Trinovum is a combined oral contraceptive pill that is proven to be almost 100% effective at preventing pregnancy. Containing varying doses of the synthetic hormones norethisterone and ethinylestradiol, this combined pill aims to mimic the natural hormonal cycle of the body, tricking it to believe ovulation has occurred, thus preventing and egg from being released, highly reducing the chance of pregnancy. It's available as 21 daily pills with a seven-day break.
To buy your Trinovum pill online, we ask that you complete our short consultation. After it is assessed by one of our partner doctors and approved for your safety, you can complete your order and have your pill pack delivered via our free next day delivery service (same day if within London) when ordered before 4pm.
This brand of contraceptive pill has been discontinued by the manufacturer and the production has been stopped. If you're unsure about alternatives to this pill, we advise you to consult your doctor for an ideal substitute. If you have already spoke to your doctor, or know another contraceptive you are satisfied with, you can select the pill here to head back to the list on our main condition page.
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Trinovum is a triphasic combined oral contraceptive pill. This means that you will take three different doses during your cycle to reduce side effects, such as bleeding, spotting, mood swings, and amenorrhea (absence of a period). It is a version of 'the pill' and is almost 100% effective at preventing pregnancy. Trinovum doesn't only provide contraceptive cover, but is also a known treatment for endometriosis and can be prescribed to women who have irregular, heavy or painful periods.
How does the Trinovum pill work?
Trinovum uses two synthetic hormones, ethinylestradiol (oestrogen) and norethisterone (progestogen) to influence your body's natural cycles. This is because it supplements your body with the hormone levels released during and after ovulation, so that your body thinks it has already occurred and that an egg has already been released.
The womb lining is also prevented from thickening, so should an egg be released, it won't be able to embed itself. As an additional measure, the hormones prevent semen from entering the womb by thickening the cervical fluid.
Without oral contraceptivesWith oral contraceptivesReleased eggFallopian tubeOvaryEndometrium (uterus lining)CervixUTERUSVAGINAOestrogen and progestogen can prevent an egg from being released from the ovaries each month most of the time.Progestogen causes thinning of the endometrium (uterus lining) so, if an egg is released, it cannot implant on the wall.Lastly, progestogen also thickens the mucus in the cervix so sperm is prevented from reaching the egg.
What are the benefits of Trinovum?
Triphasic oral contraceptives prevent pregnancy with three different doses. This allows the amount of hormones taken to rise and lower, depending on which stage of your menstrual cycle you are experiencing. Because it adapts to your natural cycle, the chance of you experiencing side effects such as bleeding, spotting, mood swings and missed periods (amenorrhea) is significantly reduced.
Trinovum provides immediate contraceptive cover if you take it on the first day of your cycle. Because it's a combined contraceptive, Trinovum can also help to reduce period pains and make your periods more regular. It's also used as a treatment for endometriosis, a common problem where womb cells grow outside of the womb on other cells.
Does Trinovum protect me against STIs?
No. Trinovum tablets will not protect you against any sexually transmitted diseases/infections. If you've had had unprotected sex and are worried you might have contracted an STI, you should talk to your GP or visit your local sexual health clinic.
Alternatively, you can take a look at some of the options available from HealthExpress.
How do I take the Trinovum pill?
Trinovum is triphasic, which means that you take pills containing different doses of the active ingredients at different times in your cycle. You must take these pills in order that is suggested on the packaging. Trinovum is a 21 day pill, which means that there is a seven day break between 21 day strips. You will still be completely protected for those seven days.
For immediate cover you should start taking this contraceptive on the first day of your period. You start by taking seven white tablets containing 35 micrograms ethinylestradiol and 0.5 milligrams norethisterone, followed by seven light peach tablets containing 35 micrograms ethinylestradiol and 0.75 milligrams norethisterone. And you finish the course with seven darker peach tablets containing 35 micrograms ethinylestradiol and 1 milligram norethisterone.
If not taken on the first day of your period, use condoms for the following seven days.Take each pill around the same time every day for maximum effectiveness of over 99%. Many women set an alarm to remember their next dose.Each Trinovum pill can be easily swallowed with or without drink and food.Store away from direct sunlight and under the temperature of 25°C.Double check the expiry date and patient leaflet regarding use and missed pill if unsure.
What dosages are available with Trinovum?
The Trinovum oral contraceptive pill comes in different dosage stages, designed to maintain effectiveness whilst simultaneously minimising possible side effects. This dosage cycle is standard and there aren't pills with increased or lowered amounts of the active ingredients available.
White tablets: 35mcg ethinylestradiol and 0.5mcg norethisterone
Light peach tablets: 35mcg ethinylestradiol and 0.75mcg norethisterone
Dark peach tablets: 35mcg ethinylestradiol and 1mcg norethisterone.
What happens if I miss my dose of Trinovum?
If you happen to forget to swallow your Trinovum pill at the scheduled time, take is as soon as you remember. However, if you realise that you've missed it by 24 hours or more, it is advised to follow these instructions:
If you have missed one Trinovum tablet, then take it as soon as you can. Sometimes this might mean taking two pills at the same time. After this has been done, you can then continue taking the rest of the pack as instructed by your doctor.
If you miss two or more Trinovum pills, then you will be at risk of falling pregnant should you engage in unprotected intercourse. However, take the missed pill as soon as you remember. Sometimes this may mean taking two tablets at the same time. Due to the way the treatment works, you're advised to use condoms or other forms of contraception for the next seven days.
If you have less than seven pills left in your packet of Trinovum, then you should finish it and then start a new one straight away without a break.
If you have seven or more pills left in the pack, you should finish it and have your normal 7-day break before opening the next one.
For more information about what to do if you've missed your dosage for a significant period, speak to your doctor or pharmacist.
How many pills have you missed? How late?
One pill less than 12 hours late
Started a new pill pack less than 12 hours late
Take the missed pill or start the new pill pack as soon as you can.
Continue the pack as normal.
The combined pill will still be fully effective. No further contraception is required.
One pill more than 12 hours late
Started a new pill pack more than 12 hours late
Take the missed pill as soon as you can.
You may need to take two pills in one day.
Continue the pack as normal.
This combined pill may not be as effective. Use condoms for the following seven days.
Two or more pills in one pack
One menstrual cycle = 28 days
Take the most recently missed pill as soon as you can.
Leave any earlier pills.
You may need to take two pills in one day.
Continue the pack as normal.
This combined pill may not be as effective.
Use condoms for the following seven days.
*Vomiting and diarrhoea experienced within four hours of taking the pill is also classed as a missed pill.
*There are more than seven pills left in the pack. Continue to finish the pack, overlapping the seven-day break. Take your seven-day break and start your new pack as usual.
*There are fewer than seven pills left in the pack. Continue to finish the pack, overlapping the seven-day break. Start the new pack immediately after the old one is finished (missing out the seven-day break completely).
*If you have missed contraceptive pills in the first one to nine days of the pill pack and have had sex without
barrier contraception, you could be pregnant. If you have calculated this between one to five days after the
unprotected sex, you could use emergency contraception such as the IUD or morning-after pill. If not, continue your contraception until the seven-day break. If you don't have any bleeding, it is advised to take a pregnancy test and/or consult your doctor.
Are there any side effects when taking Trinovum?
Before you find your ideal contraceptive pill you may have to try out the different variants of oral contraceptives available. Trinovum is very well tolerated because it provides the right amount of hormones at the right point in your cycle. Some of the more commonly reported side effects you may experience include:
Lessening of libido
These symptoms may appear when you start using the contraceptive, but should disappear as soon as your body has adjusted to the hormones. If they persist or you experience any more severe side effects, you may be advised to try a different contraceptive by your GP.
What are the precautions/interactions for Trinovum pills?
Most women over the age of 18 can use Trinovum for contraceptive cover. It is, however, important to mention any medications or past medical conditions during your consultation, as there are certain conditions or medications that may make it unsafe for you to take Trinovum. These include:
Diabetes, migraines, depression, obesity, blood clotting, gallstones and kidney, liver or heart problems
If you are pregnant or breastfeeding
Ann alternative mini-pill treatment may be prescribed for you if you are breastfeeding. Further information about Trinovum pill is available in the patient leaflet, which is included alongside your medication and is also available for download towards the bottom of this page.
How do I buy the Trinovum contraceptive pill online?
To order Ramipril capsules online for free delivery in the UK, all you need to do is fill out our free online consultation form. This only takes a few minutes, and allows our partner doctors to assess your medical history, and decide if Ramipril is the more suitable treatment for you. Once your prescription has been tailored, we will ready your medication for express dispatch from our pharmacy. If you have any queries, please don't hesitate to speak to our friendly UK patient support team.
Dr Hilary Jones Independent Medical Adviser
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