Ovral

By Lamia Soghier, MD, MEd, MBA, CPHQ
Medically Reviewed by Sanaz Ghazal, MD, FACOG
Last Update: January 30, 2025

What is Ovral?

OvralOvral is a combination birth control pill containing norgestrel (progestin) and ethinyl estradiol (estrogen). It prevents pregnancy by stopping ovulation, thickening cervical mucus to block sperm, and altering the uterine lining to make implantation unlikely. When taken correctly, it is over 99% effective. This contraceptive follows a 28-day cycle, with active hormone pills followed by inactive pills, allowing a withdrawal bleed similar to a period.

This pill is also used to regulate irregular cycles, reduce menstrual pain, and control heavy periods. Some users experience clearer skin and fewer PMS symptoms due to its hormonal balance. Unlike progestin-only pills, this oral combination contraceptive provides a steady hormone dose, making it a reliable choice for long-term contraception. However, like all birth control pills, it must be taken daily at the same time to maintain effectiveness.

FAQ

What is Ovral used for?

This combination pill is used for:

  • Preventing pregnancy by stopping ovulation, thickening cervical mucus, and altering the uterine lining
  • Regulating irregular periods and making cycles more predictable
  • Reducing heavy menstrual bleeding and easing cramps
  • Managing hormonal acne by balancing estrogen and progestin levels
  • Relieving PMS symptoms like bloating, mood swings, and breast tenderness
  • Acting as emergency contraception when taken in a specific dose after unprotected sex

This high-dose estrogen pill is a reliable birth control pill that also helps with hormonal balance and menstrual health.

What hormone does the pill contain?

Ovral contains two hormones that work together to prevent pregnancy:

  • Norgestrel (a progestin) – Stops ovulation and thickens cervical mucus to block sperm
  • Ethinyl estradiol (an estrogen) – Helps control the menstrual cycle and keeps hormone levels stable

This combination of estrogen and progestin makes this hormonal contraceptive highly effective. It also helps regulate periods, reduce cramps, and manage hormonal imbalances for better cycle control.

Does it cause weight gain?

Many people worry about weight gain when taking birth control pills like Ovral, but studies show that significant weight gain is unlikely. Research has found that most users gain less than 2 kg (4.4 lbs) over 6 to 12 months, which is often due to temporary water retention rather than actual fat gain.

Another study confirmed that birth control pills do not directly cause weight gain. Any changes are usually linked to diet, exercise, or natural body fluctuations. Since this daily contraceptive contains a low dose of hormones, it is less likely to cause noticeable weight changes, making it a good option for those concerned about this side effect.

Can I use Ovral for irregular periods?

Yes, this pregnancy prevention pill can be used to regulate irregular periods by providing a steady balance of hormones. It contains norgestrel (progestin) and ethinyl estradiol (estrogen), which help control the menstrual cycle and make periods more predictable. By stabilizing hormone levels, this medication can reduce sudden period changes, heavy bleeding, and cramps.

Many people use this tablet to manage hormonal imbalances that cause irregular cycles. It helps create a consistent 28-day cycle, making it easier to track periods and avoid unexpected bleeding. With regular use, most users notice improvements within one to three months, leading to more stable and manageable periods.

What is the generic name?

The generic name for Ovral is norgestrel and ethinyl estradiol. These two hormones work together to prevent pregnancy, regulate periods, and manage hormonal imbalances. The generic version contains the same active ingredients as the branded birth control medication and is just as effective and safe, but often comes at a lower price.

Many people choose the generic option to save money while getting the same benefits as the brand-name pill. Since both versions are medically equivalent, switching to the generic can be a cost-effective choice for reliable birth control.

When is the best time to take the pill?

The best time to take Ovral is at the same time every day to keep hormone levels steady and ensure maximum effectiveness. Many people choose a time that is easy to remember, such as in the morning with breakfast or at night before bed.

Taking the pill at a consistent time helps prevent pregnancy, regulate periods, and reduce side effects like spotting. If you miss a pill, take it as soon as you remember, but try to stick to a routine to avoid gaps. Setting a daily reminder can make it easier to stay on track.

What strength is Ovral?

This contraceptive tabletcontains 0.5 mg of norgestrel (progestin) and 50 mcg of ethinyl estradiol (estrogen). This higher-dose formula effectively prevents pregnancy by stopping ovulation, thickening cervical mucus, and regulating the menstrual cycle.

A lower-dose version, Ovral-L, is also available, containing 0.3 mg of norgestrel and 30 mcg of ethinyl estradiol. Both versions offer reliable contraception, but the choice depends on individual health needs and hormone tolerance.

Does it cause hair loss?

Some people worry that taking birth control pills like Ovral may cause hair loss, but this is not a common side effect. Studies show that fewer than 1-3% of users report noticeable hair thinning, usually due to temporary hormonal changes. Most people taking this oral birth control do not experience significant hair loss, and for those who do, hair growth often returns to normal within a few months as the body adjusts.

Research on hormonal contraceptives has found that low-androgen index pills are less likely to trigger hair thinning than higher-androgen options. In many cases, birth control pills actually help regulate hormone imbalances, reducing shedding linked to conditions like polycystic ovary syndrome (PCOS). If hair loss occurs, it is usually mild and temporary, making this combination oral contraceptive a safe choice for most users.

How many days after taking the pill will my period start?

Most people get their period within 2 to 5 days after finishing the active pills in an Ovral pack. This bleeding is called a withdrawal bleed, and it happens because hormone levels drop when the inactive pills start.

If your period does not start within a week, factors like stress, illness, or missed pills could be the cause. Some users may also experience lighter or shorter periods while taking this hormone-based contraceptive, which is normal. For best results, continue taking your pills on schedule to keep your cycle regular and predictable.

What are the side effects of Ovral?

Like all medications, this high-hormone birth control may cause side effects in some users. Common side effects include:

  • Nausea: Reported by up to 10% of users.
  • Headache: Experienced by approximately 5-10% of users.
  • Breast tenderness: Occurs in about 5% of users.
  • Weight changes: Some users report slight weight gain or loss.
  • Mood changes: A small percentage of users may experience mood swings or depression.

Serious side effects are rare but can include blood clots, stroke, or heart attack, especially in smokers over 35. It’s important to monitor your health and consult a healthcare provider if you experience any concerning symptoms.

What are the benefits of this birth control?

Ovral offers several benefits beyond just preventing pregnancy. As a combination birth control pill, it helps balance hormones and improve menstrual health. Some of the key benefits include:

  1. Over 99% effective in preventing pregnancy when taken correctly
  2. Regulates menstrual cycles, making periods more predictable
  3. Reduces heavy bleeding and helps with painful cramps
  4. Improves hormonal acne by controlling oil production
  5. Lowers the risk of ovarian cysts and certain cancers, like ovarian and endometrial cancer
  6. Eases PMS symptoms, including mood swings, bloating, and breast tenderness
  7. May help with hormonal imbalances, such as those caused by PCOS

Many people choose this estrogen-progestin contraceptive not just for birth control but also for better cycle control, fewer period symptoms, and hormonal balance.

What happens after taking the pill?

After taking Ovral, the hormones norgestrel and ethinyl estradiol start working to prevent pregnancy. The pill stops ovulation, meaning the ovaries won’t release an egg. It also thickens cervical mucus, making it harder for sperm to reach an egg, and changes the uterine lining, reducing the chance of implantation.

Most people don’t feel immediate changes, but within a few weeks, the body adjusts to the hormones. Periods may become lighter, more regular, and less painful. Some users experience mild side effects like nausea, breast tenderness, or mood changes, but these usually improve within a few months. Taking the pill at the same time every day helps maintain its effectiveness and cycle control.

How much is Ovral?

As of 2025, the price of this contraceptive medication varies depending on the pharmacy and location. A monthly supply can cost between $50 and $100, while a larger pack may be priced up to $1,200. Prices are typically higher for the brand-name version, especially without insurance coverage.

To save money, many people choose the generic version, which contains the same active ingredients at a much lower price. Generic options can cost as little as $25 to $50 per pack. Additional savings may be available through pharmacy discount programs, coupons, or insurance coverage, making birth control more affordable.


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: The content provided here is for informational purposes only and should not be considered medical advice, diagnosis, or treatment. Always rely on a qualified healthcare professional for any health-related concerns. In the event of a medical emergency, contact emergency services immediately. Any decisions made based on this information are your own responsibility, and the use of this content is at your own risk.