The Levora pill is a combined contraceptive pill. It has two hormones in it: a progestin (levonorgestrel) and an estrogen (estradiol). These are synthetic versions of the natural hormones your body produces. These stop ovulation and make it harder for a fertilized egg to implant.
If you take it correctly, Levora is over 99% effective at preventing pregnancy.
How does Levora work for birth control?
Levora works by using hormones to trick your body into thinking that youโve already ovulated.
Without ovulation, thereโs no egg to fertilize. These hormones also make cervical mucus thicker so sperm canโt find a way through to them, even if one did release.
These hormones also stop the lining of the womb from getting thick. This means a fertilized egg canโt implant as easily, and that your periods might be lighter than usual.
How effective is the Levora pill?
When taken at the same time every day, Levora is over 99% effective.[1] If you miss pills or take them inconsistently, its effectiveness can drop – this is known as typical use. Up to 9 out of 100 women may get pregnant over a year with typical use.
The closer you are to perfect use, the better chance Levora has of working effectively.
Is Levora safe?
Yes, Levora is considered safe – itโs in the safest category of combined pills. Itโs also one of the pills with a lower associated risk of blood clots compared to some others that use different progestins.
Your physician will use your medical history to check for any risk factors before prescribing it.
Does Levora come in a low dose?
Not exactly. There are lower dose alternatives, but theyโll be called something else. Levora 150/30 (150 micrograms levonorgestrel/30 micrograms ethinyl estradiol) is the only dose of Levora pill there is at the moment.
You can get a pill called Enpresse. Itโs almost the same as Levora but with a lower dose of progestin given in phases. Thereโs another pill called Junel 1/20 that is slightly different but has a lower estrogen dose. So if you take Levora and you feel like it might be giving you side effects, there are alternatives.
This page was written by The Treated Content Team.
This page was medically reviewed by Dr Alexandra Cristina Cowell on August 27, 2025. Next review due on August 28, 2028.
How we source info.
When we present you with stats, data, opinion or a consensus, weโll tell you where this came from. And weโll only present data as clinically reliable if itโs come from a reputable source, such as a state or government-funded health body, a peer-reviewed medical journal, or a recognised analytics or data body. Read more in our editorial policy.
LevoraLevonorgestrel and Ethinyl Estradiol
How should I take Levora?
Take one Levora tablet each day, for 28 days (thereโs a little set of arrows on the pack to help you keep track of the days). Itโs best to take it at the same time each day, so you might want to set a reminder or include taking your Levora pill in your bedtime or morning routine.
When can I start taking Levora?
You can start on the first day of your period for immediate protection. If you start on any other day, use condoms for the first 7 days. If you’re switching from another pill, start the day after your last active pill.
If youโve recently given birth, speak to a doctor before starting Levora. Levora isnโt safe to use during breastfeeding.
This page was written by The Treated Content Team.
This page was medically reviewed by Dr Alexandra Cristina Cowell on August 27, 2025. Next review due on August 28, 2028.
How we source info.
When we present you with stats, data, opinion or a consensus, weโll tell you where this came from. And weโll only present data as clinically reliable if itโs come from a reputable source, such as a state or government-funded health body, a peer-reviewed medical journal, or a recognised analytics or data body. Read more in our editorial policy.
LevoraLevonorgestrel and Ethinyl Estradiol
There are some things you need to watch out for when taking Levora, and not everyone can use it.
Hereโs theย official safety info. If thereโs something youโre not sure about, let us know.
LevoraLevonorgestrel and Ethinyl Estradiol
Levora: FAQ
Have something specific you want to know? Search our info below, or ask our experts a question if you canโt find what youโre looking for.
What happens if I miss a Levora pill?
Answer:
If youโre more than 24 hours late, it counts as a missed pill. Take it as soon as you remember, and use condoms for the next seven days. If you have fewer than seven white active pills left, skip the peach placebo pills and start the next pack early.
Check the patient leaflet for more guidance if you need more information about what to do when youโve missed a pill, or contact your physician.
What if I want to conceive?
Answer:
You can stop taking Levora anytime. Itโs best to wait until after your first natural period to help date a pregnancy accurately. Itโs usually a good idea to start taking folic acid before you start trying to conceive.
Can I get Levora through private health insurance?
Answer:
Levora is often covered by private health insurance, but each plan is different. Itโs best to check your treatment and pharmacy is covered by your insurance plan, before ordering.
Does the Levora pill stop your period?
Answer:
Not entirely, but it often makes it lighter. What you get during the inactive pill week is a withdrawal bleed, so technically not a true period. Itโs also often a lot lighter than your period would be.
Is Levora like other combined pills?
Answer:
Yes. Levora is nearly identical to Marlissa, Iclevia, Portia, Altavera, and others. They all contain the same hormones in the same strengths. The main difference is the brand name and manufacturer.
Most combined pills stop pregnancy in the same way, but some are better at controlling menstrual symptoms than others, and others are less likely to cause certain side effects.
Does the Levora pill cause weight loss?
Answer:
Thereโs no proven link between pills like Levora and weight gain or weight loss. Some people do notice changes, but there are so many different factors that can cause changes in weight.[1]
If you notice that your weight is changing and you think it may be due to Levora, let a doctor know.
What should I do if Iโm not happy with Levora?
Answer:
Thatโs simple. Just let us know.
Our clinical experts will help you find alternatives that might be better for you (or less likely to cause side effects).
There are plenty of other combination pills which are just as effective but have a different amount of hormones in them. Logynon is very similar to Levora but it has a phased, lower dose.
If youโre having more noticeable side effects on the combined pill, thereโs also the progesterone-only (mini) pill. This doesnโt contain any estrogen, so it doesnโt have the same risk of side effects caused by this hormone.
When switching to another pill, itโs advisable to finish the pack youโre using before starting your new one.
Is Levora the same as Marlissa?
Answer:
Pretty much. The main differences are the name, the manufacturer and the non-active ingredients. The level of hormones in them is exactly the same, so there should be no difference in how they work.
Treated trusted source:
Stachenfeld, N.S. (2008). Sex Hormone Effects on Body Fluid Regulation. Exercise and sport science reviews. U.S.A. American College of Sports Medicine.
Last updated on Aug 27, 2025.
How we reviewed this page:
Our experts continually monitor new findings in health and medicine, and we update our articles when new info becomes available.
Why this page was updated on Aug 27, 2025
'Content checked and updated as part of our 3-yearly periodic review, to ensure accuracy and currentness.'
Current version (Aug 27, 2025)
Edited by: The Treated Content Team.Medically reviewed by: Dr Alexandra Cristina Cowell, Writer & Clinical Content Reviewer
Jul 01, 2025
Edited by: The Treated Content Team.Medically reviewed by: Dr Alexandra Cristina Cowell, Writer & Clinical Content Reviewer
We reviewed the content on this page and made some structural changes to make it more reader-friendly and accessible.
Aug 01, 2022
Published by: The Treated Content Team.Medically reviewed by: Dr Alexandra Cristina Cowell, Writer & Clinical Content Reviewer
How we source info.
When we present you with stats, data, opinion or a consensus, weโll tell you where this came from. And weโll only present data as clinically reliable if itโs come from a reputable source, such as a state or government-funded health body, a peer-reviewed medical journal, or a recognised analytics or data body. Read more in our editorial policy.
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Dr Alexandra Cristina Cowell
Writer & Clinical Content Reviewer
Cristina writes content for Treated, and reviews content produced by our other writers to make sure itโs clinically accurate.
When we present you with stats, data, opinion or a consensus, weโll tell you where this came from. And weโll only present data as clinically reliable if itโs come from a reputable source, such as a state or government-funded health body, a peer-reviewed medical journal, or a recognised analytics or data body. Read more in our editorial policy.
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