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Mili® birth control online: same-day prescriptions

If you're looking for a birth control pill that's easily accessible, simple to use, and fits in with your busy lifestyle, then Mili® is a great option. Schedule a convenient online appointment with a board-certified doctor to discuss your prescription.  

Effective pregnancy prevention Regulation of menstrual cycles Reduction in acne
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*Prescriptions are provided at the doctor’s discretion. Learn more about our controlled substances policy and how you can save up to 80% with our prescription discount card.
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What is Mili® birth control?

Mili® is a brand of combination birth control containing ethinyl estradiol (an estrogen) and desogestrel (a progestin). These hormones work together to prevent ovulation, egg development, and implantation. This pill is considered a low dose birth control, containing a lower amount of hormones compared to similar birth control methods. The active ingredients are norgestimate and ethinyl estradiol.  

 

How effective is it for contraception? 

When properly used, combination birth control pills like Mili® are over 99% effective at preventing pregnancy.1 This makes them more predictable and will often also make cramps less painful. 

 

Key benefits 

Menstruation: Mili® may also help your periods become lighter and more regular. 

Acne treatment: The hormones in birth control pills may also help clear up acne for some women.2 Lower levels of androgens, male sex hormones like testosterone, may lead to fewer breakouts. It can take several months of use for birth control pills to have an effect on yours; you may need to try different brands or combinations for the best results. 

PCOS symptoms: Mili® can also help manage polycystic ovary syndrome (PCOS)symptoms in some women.3 

Reduced cancer risk: The pill also lowers the risk of endometrial by preventing ovulation.4 

Pros and cons of Mili®

Pros

Highly effective in preventing pregnancy when taken correctly. Helps regulate menstrual cycles, reducing the risk of irregular periods. May reduce the severity of menstrual cramps and pain. Some users experience lighter periods and decreased menstrual flow. Offers additional benefits beyond contraception, such as acne reduction, improved skin health and improvement in PCOS symptoms.

Cons

  • Need to be taken daily for maximum effectiveness. 
  • Potential side effects such as nausea, headaches, breast tenderness, and mood changes. 
  • Some women may experience breakthrough bleeding or spotting, especially during the first few months of use. 
  • May not be suitable for women with certain medical conditions or those who are sensitive to hormonal contraceptives. 

Using Mili® Birth control

Dosage

Your pill pack will come with 28 tablets, which includes 21 active pills with hormones and seven inactive placebo pills. By taking one pill at the same time each day, the hormones will become effective after seven days. Until then, we recommend using a secondary method of birth control such as condoms. 

Instructions

You should start by taking the pills on the first day of your period. After this first week, take one light blue pill each day for 21 days.5 Then, take one brown reminder pill for seven days – this is the week you will have your period. You won't have ovulated, but your uterine lining will shed just like it does during a normal menstrual period. Be sure to start your next pack on the eighth day, even if you're still on your period. 

 

If you miss a pill, take it as soon as you remember and then take it as usual. If you miss two or more pills, take two pills as soon as possible and two pills the next day. 

Mili® side effects

Common side effects

When starting birth control or switching from another type, you may experience: 

  • Spotting 
  • Changes in mood or libido 
  • Slight weight gain7 
  • Breast tenderness 

Severe side effects

Talk to your doctor right away if you have rare but severe side effects such as: 
  • Leg pain, leg swelling, or shortness of breath (especially if you are a smoker) 

 

Other symptoms such as chest tightness, shortness of breath, pain radiating to the jaw or back, or lightheadedness could also be related to side effects. Consult your doctor right away should you experience any of these rare symptoms.  

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Mili® birth control comparisons and alternatives

Mili® contains the same active ingredients as Estarylla® and Sprintec®. 

Alternative birth control methods can include the patch and the vaginal ring, which are also short-term methods that you can change weekly or monthly. Long-acting reversible contraceptives, such as an IUD, provide contraception for years at a time without needing to take a daily pill. 

 

For the best choice of protection against unplanned pregnancy, discuss your options with your doctor to determine the method that will work best for you. 

Drug interactions

Some drugs, antibiotics, and supplements, such as medications for treating hepatitis C and the herbal supplement St. John's wort may decrease the effectiveness of Mili®. Others can increase the risk of negative side effects, and vice versa. 

 

Always tell your doctors about any medicines, vitamins, or herbs you use before taking birth control, and before any surgery, let your doctor know about your birth control, as it may increase your risk of blood clots. 

Warnings and precautions

If you're over 35 years old and smoke or have certain medical conditions such as migraines with aura, high blood pressure or diabetes, or a personal or family history of blood clots, Mili® may not be the right choice for you. Talk to your doctor about other options or if you need close monitoring while on the pill.  

 

Watch for signs of an allergic reaction like rash, hives, swelling of the face or tongue, or breathing difficulties, and tell your doctor immediately if any occur.  

 

If you think you may have an STD or are at high risk of infection, use condoms along with Mili® for protection. See your doctor right away if you have symptoms concerning an STD. Some STDs can have long-term effects on fertility if left untreated. Getting tested regularly is essential for your health and potential family planning. 

FAQs

Can you get pregnant on Mili® birth control?

If taken correctly, Mili® has a failure rate of only 0.3% per year.8 

Does Mili® stop your period?

Many women experience lighter, shorter periods, or even no menstrual bleeding at all while on Mili®. However, if you do not get your period at all for several months, consult your doctor. Mili® can be used continuously without the placebo week at the end of each pack if you wish to prevent periods altogether. While delaying or skipping your period with birth control pills is generally considered safe, talk to your doctor, especially if you plan to do so long-term. 

How much does Mili® cost?

Your insurance may cover online visits and prescriptions, leaving you with little to no cost. We also have affordable pay-as-you-go options. Meeting with our doctors online to get your prescription filled is highly convenient and budget friendly. 

When can you have unprotected intercourse? 

After starting your first pack of Mili®, it will take seven full days of consistent use for the birth control to become fully effective. During these first seven days, use a backup method of contraception like condoms if you have intercourse.  

Once you've taken the pills for seven consecutive days, Mili® will be 99% effective if you continue to take one pill each day at the same time8. You must take the pills consistently and correctly for Mili® to work. Missing pills or taking them late can reduce their effectiveness and increase your chances of becoming pregnant. 

How to get your Mili® prescription online

Choosing the right birth control doesn’t have to be overwhelming. We’re here to offer guidance, support, and to answer your questions. If your doctor recommends Mili® for your birth control needs, the prescription will be sent to your preferred pharmacy.

How It Works Step 1A
Step 1

Book a prescription appointment.

Book a same day appointment from anywhere.
How It Works Step 2A
Step 2

Talk to your doctor about your sexual health.

Visit with a doctor on your smartphone or computer.
How It Works Step 3
Step 3

Pick up your Mili® prescription.

We can send prescriptions to any local pharmacy. Prescriptions are provided at the doctor's discretion. 

Mili® birth control online appointment pricing details

To get a new or refill on your Mili® prescription, join our monthly membership and get discounted visits.

30 days of free membership

  • Same-day appointments 7 days a week
  • Unlimited messages with your Care Team
  • Prescription discount card to save up to 80%
  • Exclusive discounts on lab tests
  • Free memberships for your family
  • Cancel anytime

Paying with insurance

Membership

$19.99

First month free

+

Visits

Copay

Visit price with insurance

Often the same as an office visit. Most patients with in-network insurance pay $30 or less!

We accept these insurance plans and many more:


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Paying without insurance

Membership

$19.99

First month free

+

Visits

$129

Visit price without insurance

Initial visits are $129.

Sources:

PlushCare is dedicated to providing you with accurate and trustworthy health information.

  1. Medical News Today “What birth control methods take the shortest and longest time to work?” Accessed on April 16, 2024, at https://www.medicalnewstoday.com/articles/319996
  2. ACOG “Can birth control pills cure PCOS?” Accessed on April 16, 2024, at https://www.acog.org/womens-health/experts-and-stories/ask-acog/can-birth-control-pills-cure-pcos
  3. National Cancer Institute “Oral Contraceptives and Cancer Risk” Accessed on April 16, 2024, at https://www.cancer.gov/about-cancer/causes-prevention/risk/hormones/oral-contraceptives-fact-sheet
  4. URMedicine “HOW TO TAKE BIRTH CONTROL PILLS” Accessed on April 16, 2024, at https://www.urmc.rochester.edu/medialibraries/urmcmedia/ob-gyn/midwifery/documents/howtotakebirthcontrolpills.pdf
  5. National Library of Medicine “Hormonal Contraceptive Options for Women With Headache: A Review of the Evidence” Accessed on April 16, 2024, at https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2938905/
  6. Drugs.com “Mili User Reviews and Ratings” Accessed on April 16, 2024, at https://www.drugs.com/comments/ethinyl-estradiol-norgestimate/mili.html
  7. Guttmacher Institute “Contraceptive Effectiveness in the United States” Accessed on April 16, 2024, at https://www.guttmacher.org/fact-sheet/contraceptive-effectiveness-united-states#:~:text=The%20pill%2C%20ring%20and%20patch,the%20time%20of%20sexual%20intercourse
  8. Drugs.com “Mili Tablets Prescribing Information” Accessed on June 18, 2024, at https://www.drugs.com/pro/mili-tablets.html. 



PlushCare content is reviewed by MDs, PhDs, NPs, nutritionists, and other healthcare professionals. Learn more about our editorial standards and meet the medical team. The PlushCare site or any linked materials are not intended and should not be construed as medical advice, nor is the information a substitute for professional medical expertise or treatment.