Pimtrea Birth Control Pills

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Equivalent Generic Brands: Kariva, Viorele Bekyree

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What is Pimtrea Birth Control Pills?

Pimtrea is a combination oral contraceptive pill (OCP, birth control medication, birth control pills). It prevents pregnancy by preventing the release of an egg (ovulation), and thickening the cervical mucus, blocking sperm from getting into the uterus and getting to the egg. Pimtrea is also prescribed to: treat acne, reduce the risk of ovarian cysts (as in polycystic ovarian syndrome [PCOS]), treat painful or heavy periods, and more. Read More

How to Use Pimtrea

Pimtrea is super easy to use.

Just take one pill every day, at the same time each day. Many women find that taking Pimtrea before bedtime or just after their evening meal helps reduce nausea and other side effects.

After taking 21 days of active pills, then comes 2 inactive pills with no hormones that are there to keep you in the habit of taking a pill every day, then there are 5 pills with 10 mcg of estrogen.

For your first time starting Pimtrea, Pandia Health’s doctors recommend starting the medication on days 3-5 of your menstrual period to decrease the chance that you will get spotting on your 1st pack.

Pimtrea Dosage

Pimtrea contains two hormones, estrogen (Ethinyl Estradiol 20 mcg) and progestin (Desogestrel 0.15 mg).

Benefits of Pimtrea

  • Periods get lighter. If you are usually a 7-day person, it goes down to like 5 days. If you use 5 pads/tampons a day, it goes down to 3.
  • You can use it to make #PeriodsOptional. Just skip the last week of pills and go straight into the next pack. See Dr. Sophia Yeb, our CEO/Founder’s talk at the bottom of this page.
  • Helps with thetreatment of acne.

Pimtrea Warnings

Pimtrea is not recommended for women who smoke or have a history of cardiovascular disease, and are over the age of 35, due to an increased risk of blood clots, stroke, and heart attack. Women who have a history of blood clots, certain types of cancer, or liver disease should avoid Pimtrea birth control.

You must also be mindful of any other medications you’re on and review this list with your doctor or a Pandia Health expert Doctor. Interactions can also occur between Pimtrea and recreational drugs, over-the-counter medications (especially pseudoephedrine), and herbal supplements.

It’s important to note that no birth control method is without risk, and the benefits and risks of Pimtrea should be carefully considered before use. Women who are considering Pimtrea should discuss their medical history and any current health conditions with their doctor to determine if it is a safe and appropriate option for them.

Pimtrea Side Effects

The risks are very low, but some women have experienced unwanted side effects when taking Pimtrea, just like with other birth control pills. Minor ones include breast tenderness, headaches, nausea, and slightly elevated blood pressure or blood sugar levels. Those who wear contacts or are nearsighted may notice vision changes as well (1/230,000 chance). Positive side effects are also possible too, such as reduced acne, fewer mood swings, and other perks are fairly common.

The chances of serious side effects are extremely unlikely, but some cases have been documented. Severe symptoms include blood clots, shortness of breath, migraines, vision problems, slurred speech, confusion, and fainting. If this happens, call 911 or go to the ER ASAP and tell them you are on the birth control pill.

These may sound scary, but remember — they are very rare. The risk is about 3-6 women out of 10,000 per year using birth control pills might get a blood clot vs. 20 per 10,000 if you were pregnant or after someone has given birth recently. So being on birth control generally outweighs the risks from pregnancy.

Why Pandia Health?

FREE with insurance, $21/Pack without

FREE with insurance, $21/Pack without

FREE Delivery & Goodies

FREE Delivery & Goodies

Online prescription (skip the Dr. office visit and pharmacy lines)

Online prescription (skip the Dr. office visit and pharmacy lines)

Frequently Asked Questions


The research says birth control pills on average do not cause weight gain. Research shows that if you put 50 people on the birth control pill and 50 people not on the pill and follow them, the women not on the pill average 1 pound heavier. However, each person is different,  so some may experience weight gain when taking Pimtrea and other birth control pills. While there’s a small chance that the hormones can give you the munchies, it’s mostly water retention (and not actual fat).



Every prescription medication comes with a tiny risk of allergies, including Pimtrea. The symptoms are usually mild and include: rashes, itching, dizziness. If you get these, please tell your doctor. A severe allergic reaction would be: trouble breathing, and swollen lips, throat, or tongue. If this happens, call 911! Depending on your medical history, hormone-based birth control may not be for you. 

It’s important to discuss your medical history  and current medications with your physician before you get started on Pimtrea, especially if you’ve health problems such as smoking, cancer, heart disease, blood clots, uncontrolled diabetes, or high blood pressure.


Pimtrea should be available at just about any pharmacy in your area. However, it does require a prescription from a doctor, though. 

If you’re hesitant to ask your doctor about Pimtrea or simply prefer the privacy, convenience, and ease of the internet, give Pandia Health a try! We have expert, licensed, birth control-passionate doctors in every state we operate in. We also accept most forms of private insurance at Pandia Health and have cash options if you don’t have insurance. 

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Ask your doctor what you should avoid while taking birth control pills. The most common things to avoid while taking Pimtrea are St. John’s wort and certain antibiotics. Additionally, you shouldn’t smoke while taking Pimtrea.

As with any new prescription, you should go over anything you’re already taking with your doctor before starting Pimtrea. This includes recreational drugs, over-the-counter meds, and even herbal supplements. Even something that seems relatively harmless such as St. John’s wort can cause Pimtrea to be less effective at preventing pregnancy. There are certain meds you should absolutely bring up because they interfere with birth control pills. These are aromatase inhibitors, cancer, HIV, seizure, and chronic hepatitis C medications.


If you don’t have insurance or choose to pay, Pimtrea is $21 per pack or $48 for 3 packs. Pimtrea is a generic and there are other Pimtrea generics, such as Volnea, Bekyree, Viorele, Kimidess, Simliya. Generics have the SAME active ingredients and dosage as the name brand. Watch our video explaining generics vs. brand birth control pills.


You can use Pimtrea to stop your period. But if you take Pimtrea birth control “the regular way” (meaning 1 pill each day from the pack in order), it does not stop your periods. There are 28 tablets on each packet and you will have a bleed on the last 7 days of each pack (aka placebo week). If you want to skip your monthly bleed you can use Pimtrea to do that by skipping the last week of pills. Learn more about how you can make your #PeriodsOptional and how to skip your period here or ask your doctor at Pandia Health, the experts on birth control and skipping monthly bleeds.


The green pills in Pimtrea contain estrogen and are placeholder pills. You don’t have to take them but they may decrease the likelihood and duration of your withdrawal bleed each month. Pimtrea is a combination birth control pill and contains two hormones — progestin (desogestrel) and estrogen (ethinyl estradiol). Each pack contains 21 dark blue active combination tablets, two white inactive tablets, and five estrogen-only tablets green tablets. Once the green tablets are gone, start a new pack the next day, regardless of whether you have gotten your period. 


Pimtrea birth control is highly effective in preventing contraception. If taken perfectly, 3/1000 women each year would get pregnant. If taken “typically” 7 out of 100 women get pregnant on it each year.  So it’s important for the user to follow directions as instructed. Specifically, you must take tablets precisely as directed and at intervals not exceeding 24 hours.


Combination oral contraceptives are typically safe for young women who have already had their first period. While there are precautions, young women often start taking Pimtrea to help clear problematic acne or treat painful and/or heavy periods. If this is your desired outcome or if you’re concerned about taking Pimtrea as a young woman or are a parent seeking options for your teenage daughter, consider using Pandia Health’s expert birth control doctors.


The generic name for Pimtrea birth control  is desogestrel and ethinyl estradiol (20mcg) tablets. There are several other generic brands, including Kariva, Viorele, Bekyree.


If you miss a dose of Pimtrea birth control, the instructions for what to do can depend on where you are in your pill pack and how many pills you have missed.

Generally, if you miss one pill, take it as soon as you remember and then take the next pill at the usual time. If you miss two pills in a row, take two pills on the day you remember and two more the next day. Then, continue taking one pill per day at the usual time. It’s important to use a backup method of contraception, such as condoms, for at least the next 7 days after missing two pills.

If you miss three or more pills, contact your healthcare provider for guidance. In most cases, you may need to use a backup contraception method for a period of time and may want to consider emergency contraception if you had heterosexual relations within the past 5 days.

It’s important to take Pimtrea consistently and as directed to ensure its effectiveness as a birth control method. If you are having difficulty remembering to take your pills on schedule, talk to your healthcare provider about other birth control options (ring, patch, IUD, implant) that may be a better fit for you.

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