Alesse is a birth control pill containing two sex hormones (levonorgestrel and ethinyl estradiol).

Birth control pills such as Alesse work by inhibiting the monthly release of an egg (or eggs) by the ovaries. Some studies have demonstrated changes in the endometrium (lining of the womb) and mucus produced by the cervix (opening of the uterus) with the use of birth control pills.

Take Alesse tablets orally, every day at approximately the same time of day. The tablets should be taken in order.

You may start the pill on any day of your cycle, but you should use backup birth control (like condoms) for two weeks until the pill becomes effective. If you miss a pill, please refer to this website from the Society of Obstetricians and Gynecologists of Canada about what to do next:

Patients may experience breast tenderness, headaches, nausea, and bloating when starting Alesse or other COCs (Combined estrogen-progestin oral contraceptives).

These symptoms typically resolve quickly. Sometimes in the first three months, you might have unscheduled bleeding (spotting, or periods at unexpected times), which usually clears up. Some people report low mood or decreased libido when taking COCs. And although there’s a lot of patient concern over this, there’s no evidence that COCs cause weight gain.

Be patient when taking COCs for the first time as it may take a few weeks to adjust to the new medication.

Yes, Alysena is the generic, non-branded version, or the brand name birth control Alesse. 

You should not take Alesse if you are pregnant. In addition, if you have experienced any of the following conditions: Blood clotting disorders, high blood pressure, heart disease, liver disease, breast disease, circulation problems, migraine with aura, or unexplained vaginal bleeding.

Smokers over 35 should not take Alesse.

There are many different options for birth control. You can read learn more about deciding which birth control option is right for you here.