Contraception
Low-dose pills are almost 100% effective in preventing pregnancy when taken correctly.
In addition, unlike the conventional medium-dose pill, it is an ideal contraceptive method with few side effects.
The two types of female hormones, estrogen (follicle hormone) and progesterone (luteinizing hormone), suppress follicle maturation and ovulation, creating an environment that makes it difficult for a fertilized egg to implant, and increasing the viscosity of cervical mucus to prevent sperm from entering the uterus, thereby providing a contraceptive effect.
There are various types of low-dose pills, including "monophasic pills," in which all hormones are the same, "stepped pills," in which the hormone content varies in stages, and a 28-pill type that includes 21 pills and 7 placebo (fake) pills.
Low Dosage Pill
Low-dose birth control pills are tablets used for contraception that contain two types of female hormones: estrogen and progestin.
These hormones act on the pituitary gland to suppress the maturation and ovulation of follicles.
They also prevent thickening of the endometrium, making it difficult for fertilized eggs to implant, and increase the viscosity of cervical mucus, which hinders the entry of sperm into the uterus.
Low-dose birth control pills have a high contraceptive efficacy while limiting the hormone levels compared to conventional medium-dose birth control pills to reduce serious side effects.
Suppression of ovulation can be achieved by taking them properly.
During the initial period of taking low-dose birth control pills, the hormonal changes may cause side effects such as nausea and breast tenderness, but these are temporary until the body adjusts.
Continued use of the medication will gradually relieve the symptoms.
Effects other than contraception - Reduction of menstrual cramps and PMS (dysmenorrhea)
Low-dose pills are generally recognized as contraceptives, but they play a role in alleviating various problems caused by hormonal imbalance, and are said to be particularly useful in alleviating menstrual pain and PMS (dysmenorrhoea).
| Efficacy other than contraception | |
|---|---|
| Merit | Relief of menstrual cramps and menorrhagia Improvement of irregular menstruation Relief of PMS (dysmenorrhea) Prevention of uterine and ovarian cancer |
| Demerit | Immediately after taking the medicine, symptoms such as nausea, headache, and irregular bleeding may appear. The risk of thromboembolism is said to be slightly increased. If you experience numbness, swelling, or chest pain in your hands or feet, stop taking this medicine and consult a doctor. |
Types of Low-Dose Birth Control Pills
The low-dose pill is taken at approximately the same time each day from the first day of menstruation.
After taking them for 21 days, there is a 7-day rest period where no pills are taken, which is repeated.
Normally, menstruation occurs during the rest period.
1 sheet 21 tablets type and 28 tablets type
The low-dose pills come in two types, one sheet containing 21 tablets and one sheet containing 28 tablets.
The 21-tablet type is taken every day for 21 days, and then a 7-day break is taken before starting the next sheet.
The 28-tablet type is taken every day for 28 days, and then a new sheet is started on the following day.
Of the 28 tablets, 21 contain active ingredients, and the last 7 are placebos that do not contain any active ingredients.
Since there is no break in taking the pills, it is easier to maintain the habit of taking the pills every day, and there is no worry about forgetting how many days of break have been taken.
The pills we handle at our clinic are also of this type.
monophasic and multiphasic pills
"monophasic pills," which contain the same amount of hormones in all 21 tablets of a single cycle, and "multiphasic pills," which gradually change the amount of hormones according to a woman's body rhythm.
Multiphasic pills that change hormone levels in two stages are called "biphasic pills," while those that change in three stages are called "triphasic pills."
Representative examples of monophasic pills include Marvelon, while Angeliq and Tricycler are examples of triphasic pills.
Our clinic offers Marvelon 28 as a monophasic pill and Angeliq 28 as a triphasic pill.
Low-dose pills available at our clinic.
Anju 28
Anju 28 is a 3-phase low-dose oral contraceptive in a 28-day pack.
It is taken for 21 days with active pills, followed by 7 days of placebo pills.
The hormone levels gradually increase to mimic the natural menstrual cycle.
The first pill is taken on the first day of menstruation, and then one pill is taken daily in numerical order.
After taking the 28th pill, the next day a new pack is started, and the first pill is taken again.
MARVELON 28
Marvelon 28 is a 1-phase low-dose contraceptive pill with a 28-day cycle.
It contains white active pills for 21 days, followed by green placebo pills for 7 days.
Marvelon is said to have beauty benefits as well, as it can improve acne by balancing hormones, and is even prescribed by dermatologists.
Cost
The initial fee, which includes the consultation fee, is not covered by insurance.
The subsequent fee varies depending on the number of prescription sheets needed.
| Anju 28 | Marvelon 28 | ||||
|---|---|---|---|---|---|
| Before Tax | Including Tax | Before Tax | Including Tax | ||
| First time | About ¥6,680 | About ¥7,348 | About ¥7,160 | About ¥7,876 | |
| 2nd time and after |
1 month | ¥4,580 | ¥5,038 | ¥5,060 | ¥5,566 |
| 2 month | ¥7,860 | ¥8,646 | ¥8,820 | ¥9,702 | |
| 3 month | ¥11,140 | ¥12,254 | ¥12,580 | ¥13.838 | |
| 4 month | ¥14,420 | ¥15,862 | ¥16,340 | ¥17,974 | |
| 5 month | ¥17,700 | ¥19,470 | ¥20,100 | ¥22,110 | |
| 6 month | ¥20,980 | ¥23,078 | ¥23,860 | ¥26,246 | |
| Feature |
Triphasic (3 kinds＋placebo) |
Monophasic (1 kind) |
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| How to drink | Drink one tablet / day at a fixed time for 28 days. |
Drink one tablet / day at a fixed time for 28 days. |
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| Side effects |
Initially, there is a feeling of nausea, but it will go away. |
Initially, there is a feeling of nausea, but it will go away. |
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| Advantages |
Low price Close to the hormone balance of the body. be used for beauty purposes. Designed formula. |
Has effectiveness towards acne, and can be used for beauty purposes.(Weak androgenic action) Due to low amounts of estrogen, the side‐effects of nausea are decreased. |
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| Disadvantages | If not taken in the exact order as on the sheet, the effectiveness will be lost. |
Costs slightly more. |
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*The price including tax is an estimate stated due to obligation to display the total amount. Minor differences in calculation may occur at time of actual accounting.
*The above prices are subject to change without notice.
At Pill-Online®, low-dose birth control pills are offered at affordable prices.
You can receive an online consultation and have your medication delivered to your home.
We prescribe the same domestic products as you would receive during an in-person consultation.
*Please note that payment is accepted by credit card only.
Consultation
A medical examination is necessary to prescribe low-dose pills.
Please fill out the necessary documents when you come in for a consultation to facilitate the process. The table below can be downloaded (printed) for this purpose.
In addition, we also accept online consultations. If you wish to receive an online consultation, please see "Pill Online®".
Necessary documents
| Required only for the initial visit | ・Comprehensive Questionnaire ・Gynecology Questionnaire |
||
|---|---|---|---|
| Needed for each subsequent visit | Clinic information | Oak Clinic,Sumiyoshi Oak Clinic,Umeda | ・Questionnairefor Oral Contraceptive ・For Patients Wanting a Low‐Dosage Pill （Sumiyoshi・Umeda） |
Regarding reservations
Please call within our business hours to make a booking.
Please inquire before your visit as each facility may handle things differently.
Our Ginza location only handles infertility treatment.
English Help Desk
TEL:070-1820-0909
Email:english_help@oakclinic-group.com
[Reception time]
Monday-Sunday 09：00-17：00