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ContraceptionContraception

Combined contraceptive tablets pair an oestrogen with a progestogen, and the brands here differ mainly in which progestogen is used and whether a tablet is also given for a second reason, such as acne. Which one suits a person is a decision to reach with a prescriber, since it depends on individual health history as well as preference.

Yaz

Ethinylestradiol, Drospirenone

0.02mg + 3mg

Formulated to alleviate hormonal acne and symptoms of PMDD to support pregnancy prevention and target cycle regularity.

From$1.90/ tabletView

Key points

  • Combined pills contain both an oestrogen and a progestogen; progestogen-only pills do not contain an oestrogen.
  • WHO and NHS describe combined pills as working mainly by stopping ovulation.
  • Every tablet here pairs ethinylestradiol with levonorgestrel, drospirenone, cyproterone acetate, norgestimate or desogestrel.
  • Diane 35 and Ginette-35 are also used for hirsutism and androgen-dependent acne, alongside or instead of contraception.

Ingredient pairings in this group

Ethinylestradiol is the oestrogen in all seven tablets. Levlen pairs it with levonorgestrel; Mircette and Desogen pair it with desogestrel; Yaz pairs it with drospirenone; and Ortho Tri-Cyclen pairs it with norgestimate. Which progestogen a brand uses does not change that main action. The UAE’s Emirates Drug Establishment lists Yaz as a tablet combining drospirenone with ethinylestradiol.

Why Diane 35 and Ginette-35 also treat acne and hair growth

Diane 35 and Ginette-35 pair ethinylestradiol with cyproterone acetate, an anti-androgen, and both are used for hirsutism and androgen-dependent acne. Diane 35 is also used for contraception; Ginette-35’s role here is treating acne and excess hair growth linked to androgen activity rather than preventing pregnancy. Desogen, Ortho Tri-Cyclen and Yaz also treat acne vulgaris alongside contraception, and Yaz additionally treats premenstrual dysphoric disorder.

Further reading