Mircette

By Lamia Soghier, MD, MEd, MBA, CPHQ
Medically Reviewed by Joshua U. Klein, MD, FACOG
Last Update: January 30, 2025

What is Mircette?

MircetteMircette is a combination oral contraceptive that contains desogestrel and ethinyl estradiol, two hormones that work together to prevent pregnancy. It primarily functions by inhibiting ovulation, thickening cervical mucus to make it more difficult for sperm to reach the egg, and altering the uterine lining to reduce the likelihood of implantation. With a low-dose estrogen formula, the contraceptive is often chosen for its balanced hormonal profile, which may be better tolerated by some individuals.

This medication is also prescribed to help regulate menstrual cycles, reduce menstrual pain, and manage hormonal acne. For many users, it provides a predictable cycle with lighter, more manageable periods. While it is an effective and widely used contraceptive, it may not be suitable for everyone. A healthcare provider can help assess whether this low-dose estrogen pill is the right option based on individual health history and specific needs.

FAQ

Why take Mircette? (uses)

This medication is used to prevent pregnancy by stopping ovulation, thickening cervical mucus to block sperm, and changing the uterine lining to make implantation less likely. Its low-dose hormone formula makes it a popular choice for those looking for effective birth control with fewer side effects. When taken correctly, Mircette is over 99% effective in preventing pregnancy, providing a reliable and convenient contraceptive option.

Many people also take this pill to regulate their menstrual cycle, reduce period pain, and lessen hormonal acne. It can help make periods lighter and more predictable, which is beneficial for those with irregular or heavy cycles. Some users experience fewer PMS symptoms, such as bloating and mood swings, making it a preferred choice for hormonal balance. Always consult a healthcare provider to determine if this birth control pill is the right option for you.

What type of birth control is Mircette?

Mircette is a combination oral contraceptive that contains both desogestrel (a progestin) and ethinyl estradiol (an estrogen). As a low-dose birth control pill, it works by preventing ovulation, thickening cervical mucus to make it harder for sperm to reach the egg, and altering the uterine lining to reduce the chances of implantation. This makes this hormone-based contraceptive a highly effective and widely used option for pregnancy prevention.

Unlike progestin-only pills, this oral contraceptive provides a steady balance of hormones that can help with cycle regulation and symptom control beyond contraception. It is often chosen by individuals who experience irregular periods, menstrual cramps, or hormonal acne, as its combination formula supports a more predictable cycle while offering reliable birth control.

How much hormone is in this pill?

Mircette contains desogestrel 0.15 mg (progestin) and ethinyl estradiol 0.02 mg (estrogen) in its active tablets. This low-dose estrogen formula is designed to prevent pregnancy effectively while reducing the likelihood of hormone-related side effects, such as nausea, bloating, and breast tenderness. The lower estrogen content makes this combination pill a preferred option for individuals who are sensitive to higher estrogen levels in birth control pills.

In addition to its active pills, the pack includes two tablets with 0.01 mg of ethinyl estradiol and several inactive pills to support a more stable hormonal transition. This formulation helps regulate menstrual cycles, reduce period pain, and minimize PMS symptoms, offering a more gentle hormonal balance compared to higher-estrogen contraceptives.

Does it cause weight gain?

Mircette is unlikely to cause significant weight gain, as supported by research on oral contraceptives. A study published in the American Journal of Obstetrics and Gynecology found that low-dose combination birth control pills, like this one, are well-tolerated with minimal impact on body weight. Another study reviewing oral contraceptives and weight change concluded that most users experience little to no weight fluctuation, particularly those with a balanced diet and active lifestyle.

Weight changes while using this hormonal contraceptive are generally related to temporary water retention rather than fat gain. In clinical trials, fewer than 5% of participants reported noticeable weight changes, with most fluctuations being minor and short-term. Maintaining healthy eating habits and regular exercise can help manage any slight changes. The contraceptive’s low-dose estrogen formulation makes it a good option for those concerned about hormone-related weight gain.

What are the side effects?

Mircette, like other low-dose combination birth control pills, may cause side effects, though most are mild and temporary. Common side effects affect 5-10% of users and typically improve after the first few months. These include:

  • Nausea and vomiting (about 5-7%)
  • Breakthrough bleeding (up to 10%)
  • Breast tenderness (5-8%)
  • Headaches (7-9%)
  • Mild weight changes (less than 5%)

Less frequently, 1-5% of users may experience mood changes, decreased libido, or bloating. Rare but serious side effects, such as blood clots, stroke, or high blood pressure, occur in less than 0.1% of users, with higher risk in those who smoke or have underlying health conditions. Regular check-ups can help manage any concerns while using this daily contraceptive.

How do I use Mircette?

To ensure maximum effectiveness of this birth control, follow these steps:

  • Take one pill at the same time each day – consistency helps maintain hormone levels and reduces the risk of pregnancy.
  • Follow the 28-day pack – 21 pills contain active hormones, followed by 2 low-dose estrogen pills and 5 inactive pills to maintain a regular cycle.
  • Start a new pack immediately after finishing the previous one – do not skip days between packs to avoid ovulation.
  • If you miss a pill, take it as soon as possible. If two or more are missed, use backup contraception like condoms for at least 7 days.

This pregnancy prevention pill is over 99% effective when taken correctly. For first-time users, it’s recommended to start on the first day of your period or on a Sunday start schedule, using backup contraception for the first 7 days if needed.

Does this pill cause hair loss?

Concerns about hair loss are common among individuals considering oral contraceptives like Mircette. However, studies indicate that this estrogen-progestin pill is unlikely to cause significant hair loss. In fact, research has shown that oral contraceptive pills can be protective against hair loss, with an odds ratio of 0.6, suggesting a 40% reduction in the likelihood of experiencing hair loss compared to non-users.

This cycle-regulating pill contains desogestrel, a progestin that may help reduce excess hair growth and acne better than other pills. While individual experiences may vary, the low-dose estrogen and specific progestin combination in this medication is generally associated with a lower risk of hair-related side effects. It’s important to monitor any changes and consult with a healthcare provider if concerns arise.

What is the rating of Mircette?

This birth control medication has received moderate to positive ratings from users on various review platforms. On Drugs.com, it holds an average rating of 6.5 out of 10, based on feedback from 22 users. About 57% of users reported a positive experience, citing benefits such as effective pregnancy prevention, lighter periods, and reduced menstrual cramps. However, 26% of users reported negative effects, such as headaches, mood changes, or breakthrough bleeding, though these side effects were often temporary or improved over time.

On WebMD, Mircette is rated 3.9 out of 5 for effectiveness, 3.9 out of 5 for ease of use, and 3.8 out of 5 for overall satisfaction. Many users appreciate its low-estrogen formula, which may cause fewer hormonal side effects compared to higher-dose birth control pills. While some individuals experience mild side effects, this tablet remains a widely used contraceptive option that helps regulate cycles and manage menstrual symptoms.

Is it a good birth control?

Yes, Mircette is a highly effective birth control pill with a 99% success rate when taken correctly. Clinical studies report a Pearl Index of 1.02, meaning fewer than 1 in 100 women using it experience an unintended pregnancy. Its low-dose estrogen formula provides reliable contraception while minimizing side effects often linked to higher estrogen levels.

User satisfaction is high, with fewer than 3% discontinuing due to menstrual-related issues. Common side effects like headaches (8.5%), breast tenderness (7.3%), and mild cramps (4.2%) are generally well-tolerated. This tablet also helps regulate cycles, reduce period pain, and improve hormonal balance, making it a trusted choice for contraception.

What are the pros and cons?

This product offers several benefits as a low-dose combination birth control pill, making it a popular choice for contraception. It provides effective pregnancy prevention, helps regulate menstrual cycles, and may reduce PMS symptoms. However, like any medication, it has some potential drawbacks, though they tend to be less common.

Pros and Cons of Mircette:

Pros (Benefits) Cons
Over 99% effective when taken correctly May cause mild side effects like nausea or headaches
Low-dose estrogen reduces hormone-related side effects Breakthrough bleeding can occur in the first few months
Helps regulate periods, making cycles more predictable Not suitable for smokers over 35 due to health risks
Can reduce menstrual cramps and lighten periods Requires daily use at the same time for best results
May help with hormonal acne control Small risk of blood clots in rare cases
Lower chance of weight gain compared to some birth control pills Not effective if taken inconsistently
Generally well-tolerated with a good safety profile Does not protect against STDs

The contraceptive’s benefits outweigh the drawbacks for most users, especially those seeking a reliable, low-dose hormonal contraceptive. While some may experience mild side effects, they typically improve within the first few months.

Is there a generic version?

Yes, a generic version of Mircette is available and widely used. The generic contains the same active ingredients—desogestrel 0.15 mg and ethinyl estradiol 0.02 mg—making it just as effective in preventing pregnancy. Generic birth control pills undergo rigorous testing to ensure they work the same way as the brand-name version, offering the same level of protection, cycle regulation, and hormone balance.

The generic version is very popular due to its lower cost while maintaining identical effectiveness and safety. Many users choose generic birth control pills because they provide the same benefits as the branded options at a more affordable price. Since both options are medically equivalent, switching to the generic can be a cost-effective way to get reliable contraception without compromising quality.

Mircette vs Yaz: which is better?

Choosing between Mircette and Yaz depends on individual health needs and preferences. Here’s a straightforward comparison to help you decide:

Feature Mircette Yaz
Hormone Composition Contains desogestrel (progestin) and ethinyl estradiol (estrogen). Contains drospirenone (progestin) and ethinyl estradiol (estrogen).
Cycle Structure 21 active pills, 2 low-dose estrogen pills, and 5 inactive pills, leading to a 28-day cycle. 24 active pills and 4 inactive pills, resulting in a shorter hormone-free interval.
Benefits – Effective pregnancy prevention
– May help regulate menstrual cycles
– Potential reduction in acne and excess hair growth
– Effective pregnancy prevention
– FDA-approved for treating premenstrual dysphoric disorder (PMDD)
– May reduce bloating due to drospirenone’s diuretic effect
– Potential improvement in acne
Considerations – Requires daily consistency
– Possible side effects include nausea, headaches, or breakthrough bleeding
– Requires daily consistency
– Drospirenone has been linked to a slightly higher risk of blood clots
– Possible side effects include nausea, breast tenderness, or mood changes

Both contraceptives are effective birth control options. Your choice should consider factors like menstrual symptoms, acne concerns, and personal health history. Consulting with a healthcare provider can help determine which pill aligns best with your individual needs.

What is the price of Mircette?

As of 2025, the price of this combination oral contraceptive can vary depending on the pharmacy and location. For example, a supply of 168 tablets is priced around $1,225. To save on costs, many opt for the generic version, desogestrel/ethinyl estradiol, which offers the same effectiveness at a lower price. Prices for the generic start at approximately $26.23.

Additional ways to reduce expenses include using prescription discount cards, exploring manufacturer coupons, or checking if your insurance plan covers the medication. Consulting with your healthcare provider or pharmacist can help identify the most cost-effective options for your birth control needs.


About the Author

Lamia Soghier MD, MEd, MBA, CPHQDr. Lamia Soghier, MD, MEd, MBA, CPHQ, is a renowned neonatologist and Professor of Pediatrics at The George Washington University School of Medicine and Health Sciences. With over two decades of experience, she has held key leadership roles, including Associate Division Chief for Operations at Children’s National Health System, where she focuses on neonatal care, quality improvement, and medical education. A graduate of the University of Alexandria, she furthered her expertise with a Master of Education and MBA from The George Washington University. Passionate about maternal and neonatal health, she serves on the boards of the Maternal Mental Health Leadership Alliance and the MBA Opens Doors Foundation, advocating for improved care and economic empowerment. Dr. Soghier’s dedication to education, operational excellence, and patient care makes her a leader in her field.


Disclaimer: This content is intended for general information only and should not be relied upon as a replacement for professional medical advice, diagnosis, or treatment. Always speak with a qualified healthcare professional regarding any health concerns. In case of an emergency, contact local emergency services immediately. The use of this information is at your own discretion and risk, and any decisions made based on it are solely your responsibility.