Get Started


Combined Oral Contraceptive Pill


Treats Acne
Regulates Periods
Treats Irregular Periods
Less Painful Periods
Prevents Pregnancy
Decreases Heavy Periods
Decreases Anemia
Decreases Monthly Blood Loss
Decreases Risk of Ovarian Cysts
Decreases Risk of Ovarian Cancer
Decreases Risk of Endometrial Cancer
Decreases Risk of Colorectal Cancer

Active Ingredients

Levonogestrel 90 mcg and Ethinyl Estradiol 20 mcg


Do NOT use if allergic to estrogen or progestin. Discuss use with a doctor before breastfeeding, may decrease milk volume.

Equivalent Generic Brands


Name Brand

Lybrel (Discontinued)

Popular Birth Control Pill Brands







New Questions

Yes. Generics, by law, have the same active ingredients as their name-brand versions. Generics may differ on the inactive ingredients.  


Periods are optional! The only reason that we build the lining of our uterus every month and pop out an egg (ovulation) is to make a baby. On average in the US, periods start at 12 years old and women have their first baby at 26 y/o. If we aren’t going to make a baby, then why bother with that? Every time we shed our lining and pop out an egg unnecessarily, that adds to the risk of endometrial and ovarian cancer. That’s 14 years of monthly periods for no good reason. So you can turn those off with the ring or pill or IUD with hormones. It prevents endometrial and ovarian cancer and anemia. Women and physicians have done it since 1960s. And the natural state of a woman is pregnant or breastfeeding and she has no periods during that time. Refer her to the wings of inspired business podcast for more info.  



What is Lybrel?

Lybrel was a combination extended-cycle birth control pill (oral contraceptive) containing two types of hormones, estrogen (ethinyl estradiol) and progestin (levonorgestrel). These hormones effectively make your body think it’s pregnant, so a real pregnancy won’t occur.

Lybrel is currently off the market, but its generic equivalent Amethyst is the same type of medication. Amethyst contains only 20 mcg of estrogen per pill, which is lower than the 30 mcg of estrogen Pandia Health founder Dr. Sophia Yen recommends for women under the age of 30. Young women need at least 30 mcg of estrogen in order to promote good bone development and strength. If you’re younger than 30, talk to our team about slightly stronger or alternative birth control options, such as Levora, Chateal, Portia, Lillow, Marlissa, Kurvelo, or Ayuna.

Lybrel Birth Control Side Effects

While usually mild and temporary, undesired Lybrel side effects have been reported, including nausea, vomiting, acne, weight gain, or problems with contact lens use.

One of the major differences with Lybrel compared to other birth control pills is that you won’t have a period while using it, although you might notice occasional spotting. Many women love the freedom of not getting periods (yes, this is considered safe!). GOOD Lybrel side effects have been reported, too, including less painful periods, less breast tenderness, and less nausea compared to other birth control pills that have placebo or “inactive” pills.

Get Lybrel Birth Control Online + Free Delivery

Pandia Health is here to help you feel in control of your reproductive and sexual health! Lybrel isn’t available anymore, but we can help you get its equally effective (and cheaper!) generic equivalent, Amethyst. Amethyst is pretty affordable at around $30 a pack. If Amethyst isn’t the right choice for you, we’ll take all the time needed to find the perfect alternative for you.


Does Lybrel cause weight gain?

Some women noticed mild increases in weight while taking Lybrel or its generic equivalent Amethyst. But this weight gain is usually mild and temporary. It’s often because of water retention.

Any other important information about Lybrel?

If you have any questions about whether a birth control pill like Lybrel is right for you, talk to your doctor or one of our Pandia Health Patient Care Advisors. Always go over your current list of medications, including supplements and drugs (including prescription, over-the-counter, and recreational) to make sure they’re safe to take with your birth control. Some medications could interact with birth control pills and make them less effective, or lead to other adverse reactions.

What precautions should I be aware of with Lybrel?

Some women shouldn’t take hormonal birth control pills if they have a history of medical conditions like cancer, heart disease, high blood pressure, blood clots, or diabetes. Smoking while taking birth control dramatically increases the risk of serious adverse reactions to birth control, including blood clots. You shouldn’t smoke anyway, but especially not while taking birth control.

Consult with your doctor before taking Amethyst if you are breastfeeding.

All medications come with a small risk of an allergic reaction, including itching or a skin rash. If you notice these symptoms while taking a medication like Lybrel, stop taking it right away and call a doctor. Seek immediate medical attention and call 911 if you experience signs and symptoms of a severe allergic reaction, like trouble breathing or swelling of the lips and tongue.

How easy is it to get Lybrel?

You can’t get the brand name Lybrel anymore because it was taken off the market. This wasn’t because there were concerns over its safety or effectiveness, but simply because of the financial impact of having cheaper alternatives. That generic alternative of Lybrel is called Amethyst. Amethyst is easy to get at any typical pharmacy, but you’ll need a prescription for it. Give Pandia Health a try if you’re concerned about chatting with your personal doctor or if you’d like to explore the convenience of online birth control prescription and delivery!

Our licensed and board-certified physicians work in several states, and we offer most forms of private insurance. If you won’t be paying with insurance or don’t have insurance, you’re in luck! We offer plenty of flexible payment options to improve your access to the birth control you want and need.

How does Lybrel work?

Lybrel works like other birth control pills, namely by preventing the release of an egg from an ovary (ovulation). It also makes vaginal fluid thicker, so it’s harder for sperm to reach an egg. Plus, it’ll make changes in the uterine wall so that if an egg does become fertilized by sperm, the egg will be less likely to attach to the uterus (womb).

Unlike other birth control pills, Lybrel and its generic equivalent Amethyst only contain “active” pills and no placebo or “inactive” pills. This makes it a great option for women who are interested in #PeriodsOptional lifestyles. Other types of extended-cycle birth control pills include Seasonale, Jolessa, Quasense, and Seasonique. Check out our blog post here for more information.

To take Lybrel’s generic equivalent Amethyst, simply take one pill every day at the same time. Most birth control manufacturers recommend taking your pill at night or with a large meal if you have concerns about nausea. When used correctly, birth control pills are up to 99% effective at preventing pregnancy!

Does Lybrel birth control cause infertility?

Lybrel (rather, its generic equivalent) doesn’t cause infertility. Research even suggests birth control pills may reduce the risk of certain types of cancer, including ovarian cancer and endometrial cancer. While your fertility will temporarily be affected while taking Lybrel, it should return to normal soon after stopping Lybrel, and you can get pregnant right away. Most women notice normal fertility and normal periods within about one to three months after stopping Lybrel.