Ovral L

Ovral L


  • Effective Hormonal Contraceptives.
  • Combination of two hormones – 0.15 mg Levonorgestrel, and 0.05 mg Ethinyl Estradiol.
  • Helps in irregular periods as well.
  • Prevents the release of an egg and its fertilization by sperm


Ovral L is a hormonal medication that is consumed as contraception to prevent pregnancy by inhibiting the release of an egg from the ovaries. It contains a combination of two hormones – a progestin called Levonorgestrel (0.15 mg) and an estrogen called Ethinyl Estradiol (0.05 mg). Even though it is administered as an effective birth control medication, it may help with many other issues such as irregular periods, acne, dysmenorrhea, excessive bleeding, and risk of ovarian cysts. 

Ovral L does not provide any protection against sexually transmitted diseases.

How Does Ovral L Work?

Ovral L works by repressing the release of an egg during the menstrual cycle, thus preventing pregnancy. 

  • It also alters the endometrium (membrane) lining of the uterus to prohibit the latching of the fertilized egg. The unattached egg passes out of the body eventually.
  • It changes the consistency of the vaginal fluid, making it thicker, to obstruct the smooth passage of sperm to the egg, thus stopping fertilization from happening.

Who Should Not Take Ovral L?

Ovral L should not be used if you are pregnant or have recently had a baby (less than 4 weeks since the delivery) or breastfeeding. It’s also not recommended for the following conditions:

  • Allergy to Levonorgestrel or Ethinyl Estradiol.
  • Hypertension 
  • Any present or previous heart condition such as – chest pain, irregular heartbeat, coronary artery disease, heart valve disease.
  • A history of a blood clot, heart attack, or stroke.
  • In case you are at risk of having any blood clotting disorder (hereditary or due to heart disorders)
  • Diabetes, and/or Diabetes-related blood circulation problems.
  • Any disorder of liver – disease or cancer
  • A history of uterine, cervical, breast, or vaginal cancer
  • Severe migraine 
  • A gall bladder disorder 
  • Any kidney disease
  • Any issue related to thyroid
  • A history of jaundice caused by pregnancy or contraceptives.
  • If you are taking ritonavir/ombitasvir/paritaprevir containing Hepatitis C medications.
  • Unexplained bleeding of the vagina
  • Personal or family history of edema or angioedema
  • You are above 35 years of age

*This medication increases the risk of blood clots, therefore, you would be required to stop consuming it if you have any surgery planned.

Directions for Use

This medication is intended for oral consumption, once daily with not more than 24 hours difference between the doses. It can be consumed with or without food, but it’s crucial to consume it at a fixed time every day. Take the pill on the first day of your period and continue taking it for 21 days. When you run out of the pack, start with a new one.


Missed Dose?

Your chances of getting pregnant become higher when you miss a dose. If you miss a pill, take two pills on the day you remember, and then take one pill per day afterward. And for at least the next one week, use backup contraception such as a condom or the likes.

Side Effects

The majority of the side effects do not require medical attention and subside once your body gets accustomed to the medication. However, if you experience them for a prolonged time and are concerned, consult with your doctor.


Common side effects include:

  • Nausea, vomiting 
  • Breast pain or tenderness 
  • Headache 
  • Irregular bleeding (light; subsides after first 3 months)
  • Acne
  • Weight gain 
  • Darkening of your skin – Melasma

Discontinue the use of medication and seek help if you observe the following symptoms:

  • Allergic Reaction: Hives, breathing difficulty, swelling of throat, tongue, lips, or face.
  • Hypertension: palpitations in your neck or ears, sudden headache, blurred vision, 
  • Stroke: sudden numbness in one side of the body, slurring of speech, severe headache.
  • Blood Clot: chest pain, shortness of breath, swelling in limbs, sudden vision loss.
  • Heart Attack: sweating, nausea, pressure or pain in the chest, pain in the jaw or shoulder.
  • Liver Problem: yellowing of skin or eyes, upper stomach pain, fever, dark urine, and stool. 
  • Depression: mood swings, fatigue, tiredness, sleep disorders.
  • Swelling in any part of the body.
  • Lump in the breast.
  • Heavy vaginal bleeding.



Q1. Can I consume alcohol while taking Ovral L?

  • Consult your doctor regarding this, as caution is advised for use of alcohol if on hormonal contraceptives.


Q2. What to do if I vomit after taking an Ovral tablet?

  • If vomiting occurs within 3-4 hours of consuming the tablet, it is considered a missed dose. You would be required to take another tablet as soon as you feel better.


Q3. What if I miss periods while taking this medication?

  • Some of the Ovral users may miss a period or have lighter bleeding. When the tablet is not consumed every day at a fixed time, the chances of becoming pregnant increase. In case you have missed a period or two, and feel you may be pregnant contact your doctor immediately.


Q4. Is Ovral safe if consumed during pregnancy?

  • Ovral may result in adverse effects to developing fetuses. It is highly unsuitable for pregnant women.


Q5. Is this medication suitable for breastfeeding women?

  • Orally consumable Ovral Tablets are not suitable for breastfeeding women, as the medication may decrease the production of milk. Moreover, the medication may pass on to the baby via breast milk.


Q6. Are there precautions to be taken in case I have diabetes?

  • This medication may increase the blood sugar levels, therefore it is advised to contact your doctor in case you feel any symptoms related to increased sugar levels such as frequent urination, increased thirst.


Q7. Is Ovral safe for use by smokers?

  • Smoking increases the risk of blood clotting or stroke, therefore, it is advised to not smoke when on this medication.


Q8 . Can Ovral interact with any medications I might be taking?

  • Yes. It is advised to consult a doctor in case you are using any other medication, whether prescription or over-the-counter, as they may decrease the efficiency of the combination of Levonorgestrel and Ethinyl Estradiol.


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