
Vienva® birth control: same-day online prescriptions available
Vienva® provides a great contraceptive option if you don't want a long-term form of birth control. It's an easy, hassle-free way to avoid pregnancy and manage your menstrual cycle. To see if Vienva® is right for you, book an online appointment today to speak to one of our board-certified primary care physicians.
Vienva® birth control with same-day doctor appointments
Schedule a consultation with us to get advice, confidence, and the birth control method that suits your needs delivered to a pharmacy of your choice.
Our board-certified primary care doctors will help you assess birth control options to find the one that offers the best protection with the least discomfort. Prescriptions are provided at your physician’s discretion.
What is Vienva® and how does it work?
Vienva® is an affordable and discreet birth control pill containing low doses of estrogen and progestin. These hormones stop eggs from being released by the ovaries (ovulation) and make it harder for sperm to reach them by thickening the cervical mucus.1 Estrogen also keeps the uterine lining thin, so no egg can attach to it.
Hormonal pills like Vienva® are usually safe and effective, but you should talk to an online doctor who can help you choose the best contraception or hormonal treatment for you based on your health history.
Dosage and instructions
What are the pros and cons?
Cons
- May cause negative side effects
- May not be suitable for everyone, especially those with a history of blood clots, migraines, or certain medical conditions
- May cause spotting or irregular bleeding between periods, especially when starting the pill
- Generic equivalent (Larissia) available, which may be more affordable
Vienva® side effects
Negative side effects of Vienva® are like those of other birth control pills, which may include:
- Mood swings, anxiety, or depression6
- Irregular bleeding and spotting
Positive side effects may include:
- Steady weight maintenance
- Regular periods with reduced cramping
- Clearer skin
Many of these side effects lessen or disappear within the first few months of use as your body gets accustomed to the medication. Side effects can vary widely from person to person, so it is important to be aware and talk to your doctor about any changes you may notice.
Initial side effects
Less common side effects
Less common side effects of Vienva® include:
- Temporary hair thinning or loss, especially in the first few months of use9
- Breast tenderness or enlargement
Vienva® may also lower your chances of getting pregnant while you take the pills, but your fertility can return once you stop using them. Like any medication, there is a small chance of having an allergic reaction. Seek medical attention immediately if you experience symptoms such as swelling, rash, or difficulty breathing.
Serious side effects
In rare cases, you may experience more severe side effects such as:
- Increased risks of heart attack or stroke
- Blood clots (especially if you are a smoker over 35 years old)
- Slight increase in blood pressure
- Benign liver tumors
- Gallbladder disease
Keep an eye out for symptoms such as chest tightness, shortness of breath, pain radiating to the jaw or back, or lightheadedness. Consult your doctor right away for diagnosis and treatment.
Get medical help right away if you experience severe pain or swelling in the abdomen, nausea or vomiting, or yellowing of the skin or eyes. Talk to your doctor for proper testing and report any concerning symptoms right away.
Potential impact of Vienva® on acne
The hormones used in Vienva® can help improve the appearance of acne by decreasing sebum production (oil).10 If you struggle with hormonal acne, Vienva® may help provide clearer skin, fewer breakouts, and an overall improvement in tone and texture.
In other users, the progestin in Vienva® may trigger acne or cause it to worsen.11 If you are sensitive to androgenic effects, this can increase oil production, clogged hair follicles, and ultimately more breakouts.
Give your body at least three to six months to adjust to the pill before determining if it's effect on your skin. If your acne worsens or does not improve, talk to your doctor about switching to a birth control pill with anti-androgenic progestin or to different levels of hormones.
Drug interactions
Vienva® can interact with several medicines and herbal supplements, so fully disclosing your relevant medical history, including any medications you may be taking to your doctors is critical. For example, certain antibiotics can reduce the effectiveness of your birth control, as well as the herbal supplement St. John's wort.12 seizure medications such as carbamazepine may also interact with Vienva® negatively.
Be sure to inform your healthcare providers about any drugs or supplements you're taking, and let your doctor know if you're on any antibiotics so you can discuss alternative treatment options or adjust your dosage.
Cost and comparisons
Cost
Vienva® can be a budget-friendly choice if you're looking for an effective yet affordable contraceptive. We offer telehealth appointments for Vienva® prescriptions at competitive prices, with or without insurance.* Book a consultation with us to discuss the budget-friendly options available.*
*prescriptions are provided at your physician's discretion
Comparisons
Vienva® FAQs
Is Vienva® a low-dose birth control pill?
When does Vienva® start working?
How effective is Vienva® birth control?
Does Vienva® stop your period?
No, Vienva® pills do not typically stop your period. However, it can cause your periods to become lighter, shorter, or even skip some months. Some women experience lighter, shorter periods within the first three months of starting Vienva®. For others, it can take up to six months of use for menstrual changes to occur15.
If you find your periods have stopped for more than three months at a time, talk to your doctor. While inconvenient periods are certainly not ideal, some light breakthrough bleeding or spotting is considered normal on birth control pills.
However, if the bleeding becomes heavy or lasts more than a few days, contact your healthcare provider immediately.
Does Vienva® help with endometriosis?
Vienva® may be able to help decrease symptoms of endometriosis, and many women find their endometriosis symptoms become more manageable within three to six months.16
While Vienva® can help alleviate problems from endometriosis, the underlying condition remains. The pill does not cure endometriosis; it only suppresses symptoms.
Your doctor may also recommend other treatment options such as pain medication, hormone therapy, or laparoscopic surgery based on the severity of your symptoms.
3 simple steps to get Vienva® birth control online

Book an appointment.

Talk to your doctor about your birth control needs.

Pick up your prescription.
We can send prescriptions to any local pharmacy. Prescriptions are provided at the doctor's discretion.
It’s important to schedule a follow-up consultation three months after starting the pill to monitor how it's working, check for any side effects, and provide an opportunity for you to ask additional questions.
Online appointment pricing details
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 /month
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:



Paying without insurance
Membership
$19.99 /month
First month free
Visits
$129
Visit price without insurance
Sources:
PlushCare is dedicated to providing you with accurate and trustworthy health information.
- NICHD "Contraception and Birth Control" Accessed on April 16, 2024, at https://www.nichd.nih.gov/health/topics/factsheets/contraception#:~:text=Combined%20hormonal%20methods%20contain%20a,patch%2C%20or%20a%20vaginal%20ring
- Medline Plus "Estrogen and Progestin (Oral Contraceptives)" Accessed on April 16, 2024, at https://www.nichd.nih.gov/health/topics/factsheets/contraception#:~:text=Combined%20hormonal%20methods%20contain%20a,patch%2C%20or%20a%20vaginal%20ring
- Drugs.com "Vienva® User Reviews & Ratings" Accessed on April 16, 2024, at https://www.drugs.com/comments/ethinyl-estradiol-levonorgestrel/vienva.html
- Drugs.com "Vienva® Dosage" Accessed on April 16, 2024, at https://www.drugs.com/dosage/vienva.html#:~:text=Medically%20reviewed%20by%20Drugs.com,intervals%20not%20exceeding%2024%20hours
- Yale Medicine "Endometriosis Fact Sheet" Accessed on April 16, 2024, at https://www.yalemedicine.org/conditions/endometriosis
- Drugs.com "Vienva® for Birth Control User Reviews" Accessed on April 16, 2024, at https://www.drugs.com/comments/ethinyl-estradiol-levonorgestrel/vienva-for-contraception.html?page=2#:~:text=%22This%20pill%20hasn%27t%20given,that%20I%27ve%20ever%20felt
- PubMed "Weight change with oral contraceptive use and during the menstrual cycle. Results of daily measurements" Accessed on April 16, 2024, at https://pubmed.ncbi.nlm.nih.gov/10095970/
- Medical News Today "Do you gain weight with a birth control implant?" Accessed on April 16, 2024, at https://www.medicalnewstoday.com/articles/320058
- Harvard Health Publishing "Hair Loss" Accessed on April 16, 2024, at https://www.health.harvard.edu/a_to_z/hair-loss-a-to-z
- PubMed "Effect of contraceptives on the skin" Accessed on April 16, 2024, at https://pubmed.ncbi.nlm.nih.gov/3240155/
- Dermatology Online Journal "Progestins and acne vulgaris: a review" Accessed on April 16, 2024, at https://escholarship.org/content/qt6wm945xf/qt6wm945xf_noSplash_69d27db6681200fa2718989549297ad5.pdf
- Health First Colorado "Colorado Department of Health Care Policy and Financing
- Preferred Drug List (PDL)" Accessed on April 16, 2024, at https://hcpf.colorado.gov/sites/hcpf/files/10-01-21%20PDL%20v4.pdf
- PubChem "Norgestrel" Accessed on April 16, 2024, at https://pubchem.ncbi.nlm.nih.gov/compound/Norgestrel
- Office on Women’s Health "Endometriosis" Accessed on April 16, 2024, at https://www.womenshealth.gov/a-z-topics/endometriosis
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.