{"id":58127,"date":"2024-02-27T18:18:57","date_gmt":"2024-02-27T18:18:57","guid":{"rendered":"https:\/\/medsname.com\/ovral-l\/"},"modified":"2026-04-30T10:11:35","modified_gmt":"2026-04-30T10:11:35","slug":"ovral-l","status":"publish","type":"product","link":"https:\/\/medsbase.com\/da\/ovral-l\/","title":{"rendered":"Ovral-L"},"content":{"rendered":"<p><!-- medsbase-tldr-answer --><\/p>\n<div style=\"background:#fff8e1;border-left:4px solid #f5a623;padding:18px 22px;margin:18px 0;border-radius:4px;\">\n<p style=\"margin:0 0 8px 0;\"><strong>\ud83d\udca1 Hurtigt svar<\/strong><\/p>\n<p style=\"margin:0;\"><strong>Ovral-L<\/strong> is a combined oral contraceptive (COC) containing <strong>levonorgestrel<\/strong> (a 2nd-generation progestin) with <strong>ethinyl estradiol<\/strong>. Taken once daily, it is ~99% effective with perfect use (~91% with typical use). Pack: levonorgestrel 0.15 mg + ethinyl estradiol 0.03 mg (21 or 42 active tablets). Starts working after 7 consecutive days of correct use in a new cycle. Used for contraception and commonly for cycle regulation, heavy periods, acne, and PMS\/PMDD.<\/p>\n<\/div>\n<div class=\"medsbase-trust-strip\" style=\"background:#f4f8fb;border:1px solid #d8e3eb;padding:12px 16px;margin:16px 0;border-radius:4px;font-size:14px;\">\n<strong>Hvad du f\u00e5r med MedsBase:<\/strong> WHO-GMP certificeret producent \u00b7 Diskret emballage \u00b7 Verdensomsp\u00e6ndende forsendelse \u00b7 1.400+ verificerede <a href=\"https:\/\/medsbase.com\/da\/reviews\/\">kundeanmeldelser<\/a>\n<\/div>\n<div style=\"background:#f4f8fb;border-left:4px solid #2c7cb0;padding:14px 20px;margin:16px 0;border-radius:4px;font-size:0.95em;\">\n<strong>\ud83d\udd12 Hvorfor bestille fra MedsBase:<\/strong> Verificeret \u00e6gte producentforsyning \u00b7 Diskret verdensomsp\u00e6ndende forsendelse \u00b7 Sikker betaling (kreditkort, krypto) \u00b7 Vurderet 4,9\u2605 af 1.400+ kunder\n<\/div>\n<h2><strong>What Is Ovral-L?<\/strong><\/h2>\n<p>Ovral-L is a branded generic combined oral contraceptive containing <strong>levonorgestrel<\/strong> og <strong>ethinyl estradiol (EE)<\/strong>. It prevents pregnancy through three mechanisms:<\/p>\n<ul>\n<li><strong>Ovulation suppression<\/strong> (primary) \u2014 steady hormone levels prevent the LH surge.<\/li>\n<li><strong>Cervical mucus thickening<\/strong> \u2014 hindering sperm penetration.<\/li>\n<li><strong>Endometrial thinning<\/strong> \u2014 reducing implantation potential.<\/li>\n<\/ul>\n<p>Strengths: <strong>levonorgestrel 0.15 mg + ethinyl estradiol 0.03 mg (21 or 42 active tablets)<\/strong>. Manufactured by Pfizer.<\/p>\n<h2><strong>Progestin Profile: Levonorgestrel<\/strong><\/h2>\n<p><strong>VTE (clotting) risk:<\/strong> Levonorgestrel-containing COCs have the <strong>lowest VTE risk<\/strong> among combined pills (~5\u20137 cases per 10,000 woman-years). It is the go-to progestin for first-time COC users.<\/p>\n<p><strong>Androgenic \/ other activity:<\/strong> Mild androgenic activity \u2014 can occasionally worsen acne or increase body hair, but this effect is small at standard doses.<\/p>\n<p><strong>Best-fit users:<\/strong> First-time COC users, women prioritising lowest VTE risk, women without acne\/hirsutism concerns.<\/p>\n<h2><strong>Klinisk anvendelse<\/strong><\/h2>\n<ul>\n<li><strong>Contraception<\/strong> \u2014 ~99% effective with perfect use, ~91% typical use.<\/li>\n<li><strong>Menstrual cycle regulation<\/strong> \u2014 for irregular periods.<\/li>\n<li><strong>Kraftig menstruationsbl\u00f8dning (menoragi<\/strong> \u2014 reduces blood loss 50%+.<\/li>\n<li><strong>Painful periods (dysmenorrhea)<\/strong> \u2014 reduces prostaglandin-mediated cramps.<\/li>\n<li><strong>Mild acne improvement<\/strong> (variable \u2014 drospirenone\/cyproterone COCs work better).<\/li>\n<li><strong>Endometriosis pain<\/strong> (off-label, continuous-use regimens).<\/li>\n<li><strong>Ovarian cyst prevention<\/strong> and reduced ovarian cancer risk with long-term use.<\/li>\n<\/ul>\n<h2><strong>How to Take Ovral-L<\/strong><\/h2>\n<ol>\n<li><strong>Start on day 1 of your period<\/strong> for immediate contraceptive protection. Starting at other times requires 7 days of backup contraception.<\/li>\n<li>Tag <strong>one tablet daily at the same time each day<\/strong> \u2014 set a phone alarm. Consistency is critical.<\/li>\n<li>Follow the pack order. 21-day packs: take one tablet daily for 21 days, then 7 tablet-free days. 28-day packs: take all 28 tablets consecutively (last 7 are placebo\/iron).<\/li>\n<li>Expect a withdrawal bleed during the tablet-free \/ placebo week \u2014 lighter than a natural period.<\/li>\n<li>After the break, start the next pack on the scheduled day regardless of whether bleeding has stopped.<\/li>\n<\/ol>\n<h2><strong>Missed Pill Rules (CRITICAL \u2014 read carefully)<\/strong><\/h2>\n<table style=\"width:100%;border-collapse:collapse;margin:12px 0;\">\n<tr style=\"background:#2c7cb0;color:#fff;\">\n<th style=\"padding:10px;border:1px solid #ddd;text-align:left;\">Scenario<\/th>\n<th style=\"padding:10px;border:1px solid #ddd;text-align:left;\">Handling<\/th>\n<\/tr>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\"><strong>1 pill missed (&lt;24 hours late)<\/strong><\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Take the missed pill as soon as you remember. Continue the rest of the pack as normal. No backup needed.<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:10px;border:1px solid #ddd;\"><strong>2+ pills missed (48+ hours late)<\/strong><\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Take the most recent missed pill immediately. Use condoms or abstain for <strong>7 dage<\/strong>. If missed pills occurred in the last 7 days of the active pack, <strong>skip the placebo week<\/strong> and start the next pack directly. Consider emergency contraception if unprotected sex in the prior 5 days.<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\"><strong>Vomiting within 2 hours of taking a pill<\/strong><\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Treat as a missed pill. Take another from a spare pack if available, or apply missed-pill rules.<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:10px;border:1px solid #ddd;\"><strong>Severe diarrhoea for &gt;24 hours<\/strong><\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Treat as missed pills; use backup for 7 days after recovery.<\/td>\n<\/tr>\n<\/table>\n<h2><strong>Bivirkninger<\/strong><\/h2>\n<p><strong>Common, usually transient (improve over 3 cycles):<\/strong> nausea, breast tenderness, headache, mood changes, breakthrough bleeding\/spotting, reduced libido, weight-neutral to slight gain.<\/p>\n<p><strong>Mindre almindelige:<\/strong> migraine, melasma (skin pigmentation), contact-lens intolerance, chloasma.<\/p>\n<p><strong>Alvorlige (sj\u00e6ldne, men vigtige):<\/strong> venous thromboembolism (DVT\/PE), arterial thromboembolism (stroke, MI), hypertension, cholestatic jaundice, hepatic adenoma, breast cancer (small increase during use, returns to baseline within 10 years of stopping).<\/p>\n<p><strong>VTE warning signs \u2014 STOP and seek urgent medical help:<\/strong> severe leg pain or swelling (DVT), sudden shortness of breath or chest pain (PE), sudden severe headache with neurological symptoms (stroke), severe abdominal pain (mesenteric thrombosis).<\/p>\n<h2><strong>Who Should Not Take Ovral-L<\/strong><\/h2>\n<p>Combined oral contraceptives are <strong>absolutely contraindicated<\/strong> in:<\/p>\n<ul>\n<li><strong>Smoking + age \u226535<\/strong> \u2014 dramatic stroke\/MI risk increase.<\/li>\n<li>History of VTE (DVT or PE), thrombophilia (Factor V Leiden, protein C\/S deficiency, antiphospholipid antibodies).<\/li>\n<li>History of stroke, transient ischaemic attack, or coronary artery disease.<\/li>\n<li><strong>Migraine with aura<\/strong> \u2014 significant stroke risk.<\/li>\n<li>Uncontrolled hypertension (&gt;160\/100 mmHg).<\/li>\n<li>Active or recent (within 10 years) breast cancer.<\/li>\n<li>Active liver disease (hepatitis, cirrhosis, tumour).<\/li>\n<li>Known pregnancy or unexplained vaginal bleeding.<\/li>\n<li>Major surgery with prolonged immobilisation (stop 4 weeks before).<\/li>\n<li>Breastfeeding under 6 weeks postpartum (reduces milk supply; VTE risk high).<\/li>\n<li>Severe diabetes with vascular complications.<\/li>\n<\/ul>\n<h2><strong>L\u00e6gemiddelinteraktioner<\/strong><\/h2>\n<ul>\n<li><strong>Enzyme inducers (REDUCE contraceptive effect \u2014 backup needed):<\/strong> rifampicin, rifabutin, phenytoin, phenobarbital, carbamazepine, topiramate, primidone, some HIV antiretrovirals (ritonavir, efavirenz), St John&#8217;s Wort.<\/li>\n<li><strong>Antibiotics (most do NOT reduce efficacy)<\/strong> \u2014 the old advice to use backup during antibiotics applies only to rifampicin\/rifabutin. Other antibiotics (amoxicillin, doxycycline, cephalexin) do not reduce COC efficacy for most women.<\/li>\n<li><strong>Lamotrigine<\/strong> \u2014 COCs reduce lamotrigine levels; dose adjustment may be needed.<\/li>\n<li><strong>Grapefrugtjuice<\/strong> \u2014 may raise estrogen levels modestly; not clinically significant.<\/li>\n<\/ul>\n<h2><strong>Non-Contraceptive Benefits<\/strong><\/h2>\n<ul>\n<li>~50% reduction in ovarian cancer risk with 5+ years of use (persists decades after stopping).<\/li>\n<li>~50% reduction in endometrial cancer risk.<\/li>\n<li>Lighter, shorter, more predictable periods.<\/li>\n<li>Reduced menstrual cramps, mittelschmerz, and PMS symptoms.<\/li>\n<li>Improved acne (especially drospirenone- or cyproterone-containing COCs).<\/li>\n<li>Reduction in benign ovarian cysts and fibrocystic breast changes.<\/li>\n<li>Potential protective effect against pelvic inflammatory disease (thickened cervical mucus).<\/li>\n<\/ul>\n<h2><strong>Opbevaring<\/strong><\/h2>\n<p>Store at room temperature (15\u201325 \u00b0C \/ 59\u201377 \u00b0F) in the original blister. Keep out of direct sunlight and humidity. Do not use after the printed expiry date. Keep out of reach of children.<\/p>\n<h2 id=\"faqs\">Ofte stillede sp\u00f8rgsm\u00e5l<\/h2>\n<h3 class=\"wp-block-heading\">How quickly does Ovral-L work?<\/h3>\n<p>If started on day 1 of your period, it is effective immediately. Starting any other day requires 7 days of backup contraception (condoms or abstinence).<\/p>\n<h3 class=\"wp-block-heading\">What happens if I want to get pregnant?<\/h3>\n<p>Fertility usually returns within 1\u20133 months of stopping. Some women conceive the first cycle after discontinuation. Taking folic acid for 3 months before trying is recommended.<\/p>\n<h3 class=\"wp-block-heading\">Will Ovral-L make me gain weight?<\/h3>\n<p>Modern low-dose COCs are generally weight-neutral in placebo-controlled trials. Some women report 1\u20132 kg changes but this is often fluid retention that resolves after 3 months. Drospirenone-containing COCs (mild diuretic effect) may be weight-favourable.<\/p>\n<h3 class=\"wp-block-heading\">Can I use Ovral-L to skip my period?<\/h3>\n<p>Yes \u2014 &#8220;tricycling&#8221; or continuous use is safe for most women. Skip the tablet-free week and start the next pack directly to delay or skip the withdrawal bleed. Some breakthrough spotting may occur; discuss with a clinician for long-term continuous use.<\/p>\n<h3 class=\"wp-block-heading\">Is Ovral-L safe if I am overweight?<\/h3>\n<p>Moderate obesity (BMI 30\u201335) does not absolutely contraindicate COCs but increases VTE risk. Progestin-only pills or non-hormonal methods may be preferable if BMI is &gt;35. Discuss with a clinician.<\/p>\n<h3 class=\"wp-block-heading\">What about breastfeeding?<\/h3>\n<p>Combined pills are not recommended for breastfeeding mothers under 6 weeks postpartum (VTE risk + milk supply reduction). Progestin-only pills (mini-pills) are preferred during breastfeeding.<\/p>\n<h3 class=\"wp-block-heading\">Does Ovral-L protect against STIs?<\/h3>\n<p>No. Hormonal contraceptives provide zero protection against STIs. Use condoms as barrier protection against chlamydia, gonorrhoea, HIV, herpes, syphilis, and HPV.<\/p>\n<h3 class=\"wp-block-heading\">What if I forget a pill?<\/h3>\n<p>See the Missed Pill Rules table above. Briefly: 1 pill missed (&lt;24 h late) = take and continue; 2+ pills missed (48+ h late) = take the most recent + 7 days backup.<\/p>\n<h3 class=\"wp-block-heading\">When should I call a doctor urgently?<\/h3>\n<p>Severe leg pain or swelling (possible DVT), chest pain or shortness of breath (possible PE), severe headache with visual\/neurological changes (possible stroke), severe abdominal pain, yellowing of skin or eyes (liver problem).<\/p>\n<h3 class=\"wp-block-heading\">Can I switch from Ovral-L to a different pill?<\/h3>\n<p>Yes \u2014 start the new pill the day after finishing the current pack (no tablet-free gap) if switching another COC. If switching to a POP, overlap by 7 days. Always consult a clinician if changing due to side effects or health changes.<\/p>\n<h3 class=\"wp-block-heading\">Relaterede pr\u00e6ventionsprodukter<\/h3>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/da\/yasmin\/\">Yasmin (Drospirenone + EE)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/da\/yaz\/\">Yaz (Drospirenone + EE 0,02)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/da\/ovral-g\/\">Ovral-G (Norgestrel + EE)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/da\/loette\/\">Loette (LNG + EE ultra-lav)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/da\/duoluton-l\/\">Duoluton-L (LNG + EE)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/da\/triquilar\/\">Triquilar (Trefaset LNG + EE)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/da\/femilon\/\">Femilon (Desogestrel + EE low-dose)<\/a><\/li>\n<\/ul>\n<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:14px 20px;margin:16px 0;border-radius:4px;font-size:0.9em;\">\n<p style=\"margin:0;\"><strong>\u2695\ufe0f Medicinsk ansvarsfraskrivelse:<\/strong> Hormonelle pr\u00e6ventionsmidler har kontraindikationer og interaktioner. Konsulter en l\u00e6ge, f\u00f8r du starter. Hvis du ryger og er over 35, har migr\u00e6ne med aura, en historie med VTE, aktiv leversygdom eller kendt hjerte-kar-sygdom, kan kombinerede orale pr\u00e6ventionsmidler v\u00e6re usikre for dig. N\u00f8dpr\u00e6vention er ikke en erstatning for regelm\u00e6ssig pr\u00e6vention.<\/p>\n<\/div>\n<h3>Hvorfor bestille fra MedsBase<\/h3>\n<p class=\"medsbase-reship-line\" style=\"font-size:14px;color:#444;margin:8px 0 18px;\">\ud83d\udce6 Hver ordre er d\u00e6kket af vores <a href=\"https:\/\/medsbase.com\/da\/medsbase-re-shipment-assurance-policy\/\"><strong>Reshipment Assurance Policy<\/strong><\/a> \u2014 hvis din pakke ikke ankommer inden for 20 hverdage, sender vi en erstatning.<\/p>\n<p><!-- medsbase-related-alts-v1 --><\/p>\n<h3 class=\"wp-block-heading\">Relaterede alternativer<\/h3>\n<p>Andre produkter inden for <strong>Kvinders sundhed<\/strong> som kunder ogs\u00e5 ser:<\/p>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/da\/gestheal\/\">Gestheal<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/da\/femalefil\/\">Femalefil<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/da\/danogen\/\">Danogen<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/da\/gestoford\/\">Gestoford<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/da\/endogest\/\">Endogest<\/a><\/li>\n<\/ul>","protected":false},"excerpt":{"rendered":"<p>\u2705 Forebygger graviditet<br \/>\n\u2705 Regulates menstrual cycles<br \/>\n\u2705 Reduces menstrual pain<br \/>\n\u2705 Decreases menstrual flow<br \/>\n\u2705 Lowers risk of anemia<\/p>\n<p>Ovral-L contains Levonorgestrel.<\/p>","protected":false},"featured_media":58128,"comment_status":"open","ping_status":"open","template":"","meta":[],"product_brand":[],"product_cat":[3530,3141,3602,3502],"product_tag":[3799,4428],"class_list":{"0":"post-58127","1":"product","2":"type-product","3":"status-publish","4":"has-post-thumbnail","6":"product_cat-alternative-contraceptives","7":"product_cat-category-overview","8":"product_cat-contraceptive-pill-the-pill","9":"product_cat-womens-health","10":"product_tag-levonorgestrel","11":"product_tag-ovral-l","13":"first","14":"instock","15":"shipping-taxable","16":"purchasable","17":"product-type-variable","18":"has-default-attributes"},"acf":[],"_links":{"self":[{"href":"https:\/\/medsbase.com\/da\/wp-json\/wp\/v2\/product\/58127","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medsbase.com\/da\/wp-json\/wp\/v2\/product"}],"about":[{"href":"https:\/\/medsbase.com\/da\/wp-json\/wp\/v2\/types\/product"}],"replies":[{"embeddable":true,"href":"https:\/\/medsbase.com\/da\/wp-json\/wp\/v2\/comments?post=58127"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medsbase.com\/da\/wp-json\/wp\/v2\/media\/58128"}],"wp:attachment":[{"href":"https:\/\/medsbase.com\/da\/wp-json\/wp\/v2\/media?parent=58127"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/medsbase.com\/da\/wp-json\/wp\/v2\/product_brand?post=58127"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/medsbase.com\/da\/wp-json\/wp\/v2\/product_cat?post=58127"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/medsbase.com\/da\/wp-json\/wp\/v2\/product_tag?post=58127"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}