some vaginal bleeding. Always see a clinician for advice if you’re worried about side effects after taking extra Tri-Estarylla.