Choosing the Right Option

Microgynon and Yasmin are among the birth control pill options available in Singapore. Microgynon represents an older generation of contraceptive pills, while Yasmin represents a newer generation of contraceptive pills.

Did you know that the sales of birth control pills were at a four year high in Singapore in 2020? The usage of birth control pills in Singapore is definitely more common than we think. We don’t talk about it enough.

Choosing the right pill is a personal decision that hinges on several factors, including individual health, daily routines and long-term goals. In this article, we will empower you with a comprehensive comparison between Microgynon and Yasmin. We begin with the fundamentals of how contraceptive pills work.

Understanding Birth Control Pills

What are Birth Control Pills?

Birth control pills are oral contraceptives that contain hormones to prevent pregnancy.

Moreover, most birth control pills contain a combination of oestrogen and progestin and are often referred to as combined pills or combination pills.

These hormones work to reduce the risk of pregnancy by:

  • Preventing ovulation

This means your body does not produce eggs for the sperm to fertilise.

  • Keeping the mucus in the cervix thick

This makes it harder for sperm to move to meet the egg to fertilise it.

  • Keeping the lining of the uterus thin

This makes it difficult for a fertilised egg to continue to develop in the body.

Read about the benefits and side effects of birth control pills.

The Importance of Choosing the Right Birth Control

Choosing the right birth control method is crucial, as it can significantly impact your reproductive health and overall well-being. The ideal birth control method varies from person to person, depending on factors like age, health, lifestyle and personal preferences.

The biggest downside of the contraceptive pill is that, in order to maximise its effectiveness, you have to remember to take it every day, ideally at the same time of day. Some people find this difficult or inconvenient.

Which birth control method is right for me? From sterilisation to implants to natural methods, our ultimate guide helps answer all your questions about birth control in Singapore.

How to Approach Birth Control Pills Selection

The world of birth control pills can be a confusing one to navigate. A wide range of brands can be found on the market and the truth is this:

All combined birth control pills are effective and have similar advantages and disadvantages.

How should we then choose? Here we share with you Dame’s approach to selecting the combined birth control pill that is right for you.

Generic vs Brand Name

When deciding between generic and brand name birth control, the key considerations here are your budget and personal preferences.

Brand name contraceptives tend to be more expensive due to the extensive research and marketing involved in the initial drug development.

Generics are basically copycats of brand name contraceptives. They can be produced once the patent expires for a brand name contraceptive.

Skipping the initial drug discovery and development process allows companies to produce generic contraceptives at a lower cost.

Generics are cost-effective and contain essentially the same active ingredients as their brand name counterparts. Both brand name and generics undergo rigorous safety and efficacy testing by the Health Sciences Authority (HSA) and are equally reliable.

Generics and their brand name contraceptive pills differ mainly in their inactive ingredients. This would usually be a concern if you have certain intolerance and/or allergies. Always verify the exact ingredients in your pill with a healthcare professional.

Ultimately, your decision should prioritise your health and financial situation, ensuring you are comfortable and confident with your contraception choice.

Dose of Ethinyl Estradiol

Ethinyl estradiol is the estrogen component in birth control pills. The US FDA approved the first oral contraceptive, Enovid, in 1960. The early pills contained a lot more hormones in them than needed to prevent pregnancy.

Enovid contained 150 mcg of ethinyl estradiol. In comparison, guidelines today recommend a combined pill with between 20-35 mcg of ethinyl estradiol.

A decade after Enovid, a link was found between high levels of estrogen and the subsequent risk of developing blood clots and stroke. It was also found that much lower doses of ethinyl estradiol was just as effective as the higher doses at preventing pregnancy.

With better developments in oral contraception, birth control pills are now considered a safe and reliable option for most healthy, non-smoking people. While there is a very small risk of blood clots, this risk is actually lower than the risk of blood clots during pregnancy or soon after giving birth.

However, if you are 35 or older and smoke cigarettes, always consult a doctor before starting birth control pills. Studies have shown that there is a higher risk for cardiovascular complications in this group of women.

Read if estrogen-containing pills are safe for you HERE.

Theoretically, birth control pills containing 20 mcg of ethinyl estradiol should be safer than those containing more than 20 mcg of ethinyl estradiol. Although no differences have been found in contraceptive effectiveness between them, current research has not established this fact.

On the other hand, clinical studies found an increased risk of bleeding disturbances with pills containing 20 mcg of ethinyl estradiol compared to pills containing more than 20 mcg of ethinyl estradiol.

Choosing the Right Option

For all women, the best form of birth control is the one that will be used consistently. Our doctors at Dame are here to navigate the best option for you.

Type of Progestin

Progestin is the synthetic (artificial) form of progesterone that occurs naturally in your body. Unlike estrogen, there are many different types of progestin available.

There is no difference in contraceptive efficacy among the different progestins found in combined pills.

The main difference among the different progestins are the side effects that can be associated with specific progestins.

Each progestin has slight variations in its estrogenic, or progestational or androgenic activity.

For example, levonorgestrel are progestins with high androgenic activity and are more prone to cause acne, excess hair growth (hirsutism), weight gain, fatigue and depression than progestins with less androgenic activity. By switching to a contraceptive with a less androgenic progestin, these side effects may subside.

Activity of Progestin Agents Commonly Available in Singapore

Activity of Progestin Agents Commonly Available in Singapore

Adverse Effects Associated with Type of Hormonal Activity

Adverse Effects Associated with Type of Hormonal Activity

A consideration of your concerns about the common side effects oral contraceptive pills may cause and your previous experience with combined pills can play an important role in deciding the right pill for you.

Microgynon vs Yasmin Pill: A Comprehensive Side-By-Side Comparison

Based on our approach above, we guide you through a comprehensive side-by-side comparison between Microgynon and Yasmin.

Generic vs Brand Name

Microgynon is probably the oldest oral combined contraceptive pill in Singapore, having been on the market since the 1980s. As it has been around for a longer time, many generic versions of it have been developed, keeping the price competitive. Consequently, you may notice that the price of Microgynon is usually the lowest compared to other brands of combined pills.

In comparison, Yasmin was approved by the FDA for use in 2001. As the patent for the original brand has expired, generic versions of the Yasmin contraceptive pill are available at a lower price. In Singapore, Liza is the HSA-approved generic medication for the branded Yasmin.

At Dame, all three combined pills: Microgynon, Yasmin and Liza are available on our platform upon consultation with our doctors. Pricing and consultation fees are transparent and are made available to you on our platform upfront. There are no hidden fees involved.

Dose of Ethinyl Estradiol

The estrogen components in both Microgynon and Yasmin are exactly the same. They both contain 0.03 mg or 30 mcg of ethinyl estradiol.

Type of Progestin

The main difference between Microgynon and Yasmin lies in the type of progestin they contain.

The type of progestin found in Microgynon is levonorgestrel while the type of progestin found in Yasmin is drospirenone.

Activity of Progestin Agents Commonly Available in Singapore

Activity of Progestin Agents Commonly Available in Singapore

In comparison, levonorgestrel are progestins with a higher level of progestational androgenic activity compared to drospirenone.

As such Microgynon may be more prone to cause acne, excess hair growth (hirsutism), weight gain, fatigue and depression than Yasmin.

It is important to understand that side effects from birth control pills are varying from woman to woman, and the pill experience is differing with the user. Additionally, some side effects subside after one or two period cycles, while others may persist.

If you experienced unwanted side effects from Microgynon, switching to Yasmin or a contraceptive with a less androgenic progestin may reduce these side effects. Always speak to our doctors at Dame, we are here to navigate this journey with you.

In 2011, HSA released an advisory on the use of drospirenone-containing combined pills and the risk of venous thromboembolism. Studies have shown that compared with the use of levonorgestrel-containing pills, the use of drospirenone-containing pills could be associated with a small increase in risk for venous thromboembolism.

In general, the risk of developing blood clots is higher in women taking combined birth control pills compared to women who are not taking any combined contraception. The risk of developing a blood clot is highest during the first year.

However, blood clot formation is rare. Risk factors of developing blood clots include smoking and obesity. Depending on your medical history and your concerns, our doctors at Dame would evaluate and weigh their benefits and risks before making a recommendation to you.

Curious about the link between birth control pills and breast cancer? Read our birth control myth-busting HERE.

Dame Empowers Your Choice

The decision between Microgynon and Yasmin is made in consultation with a doctor who considers your individual health history, lifestyle, and specific needs. At Dame, you can expect a discussion with our doctors to include:

  • Health history: any pre-existing medical conditions or family history that may influence your choice of birth control
  • Side effects: your tolerance for potential side effects such as acne, headache and mood changes or previous experience with birth control pills
  • Costs: the affordability and accessibility of your options based on your budget

At Dame, you can consult a doctor from the comfort and privacy of your own home. From consultation to delivery to our pill packing, every step is designed to be discreet – we understand your worries about kay-poh family members or housemates finding out. No more uncomfortable birth control refills – begin your journey with Dame today!

Summary

Ultimately, the choice between Microgynon and Yasmin comes down to your individual needs and preferences. Specifically, Microgynon and Yasmin mainly differ in the type of progestin they contain and the cost of the pills.

Both birth control pills are highly effective when used correctly, and they offer various benefits that may suit different women.

It is important to understand that birth control pills are effective tools for preventing pregnancy, they do not prevent or protect against sexually transmitted infections (STIs). Using additional contraception like condoms or other barrier methods is recommended if STI protection is also a concern.

At the end of the day, your decision should be an informed one, guided by discussions with a doctor who can provide personalised advice based on your unique circumstances.

If you are curious about birth control pills that contain only progestin or “mini pill”, you can read about it here.

Frequently Asked Questions (FAQs)

At Dame, we answer all your burning questions about birth control pills. You can also find your answers on our search function HERE. Can’t find your answer, too shy to ask? Ask us anonymously HERE. Be in control of your sexual health with Dame.

Q: Are Microgynon and Yasmin available over the counter?

No, both Microgynon and Yasmin are prescription medications. Therefore, you’ll need to consult a healthcare provider to obtain a prescription for either of these birth control pills.

Q: Can I use Microgynon or Yasmin as emergency contraception?

No, these pills are not intended for use as emergency contraception. If you require emergency contraception, you should consult your healthcare provider for guidance on appropriate options.

Read our guide on “How to get emergency contraception in Singapore”.

Q: What are the key differences between Microgynon and Yasmin?

Microgynon and Yasmin are both combination birth control pills. They contain the same dose of estrogen or ethinyl estradiol. They mainly differ in the type of progestin they contain. Microgyon contains the progestin levonorgestrel while Yasmin contains drospirenone. This difference can impact their side effects and how they may affect individual users.

Microgynon and Yasmin also differ in their price with Microgynon being the cheaper pill in Singapore.

Q: How effective are Microgynon and Yasmin in preventing pregnancy?

Both Microgynon and Yasmin are highly effective when taken consistently and correctly. They have a success rate of approximately 99% when taken at the same time every day, without fail. However, their effectiveness may decrease if not taken as directed.

Q: Are there age restrictions for using Microgynon or Yasmin in Singapore?

Yes. The legal age to have sex in Singapore is 16 years old. Meaning doctors are allowed to prescribe birth control pills to 16 years old and older. However, this is still at the discretion of your doctor, who would need to assess your suitability, both medically and psychologically.

Here at Dame, we take a holistic approach to birth control and your safety and health is our top priority. We will walk you through the benefits and risks of the various birth control methods and work out the best method for you. While you are encouraged to inform your parents too, it is not mandatory for them to join in the consultation.

Q: Can I switch between Microgynon and Yasmin pills if I experience side effects?

Switching between these pills can be an option if you experience side effects with one and wish to try the other. However, switching between birth control pills should always be done under the guidance of a healthcare provider. They can help you transition safely and choose an alternative pill that may better suit your needs. It is important to consult your healthcare provider before making any changes to your contraceptive method.

Q: How soon after stopping Microgynon or Yasmin can I become pregnant?

Fertility typically returns within a menstrual cycle or two after discontinuing birth control pills. Some women may become pregnant within a few weeks, while others may take a few months. If you’re planning to conceive, consult your healthcare provider for guidance on timing and fertility tracking.

Q: What should I do if I miss a dose of Microgynon or Yasmin?

If you miss a dose of Microgynon, follow the detailed instructions HERE.

If you miss a dose of Yasmin, follow the detailed instructions HERE.

Always consult your healthcare provider for specific guidance.

Q: Are there any long-term effects of using Microgynon or Yasmin?

The long-term effects of using these birth control pills are generally considered safe. However, it’s essential to have regular check-ups with your healthcare provider to monitor your overall health and discuss any concerns related to long-term contraceptive use. Always consult with your healthcare provider for guidance specific to your situation.

Q: Are there non-pill birth control options I should consider?

Yes, besides birth control pills, there are other contraceptive methods available, such as intrauterine devices (IUDs), implants, injections, and barrier methods like condoms. Your healthcare provider can help you explore these options and determine what suits you best.

Our ultimate guide answers all your questions about birth control in Singapore.

Take control of your reproductive health with Dame, getting birth control pills is as easy as one-two-three, complete a survey, speak to a consultant and enjoy discreet shipping right to your doorstep. It doesn’t stop there, we’ve got you covered for your refills, our subscription model ensures that you don’t have to repeat your order every month.

Getting birth control is easy with telemedicine.