11 best birth control pills after 30 years old

Review of the best according to the editors. About the selection criteria. The the material is subjective, is not advertising and is not serves as a guide to the purchase. Before purchase is needed consultation with a specialist.

Hormonal birth control still use bad fame among Russian women and, oddly enough, some doctors. IN in fact, 60 years ago, when the first such contraceptives, they contained huge, by modern standards, hormone dosages and caused many serious complications. But with since then, let us recall once more, more than half a century. The composition has changed birth control pills, the number decreased tenfold hormones in the drugs, but prejudice remained.

Meanwhile, modern hormonal contraceptives are not only harmless when used properly, but can significantly support women’s health. It is proved that with regular admission birth control pills:

  1. the risk of mastopathy is reduced,
  2. the likelihood of endometriosis is reduced:
  3. the volume of blood loss during menstruation decreases, and, therefore, the likelihood of developing anemia, which affects 10% of Russian women of childbearing age;
  4. the severity of premenstrual syndrome decreases
  5. menstrual migraines become less frequent,
  6. the likelihood of developing “female” inflammation is reduced,
  7. less risk of ectopic pregnancy
  8. the risk of endometrial, ovarian, and colorectal cancer is reduced guts
  9. in perimenopausal women, the development of osteoporosis slows down.

Some birth control pills can normalize normal balance between female and male sex hormones and with used successfully to treat acne (acne) – more on such tools we will talk in the relevant sections rating.

In general, according to an observational study that studied health of 46,000 women for 39 years, regular intake hormonal contraceptives by 29% reduces the risk of death from “gynecological” cancers.

For women after 30 years, there are no special restrictions on admission contraceptives: they can be taken until menopause. But what the older the woman, the more diseases she has, and some of them may become a contraindication to taking birth control.

How to choose birth control pills

In popular Russian-language articles you can often find statement: to choose the right hormonal contraceptives many analyzes must be done, including expensive studies of the hormonal profile.

WHO experts strongly disagree with this opinion. methodological recommendations which say that if according to history (translated into Russian – after a conversation with a doctor) there are no contraindications, you can safely recommend any of modern low-dose and microdosed birth control pills. Indeed, no analysis, no research hormonal background cannot predict possible side effects or prevent their occurrence. Therefore, the selection of the drug by trial and error (these pills did not fit – try others) – normal practice. However, do not forget that most birth control pills undesirable effects decrease after 2 – 3 months of admission.

But since the article is about women over 30, age when various chronic diseases, it is reasonable to undergo examinations to detect contraindications to the use of hormonal contraceptives:

  1. Measure blood pressure, ideally – twice a week during the week day, or at least 2-3 times with an interval of several days.
  2. Undergo a mammogram to rule out malignant neoplasms of the mammary gland.
  3. Pap test (PAP test) to rule out cancer cervix.

Given modern Russian realities, and extreme dislike partners to the barrier method of contraception, we would recommend more take an analysis for the human papillomavirus, as it increases the likelihood of developing cervical cancer, and while taking hormonal contraceptives this process is accelerated (but by themselves KOK itself, we recall once again, the risks of cancer do not increase).

Otherwise, choosing birth control pills is enough guided by common sense and financial capabilities:

  1. “ordinary” women without health problems, with normal skin any microdosed modern can be used a drug;
  2. if there are signs of an excess of androgens: excessive hair growth, oily hair, oily skin with acne it is better to choose a remedy with antiandrogenic effect.
  3. if there are contraindications for taking COCs, check if it is possible take progestin birth control and use it.

Going on the Internet offers to divide women into “estrogen”, “progestin” and “balanced” types according to appearance and, based on this, choose a drug that does not have nothing to do with current prescribing recommendations hormonal contraceptives.

Pills or spiral

With all the advantages of modern birth control pills, they have one significant minus: remember to take the medicine everyday. In addition, many women still fear take hormones. It would seem that in such a situation is optimal intrauterine device. But here there are pitfalls.

A spiral is a foreign body that itself forms in uterine cavity aseptic (microbial) inflammation. And the slightest infection turns aseptic process into septic – in all resulting female issues. That is why the spiral does not recommended for women who frequently change sexual partners (although with how many can this shift be considered “frequent” not a single the manual does not specify).

The spiral increases blood loss during menstruation. We already mentioned at the beginning of the article. that 10% of Russian women have iron deficiency anemia, and 50% have latent, that is, so far not clinically apparent, iron deficiency. Intensified monthly bleeding may well turn this hidden deficit in explicit.

And one more unpleasant moment: a foreign body – a spiral – disrupts the normal motility of the fallopian tubes, and therefore increases the likelihood of an ectopic pregnancy.

On the other hand, once you put the spiral, you can forget about her for several years, it can be used while feeding breastfeeding, and the cost is much more economical, given the long period of use.


progestin OK

copper spiral

hormone-containing spiral

the probability of pregnancy during the year





hormonal stabilization





menstrual stabilization



does not affect


effect on menstrual blood loss





effect on the possibility of an ectopic pregnancy

reduces the likelihood

reduces the likelihood

increases the likelihood

increases the likelihood

systemic side effects

are possible

are possible


are possible

drug interactions

are possible

are possible


are possible

Rating of the best birth control pills after 30 years

Nomination a place Name of product price
Best Combined Oral Contraceptives 1 Modell Liber 1 162 rub.
2 Novinet 456 rub
3 Logest 500 rub
4 Zoely 1 265 rub.
The best pills with antiandrogenic effect 1 Jess 1 025 rub.
2 Yarina plus 1 016 rub.
Best progestogen-only birth control pills 1 Charozette 1 423 rub.
2 Excluton 3 231 rub.
The best pills for emergency contraception 1 Escapel 402 rub
2 Zhenale 412 rub
3 Postinor 345 rub

Best Combined Oral Contraceptives

Combined oral contraceptives (COCs) are birth control pills that contain synthetic analogues 2 types of female sex hormones – estrogens and progestins, mimicking the normal hormonal background of a healthy woman. When the active substance of such tablets regularly enters the bloodstream, the body takes it for its hormones and “lulls” the activity ovaries that produce similar substances. Wherein the egg does not mature and does not leave the follicle, and if not ovum – even conception is impossible. If you drink combined birth control pills strictly according to the instructions, without missing reception, then the probability of pregnancy is less than 1%.

It is best to take them in the morning: if for some reason the woman will forget about the pill, she will have another whole day to do to remember and drink the medicine. If skipping pills showed up the next day, then you need to take two tablets at once. In the event that two days or more were missed, you need to drink two tablets and continue to take one to the end of the package. If a it happened with one of the last 7 tablets in a package, you need just start a new pack without taking a break in a week. In this case, contraceptive efficiency decreases, therefore, if pregnancy is categorically not needed for the next 7 days need to use an additional method: condom, vaginal candles or cream.

The traditional scheme of using combined contraceptives tablets – 21 + 7, that is, three weeks of continuous use, and a week cancellation during which menstrual-like occurs bleeding. While taking any hormonal contraceptives real menstruation does not happen, because the ovaries, which regulate the change of female cycles, on the background of the tablets “fall asleep” and stop producing hormones. Those selections that appear in between pills, in fact, only a signal a sharp decrease in hormonal levels. Therefore, if suddenly during weeks of a break of bleeding does not occur, and a pregnancy test negative, nothing to worry about.

Curiously, 60 years ago, the inventor of contraceptives tablets developed such a scheme of use in order to imitate menstruation – he believed that imitation of ordinary female cycle will present a new type of contraception in more positive light and possibly seek Catholic approval churches (as you know, the Catholic Church forbids all kinds of protection, except calendar method and interrupted genital Act, the most unreliable of all options). Focus failed: Dad hormonal contraceptives are not approved. But the scheme remained.

Now doctors are gradually moving away from this tradition, not seeing anything it’s scary to take COCs for 2–3 months in a row without a break. Moreover, a similar method increases reliability. contraceptive effect. New drugs appear, initially designed for 3 months of continuous use. In Russia, such there is only one registered so far, about which we are now let’s talk.

Modell Liber

Rating: 4.9


These birth control pills have appeared on the market relatively recently: the drug was registered in Russia at the end of 2016.

The tool has a non-standard reception scheme. 84 days in a row you need to drink pills. containing 100 mcg of levonorgestrel and 20 mcg ethinyl estradiol, then for a week – tablets in which there is no progestin levonorgestrel at all, and the amount of estrogen ethinyl estradiol reduced by 10 times. At this time passes menstrual bleeding.

Such a scheme of use makes the contraceptive effect at times more reliable, even in the case of a single pass of a pill (but abuse is still not recommended). Another advantage – “monthly” with all the attendant inconvenience to them all happen four times a year.

Since the packaging is designed for three months of reception, these birth control pills may seem relatively expensive – but in terms of the month it turns out that they are cheaper than many ordinary COOK.


  • increased reliability;
  • low price in terms of the month of admission.


  • not


Rating: 4.6


And these birth control pills have been known in Russia for over 15 years. and over time have managed to establish themselves well.

Like all drugs of our rating, Novinet is microdosed COOK. This means that the concentration of hormones in it is extremely low: 0.02 mg (20 μg) of ethinyl estradiol and 0.15 mg (150 μg) synthetic progestin desogestrel.

The drug is well tolerated with a standard regimen. 21 + 7, it is not forbidden to take it for 2 months in a row, if For some reason, bleeding must be avoided. Many host his women noted a decrease in inflammation on the skin. Of unobvious but useful bonuses – the tool promotes normalization of lipid metabolism, increasing blood levels high density lipoproteins (“good” cholesterol) that important for women after 30 years.


  • improves skin condition
  • low price.


  • not.


Rating: 4.4


Like the previous drug, this is far from a novelty on our the market. Contains: 20 micrograms of ethinyl estradiol and 75 micrograms of gestodene.

The peculiarity of these birth control pills is in gestoden – It has antimineralocorticoid activity. That is, it reduces the effect on the body of the adrenal hormone aldosterone, which causes water retention in the body. Gestoden helps reduce edema, and, therefore, against its background, the likelihood of such side effects like swelling and chest pain, weight gain, increased blood pressure, in fact, swelling is much reduced.

Of the shortcomings, it is worth noting the relatively high cost. Those who can’t afford Logest can benefit from more budget analogue “Lindinet 20”.


  • time-tested tool
  • prevents water retention in the body.


  • high price


Rating: 4.3


These birth control pills appeared in Russia for about 6 years. back. Contain 2.5 mg of nomegestrol acetate and 1.55 mg of estradiol hemihydrate. Molecule of estradiol hemihydrate chemical structure – one of the closest to natural estradiol among molecules known today, and nomegestrol acetate – highly selective progestogen. All this minimizes the likelihood occurrence of adverse events.

The dosage regimen for this COC is slightly different from the traditional one. Typically, birth control pills are recommended to drink for 3 weeks in a row, and take a break for a week. Here in a pack contains 24 active hormone-containing tablets and 4 placebo pills that are only needed to make it easier count the days.

Because of this, the withdrawal bleeding becomes shorter, which replaces menstruation while taking COCs. Often after six months it disappears completely, which can frighten many young women, but, in fact, absolutely no reason for worries.


  • hormone molecule as close to natural.


  • menstruation may disappear
  • high price.

Possible side effects of COCs

In this section of the rating, we have collected only low-dose drugs – that is, tablets containing minimal amounts hormones. But with all the advantages, birth control pills like and any really effective medications can cause adverse events:

  1. pain in the mammary glands;
  2. headache;
  3. spotting spotting;
  4. decreased sex drive;
  5. mood swings;
  6. cholestasis;
  7. swelling
  8. fatigue.

I must say that the most side effects when taking COCs expressed in the first month and as the body adapts to hormones, come to naught – usually three cycles. This is especially true for spotting. But sometimes the reason “daubs” – too low levels of hormones. Then you need to search tablets with a higher content of ethinyl estradiol (but not more than 35 mcg).

In any case, it is highly recommended not to interrupt birth control pills in the middle of the cycle, you need to finish the packaging to end. But of course, when it comes to cholestasis, severe migraines or a severe allergic reaction, this recommendation not applicable. In life-threatening conditions, which include listed, stop taking the medicine immediately.

Who should not take COC:

  1. pregnant
  2. lactating;
  3. in the first 3 weeks after giving birth to women who do not plan to feed breastfeeding;
  4. smoking women over 35 years old;
  5. women who have undergone a resection of a part of the stomach or thin intestines (the active substance simply will not be in time completely absorbed);
  6. при артериальной гипертензии (АД>140/90);
  7. with coronary heart disease, stroke, complicated valvular heart defects;
  8. with intermittent claudication;
  9. if you plan an operation lasting more than half an hour with subsequent prolonged restriction of mobility;
  10. with prolonged stay in a wheelchair or paralysis;
  11. women with systemic lupus erythematosus with positive antiphospholipid antibody test;
  12. with migraines with aura and focal symptoms;
  13. women with breast cancer or having mutation of the BRCA1 and BRCA2 genes;
  14. women with HIV receiving antiretroviral therapy, as these drugs reduce the effectiveness of COCs;
  15. with complicated diabetes mellitus (diabetic angiopathies, neuropathies, retinopathies) or with a disease duration of more than 20 years old;
  16. in acute viral hepatitis;
  17. with complicated cirrhosis of the liver (ascites, jaundice, encephalopathy, gastrointestinal bleeding);
  18. with liver cancer.

As you can see, most of the contraindications are associated with the ability of COCs to increase the likelihood of arterial thrombosis. But such a completely natural state as pregnancy increases the probability of thrombosis is 10 times, and in the first three weeks after childbirth it increases even up to 100 times, while modern COCs – in 2–4 times.

The best pills with antiandrogenic effect

All COCs in one way or another have an antiandrogenic effect – the ability to reduce the effect of male sex hormones on the body, creating a completely artificial hormonal background. But some of they neutralize the effect of androgens more actively than others. Exactly such tablets are recommended for severe hormonal conditions imbalance: increased hair growth (hirsutism), acne, polycystic ovary syndrome. Of course, they are much more in demand among young women, and for adolescents with severe forms acne or excessively heavy menstruation often prescribed in the absence of sexual activity. But COC with antiandrogen effect are also necessary for mature women, so we turned on them in the rating.


Rating: 4.8


These birth control pills stand out from the rest low antiandrogenic agents ethinyl estradiol: 0.02 mg. Among drugs with a similar effect there’s simply no second with so little estrogen at least in Russia at the time this rating was created.

Another positive point: as a progestin Drospirenone is used in a dosage of 3 mg. Drospirenone – one of the relatively new substances that not only possesses antiandrogenic, but also anti-mineralocorticoid effect. That is not just doesn’t cause weight gain, which women often fear, beginners take COCs, but can also contribute to its reduction. In addition, drospirenone contributes to the normalization of the lipid profile. blood serum, which, again, is useful after a 30-year-old age.

Of the shortcomings, a high price should be noted. Cheaper funds with a similar composition – Dimia, Model Trend.


  • low hormone levels
  • prevents fluid retention,
  • may contribute to weight loss.


  • high price.

Yarina plus

Rating: 4.5


This drug is very similar to the previous one – similar active substances, but a little higher amount of estrogen (0.03 mg versus 0.02 mg in Jess). On the one hand, it can increase the frequency of adverse events, on the other hand, these are the means with slightly higher ethinyl estradiol may be indispensable for women who have microdosed drugs cause spotting spotting in the middle of the cycle. But the main thing The feature of Yarina Plus is not that.

The main advantage of these birth control pills is the addition of folic acid, the vitamin that is responsible for hematopoiesis in adults and for the formation of the head and spinal brain in the fetus. Usually amid long-term use of COCs, the amount folic acid in the body is disturbed and before plan pregnancy recommend drinking a course of vitamins. With this you can become pregnant immediately after taking the drug birth control pills.


  • compensates for folic acid deficiency.


  • high price.

We did not include such a famous drug as Diane in this rating. 35 due to the large, in comparison with other means, quantity ethinyl estradiol (0.035 mg or 35 mcg): this contraceptive tablets for many years and with more modern ones, there are no low-dose and effective COCs meaning.

Best progestogen-only birth control pills

These hormonal contraceptives contain only female counterparts. hormone progesterone. They are no less effective than COCs, but where more demanding on the regularity of admission: a delay of even 3 hours in relation to the usual time of use requires additional preventive measures for at least 2 days. Using pure progestins are much more common than when using COCs intermenstrual flow, and the cycle itself becomes difficult predictable: 28 tablets in a pack that you need to drink without break, and somewhere in this period of time comes menstrual-like reaction – or does not come at all.

On the other hand, due to the lack of estrogen causing most side effects when taking COC, progestins more are safe. They can even be taken while breastfeeding and often this becomes the only way to avoid too little break between births.


Rating: 4.7


It contains 0.075 mg (75 mcg) of desogestrel. It is synthetic an analogue of gestagens – hormones that are produced during pregnancy. It does not affect lactation activity and is extremely small. passes into breast milk, so these birth control pills can be used while breastfeeding. Women after 30 years the drug may come in handy when it is impossible to take combined birth control pills containing both progestins and estrogens – the latter have much more contraindications.

Of the shortcomings, traditionally have to indicate a high price. More Cheap analogues: Lactinet, Diamilla, Model Mom.


  • few contraindications
  • can be used while breastfeeding.


  • high price.


Rating: 4.2


Another contraceptive pill that has managed to recommend yourself for at least a decade. Contain 0.5 mg linestrenol.

There are a lot of good reviews on the tool and it is well tolerated, but the picture is spoiled by a very high price (almost 3 thousand per package) in the absence of cheaper analogues.


  • can be taken lactating,
  • good tolerance


  • high cost.

Like COCs, progestins can also cause unwanted phenomena:

  1. irregular cycle;
  2. nausea;
  3. weight gain;
  4. acne
  5. headache;
  6. mood swings.

Contraindications to the use of progestin contraceptives:

  1. pregnancy;
  2. arterial thrombosis in the acute phase;
  3. cardiac ischemia;
  4. stroke;
  5. systemic lupus erythematosus with a positive test for antiphospholipid antibodies;
  6. breast cancer, including in remission;
  7. decompensated cirrhosis of the liver;
  8. malignant liver tumors;
  9. vaginal bleeding of unknown origin;
  10. taking some anticonvulsant, antiretroviral drugs (you need to consult the instructions), rifampicin.

The best pills for emergency contraception

Such birth control pills contain fairly high doses. hormones, so they can not be used for contraception constantly. But they are indispensable in emergency situations, such like a torn condom, a mistake in interrupted intercourse, rape.

Technically, in such cases, you can take the usual progestin or combined birth control containing levonorgestrel – just a few tablets at once, so that the total dose of the hormone reached 1.5 mg. But if you use to of this COC, ozone of estrogen will turn out to be extremely high, which may provoke thrombosis and other dangerous complications. Therefore better Do not take risks and buy 1 right pill.

Most effective emergency birth control pills in the first 3 days after unprotected contact, but can be used them and for 5 days, although the probability of undesirable pregnancy will increase a lot.


Rating: 4.1


Use these pills continuously as birth control no way. This is an emergency contraception, situations when unprotected sexual intercourse for some reason happened, but pregnancy and childbirth are not included in the plans.

Contains a high dose of hormones: 1.5 mg of levonorgestrel. For comparisons: the MODELL LIBERA mentioned at the beginning of the ranking contains 0.1 mg of levonorgestrel, that is 15 times less. So much hormones are needed to inhibit ovulation (the exit of an egg from ovary), if the contact occurred in the first half of the cycle, or make the uterine mucosa unsuitable for egg implantation. But it is with this high hormone content that a rather large number of side effects:

  1. vomiting
  2. headache,
  3. dizziness
  4. pain in the lower abdomen
  5. bleeding.

The drug can not be taken with severe liver failure and adolescents under 16 years old.


  • protects against unwanted pregnancy,
  • a small number of contraindications.


  • high probability of adverse events.


Rating: 4.0


These birth control pills do not contain an analog, but an antagonist progestogen: mifepristone at a dosage of 10 mg. Result after the application is similar: if ovulation has not yet occurred, it is blocked, and in case the egg has already come out and fertilization is possible, the drug causes mucosal rejection uterus (approximately the same process occurs during normal menstruation), followed by a fertilized egg cannot be implanted.

On the Internet you can find the opinion that the drug is not hormonal and therefore safer than Escapel, but this is fundamentally wrong – hormone antagonists change the normal background in the same way as their analogues.

In general, reviews about these birth control pills are not bad, adverse events are not common. But more often in compared with drugs based on levonorgestrel are found feedback on the ineffectiveness of the tool, even if the correct reception.

Possible side effects:

  1. abdominal pain,
  2. nausea,
  3. vomiting
  4. diarrhea,
  5. exacerbation of “female” inflammation,
  6. headache,
  7. weakness.

Contraindications: adrenal gland failure, renal or liver failure, glucocorticosteroid use, anemia,

porphyria, bleeding disorder.

Possible analogues: ginepriston.


  • prevents an unplanned pregnancy.


  • may not work.


Rating: 3.9


Rating: 3.9.

The active substance is similar to the active substance Escapela, but its amount is exactly two times less. And if escapel just take once, then Postinor will have to drink twice, and the second tablet – exactly 12 hours after the first, which can be extremely uncomfortable. Or, ignoring the instruction, take two tablets at a time, remembering the dosage of similar preparations.


  • protects against unwanted pregnancy.


  • side effects often occur.

Attention! This rating is subjective, not advertising and does not serve as a guide to the purchase. Before the purchase consultation with a specialist is necessary.

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