Estarylla^®

Estarylla® is an effective form of hormonal birth control. It works to stop pregnancy by preventing the release of an egg during the menstrual cycle and by thickening cervical mucus to prevent sperm from getting through in case an egg does get fertilized. Estarylla® also changes the lining of the uterus to make it more difficult for fertilized eggs to attach to it.

With Estarylla®, you take one tablet by mouth every day at the same time. Estarylla® comes in a pack of 28 pills. You'll take 21 active tablets and then seven inactive, or placebo, tablets. The placebo tablets keep you in the habit of taking a pill at the same time every day.

As with any medication, it's always a good idea to talk to your physician about your health history and any concerns you may have.

Share with your medical provider any history of liver or heart issues to make sure Estarylla® doesn't interfere or interact with your medications or treatments. Estarylla® may affect your blood pressure, so its a good practice to check it regularly, especially if you have a history of hypertension.

As with any birth control, there may be side effects, although they are usually not a cause for concern and will lessen over time. Common side effects include nausea, vomiting, headache, bloating, and breast tenderness. Some women report fluctuations in weight or swelling of the ankles or feet from fluid retention. Bleeding or spotting between periods is also common, especially during the first few months of use.

Less than 1% of Estarylla® users have reported serious side effects such as lumps in the breast, mood changes, or severe abdominal pain. Watch for unusual changes in bleeding or dark urine, which can indicate a problem with Estarylla®.

For the most part, yes. Estarylla® contains hormones that can interfere with some medications and supplements to reduce their effectiveness. At the same time, there are medications that can reduce the effectiveness of Estarylla®. It's best to talk to your medical provider about any medicine or supplements you're taking to determine if Estarylla® will interact with your medications.

Any weight gain you experience when starting this medication is likely due to fluid retention, and should decrease after your body adjusts. If you experience significant weight gain or loss after starting a new contraceptive, it's important to let your healthcare provider know.

While not originally intended to treat acne, studies have found that some birth control medications can reduce breakouts and inflammation. If you're interested in learning more about what birth control might help your acne symptoms, visit our Birth Control for Acne page to get started.

Your Nurx medical provider will partner with you to find the best care for your symptoms and medical concerns. As medically appropriate, a Nurx provider may prescribe birth control to help manage symptoms associated with PMS (Premenstrual syndrome) and/or PMDD (Premenstrual dysphoric disorder), or to help with cycle control (delayed period). In some cases, birth control may also be used to help manage symptoms of endometriosis and/or PCOS (Polycystic ovary syndrome), to assist with improving acne. While the use of birth control is considered “off-label” for these listed purposes, a licensed Nurx clinician may prescribe birth control if they deem doing so medically appropriate.

Consultation
Anyone who requests a birth control prescription will be charged a $28 consultation fee. Please note that at this time, we do not submit claims to insurance for the medical consult fee.

Medication
For those with health insurance, your prescription will be free in most cases if it is covered by your health insurance, and we accept your plan. Insurance companies set the “copay” for prescriptions and depending on your plan and the prescription, this will usually be $0. Please connect with your insurance company if you would like to learn more about your copay. If you do have a copay, Nurx will authorize a $30 hold at checkout. If your copay is over $30, you will receive a notification to approve the updated amount.

Support Fee
Nurx will charge a flat $3 support fee each month one or more of your orders are processed. This fee covers your unlimited, on-demand access to our customer care team as well as certain processing fees. This fee will only be charged once in any month, even if you have multiple orders processed that month. This fee applies whether the order is filled through Nurx or at your local pharmacy. If your order is filled via Nurx, the support fee is billed at the time of fulfillment. If your prescription is sent to a local pharmacy, a support fee will be applied at that time. In the future, the support fee will be applied on a cadence that matches your medication refill cadence.

Yes, we accept most forms of private health insurance for medications. If you’d like to know if we accept your health insurance plan, please connect with our team at [email protected]. Please note that at this time, we do not submit claims to insurance for the medical consult fee.
Nurx does not accept any federal or state government insurance plans, such as Medicare, Medicaid, Tricare, or any of their affiliated managed care plans, nor can Nurx service such patients. We recommend that you find a local provider in your community that participates in your government payer program.