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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. 

Discreet and confidential Vienva® birth control Effective treatment for preventing pregnancy Convenient telehealth access to Vienva® prescriptions
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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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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

The convenient pill pack makes it easy for you to stay on schedule. The first 21 blue pills are your “active pills” and the last seven are placebo “reminder pills”. While taking Vienva®, you may experience a lighter period during this last week.3 You should take the pills at the same time each day and start your new pack of pills on time for it to be most effective.4 If you forget, you should take the pill as soon as possible. Always consult your physician for personalized medical advice.  

What are the pros and cons?

Pros

Highly effective in preventing pregnancy (over 99% with perfect use, 91% with typical use) Convenient - one pill daily Regulates periods and can help reduce cramps May improve acne for some users

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

While you may experience minor weight changes while on Vienva®, it does not directly cause weight gain.7 Studies have shown that most people's weight stays within a few pounds of their average weight, as Vienva® does not change your metabolism rate or fat storage.8 

Less common side effects

Less common side effects of Vienva® include: 

  • 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) 
  • 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. 

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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

The most similar pills to Vienva® are Larissia and Aviane. They are generic versions of each other, are just as effective at preventing pregnancy, and will likely cause similar side effects. However, they may differ in the specific hormones they use and the side effects they cause.  

Vienva® FAQs

Is Vienva® a low-dose birth control pill?

Yes, because it contains a lower amount of estrogen (ethinyl estradiol) and a progestin called levonorgestrel.13  The estrogen level in Vienva® pills is 20 mcg, which is a lower dose than some other combination birth control pills. This may cause fewer side effects while having the same effective results. 

When does Vienva® start working?

Vienva® will take at least a week before it becomes fully effective. During the first week of use, we advise using a backup method of birth control such as condoms. 

How effective is Vienva® birth control?

After that initial week of use, Vienva® birth control pills are over 99% effective when taken correctly and consistently at the same time every day.14 This is a highly reliable option if used properly.  

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

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Step 1

Book an appointment.

Book a same-day appointment from anywhere. 
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Step 2

Talk to your doctor about your birth control needs.

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

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

To get a new or refill on your Vienva® birth control 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. 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
  2. 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
  3. Drugs.com "Vienva® User Reviews & Ratings" Accessed on April 16, 2024, at https://www.drugs.com/comments/ethinyl-estradiol-levonorgestrel/vienva.html
  4. 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
  5. Yale Medicine "Endometriosis Fact Sheet" Accessed on April 16, 2024, at https://www.yalemedicine.org/conditions/endometriosis
  6. 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
  7. 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/
  8. Medical News Today "Do you gain weight with a birth control implant?" Accessed on April 16, 2024, at https://www.medicalnewstoday.com/articles/320058
  9. Harvard Health Publishing "Hair Loss" Accessed on April 16, 2024, at https://www.health.harvard.edu/a_to_z/hair-loss-a-to-z
  10. PubMed "Effect of contraceptives on the skin" Accessed on April 16, 2024, at https://pubmed.ncbi.nlm.nih.gov/3240155/
  11. Dermatology Online Journal "Progestins and acne vulgaris: a review" Accessed on April 16, 2024, at https://escholarship.org/content/qt6wm945xf/qt6wm945xf_noSplash_69d27db6681200fa2718989549297ad5.pdf
  12. Health First Colorado "Colorado Department of Health Care Policy and Financing
  13. Preferred Drug List (PDL)" Accessed on April 16, 2024, at https://hcpf.colorado.gov/sites/hcpf/files/10-01-21%20PDL%20v4.pdf
  14. PubChem "Norgestrel" Accessed on April 16, 2024, at https://pubchem.ncbi.nlm.nih.gov/compound/Norgestrel
  15. 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.