Doctor insights on:
Etonogestrel Vs Levonorgestrel
How do norethindrone, etonogestrel, and levonorgestrel compare in terms of health/safety risks, side effects, and androgenic activity?
Some answers: Androgenic activity wise from high to low: levonorgestrel, norethindrone, etonogestrel. Overall the health/safety risks are very similar. There is some small suggestion that 3rd generation progestins, like etonogestrel, have increased risk of thromboembolic disease like DVTs. Otherwise the androgenic effects are related to oily skin, acne, weight gain, glucose metabolism issues. Read moreSee 1 more doctor answer
I can't take estrogen due to suspected migraines. Which progestin is safest for me, norethindrone, levonorgestrel, or etonogestrel?
Do all progestin-only forms of BC have just 1 progestin available? All mini pills have norethindrone, IUDs levonorgestrel, implants etonogestrel, etc
0.75 levonorgestrel: 0.75 levonorgestrel is the active ingredient in Plan B emergency contraception. It can alter the menstrual cycle for 1-2 cycles. Other side effects lasting several days after taking levonorgestrel include nausea, abdominal pain, fatigue, headache, dizziness, and breast tenderness. Read more
Not really: The brand name and generic should work the same way. The generic will likely just cost you less money! Read more
How severe are side effects of levonorgestrel 1.5mg on average, can I go to work? How long shall I expect side effects to last?
You only know!: What ever you read are guidelines. The effects in any given individual vary. It's the patient's own experience that counts. What all we can say is that this is the "usual"usual" thing or time that may happen and if something out of the usual happens that's distressing you contact us. No guarantees of perfection, but we're here to help you get thru it. Read more
What issues?: After an iud is inserted, it can take 3-6 months for the side effects to stabilize. For most of us, this reliable, carefree method of birth control is worth the initial suffering. But if you have fever, abdominal pain, or abnormal/foul discharge, i'd be worried about infection, and i'd see a doc. If it's just cramps, Ibuprofen and a heating pad can help. Mood changes and acne usually get better. Read more
Days: Levonorgestrel binds to proteins in the blood and is eventually eliminated through mostly urine and some in feces. The amount of time for half of the drug to be eliminated is about 17-24 hours, 3/4 gone by 36-48 hours, 7/8 gone by 2-3 days, etc. For all practical purposes you can assume it is all gone in about 5 days. Read more
Highly unlikely: The Mirena (levonorgestrel) iud causes an extremely tiny amount of hormone into your body everyday for about 5 years. The dose is so small that it is very unlikely to cause acne or any other systemic illness. There are lots of reasons for acne to get worse, but the Mirena (levonorgestrel) iud is not a very likely cause. Read more
No longer available: Norplant (levonorgestrel) is not available anymore in the United States. There is a similar device called implanon. It is a thin, small cylindrical structure that is easily inserted under your skin. It lasts for three years. It has no estrogen in it. It is 99% effective. It can be associated with irregular bleeding. Read more