Viorele is a low-dose combined hormonal birth control pill that has two hormones in it: a progesterone and an estrogen. Because it contains less estrogen than other combined pills, it may cause fewer side effects for some women.
Viorele comes in a pack of 28 tablets. That’s where things get a little different. Viorele is a biphasic pill, which means you get two different doses of hormones throughout the month — in phases, if you will.
Your first 21 pills will be active pills. The next 2 are inactive. The last 5 pills in the pack are also active pills, but with a lower dose of estrogen than the first 21. You should take all of these pills in order, without skipping any.
How does Viorele work?
Like other combined pills, Viorele reduces your pregnancy risk in three ways.
The two hormones in it change the body’s hormone balance, to stop the ovaries from releasing an egg (ovulation).
Viorele also thickens the mucus in the cervix which makes it harder for sperm to move through to the uterus to fertilize an egg, while the lining of the womb is made thinner. If the uterine lining is thinner, it’s less likely that a fertilized egg will be able to attach itself there, and develop.
When the lining of the uterus doesn’t build up as much, you may find that your periods are way lighter when you’re taking combined pills (so there are added benefits too).
How effective is Viorele?
Viorele is very effective, if you take it correctly. We’re talking more than 99% if you take it at the same time every day, without missing any pills.
So to put this into context, out of 100 women taking the pill over 12 months, less than one will get pregnant.
If you make mistakes when you take Viorele, or if you occasionally miss pills, its effectiveness decreases slightly (to around 91%). So about 9 women in every 100 will get pregnant in a year.
This page was written by The Treated Content Team.
This page was medically reviewed by Ms Laurenmarie Cormier on July 03, 2025. Next review due on July 03, 2028.
How we source info.
When we present you with stats, data, opinion or a consensus, we’ll tell you where this came from. And we’ll only present data as clinically reliable if it’s 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.
VioreleEthinyl Estradiol/Desogestrel
How to take Viorele pills
Viorele comes in packs of 28 pills. Take Viorele at the same time each day to ensure it’s as effective as possible. You should pick a good time that works for you before taking your first pill.
If you start to take Viorele on the first day of your period, your protection from pregnancy is immediate.
If your period has already started, begin taking Viorele on day five of your cycle whether your bleeding has stopped or not. You’ll need to use additional contraception, such as condoms, for the first seven days, while the pill takes effect in the body.
Take one pill at the same time every day, until you have used all 28 pills. You can swallow the pills with water if you’d prefer, but don’t chew them. After you’ve taken all 28 pills, start a new pack.
You should always read the information leaflet that comes with your treatment before using Viorele.
What to do about a Viorele missed pill
If less than 12 hours have passed since you missed a pill, don’t worry. Your protection from pregnancy shouldn’t be affected. Just take the pill you missed immediately (so two pills in one day if you have to).
For one missed white pill, take the missed pill as soon as you remember. If you missed two consecutive white pills in Week 1 or Week 2, take two pills the day you remember and two pills the next day. Use condoms or other back-up birth control for 7 days. And if you missed two consecutive white pills in Week 3 or three or more white pills in a row in any week, take one pill a day until the next Sunday. Then, throw out the rest of the pack and start a new pack. Use condoms or other back-up birth control for 7 days.
This page was written by The Treated Content Team.
This page was medically reviewed by Ms Laurenmarie Cormier on July 03, 2025. Next review due on July 03, 2028.
How we source info.
When we present you with stats, data, opinion or a consensus, we’ll tell you where this came from. And we’ll only present data as clinically reliable if it’s 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.
VioreleEthinyl Estradiol/Desogestrel
Viorele isn’t suitable for everyone, and there are some things that you need to be aware of when taking it.
Here’s all the official info on it. If anything is unclear, let our clinician know, and they can talk with you about it.
VioreleEthinyl Estradiol/Desogestrel
Viorele: FAQ
Have something specific you want to know? Search our info below, or ask our experts a question if you can’t find what you’re looking for.
Is there more than one Viorele dosage?
Answer:
Sort of. Viorele is a lower dose version of Apri. It has slightly less estrogen in it. So if you take Viorele and find it doesn’t quite give you that balance you need to keep period symptoms under control, you might find that Apri is better.
You can switch pills part way through your subscription if you're getting Viorele on repeat order. All you need to do is sign in and drop us a message, and we’ll go through the options with you.
Can I take Viorele for acne?
Answer:
Some women find that combined pills like Viorele help with acne, and studies have shown that they can be effective.[1]
It’s believed that hormones in combined pills can help to regulate androgen levels in the body, which helps to manage how much sebum (an oily substance in the skin) the body produces.
By keeping these androgen levels under greater control, the hormones in combined pills may help to clear the pores in the skin, and so reduce how many pimples you get.
Can Viorele cause weight gain?
Answer:
There’s no real evidence that Viorele, or other combined pills, lead to any considerable weight gain.[2]
Some women may gain weight when they first start to use a combined pill, but usually, any changes in weight are caused by factors which don’t relate to the pill itself.
Using the combined pill can cause greater water retention in the body initially, but any extra weight that you put on due to this isn’t very much, and shouldn’t last for any more than a few months.
Viorele vs Mircette: which is better?
Answer:
Mircette, like Viorele, is a biphasic combined pill, and there’s no difference between the two in terms of how they work. Because Mircette is a brand-name medication and Viorele is generic, Mircette might cost more.
Viorele contains a lower dose of estrogen than some other pills, so it’s ideal if you’re sensitive to estrogen, or to the side effects that it can cause.
In short, it’s really a question of your medical background, and what sort of symptoms and side effects you’re prone to, when it comes to which pill is best for you.
What’s the difference between Apri and Viorele?
Answer:
Viorele is a low-dose, biphasic birth control pill. It has two different doses of estrogen throughout the month — the dose of progestin stays the same. Compared to similar pills which are monophasic, Viorele has significantly less estrogen. Apri also has the same ingredients (desogestrel and ethinyl estradiol) but contains slightly more oestrogen than Viorele (30mcg rather than 20mcg or 10mcg) so it may be a suitable option for you if you’re less sensitive to estrogen and its side effects.
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 Jul 03, 2025
Content checked and updated as part of our 3-yearly periodic review, to ensure accuracy and currentness.
Current version (Jul 03, 2025)
Edited by: The Treated Content Team.Medically reviewed by: Ms Laurenmarie Cormier, Clinical Content Reviewer
Aug 01, 2022
Published by: The Treated Content Team.Medically reviewed by: Ms Laurenmarie Cormier, Clinical Content Reviewer
How we source info.
When we present you with stats, data, opinion or a consensus, we’ll tell you where this came from. And we’ll only present data as clinically reliable if it’s 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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Ms Laurenmarie Cormier
Clinical Content Reviewer
Laurenmarie is a Nurse Practitioner based in the US. She worked with Treated as a prescriber and reviewed some of the content you see on the site.
When we present you with stats, data, opinion or a consensus, we’ll tell you where this came from. And we’ll only present data as clinically reliable if it’s 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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