Amethyst Continuous Contraceptive Pill (Generic Lybrel)


Amethyst is a combination contraceptive pill. This is a generic version of Lybrel. Lybrel was the first extended cycle oral contraceptive formulated for a daily active dose of hormones. You take the pill for 365 days and you no longer have your period. Lybrel is no longer available. Amethyst is manufactured by Watson Laboratories. Each packet of amethyst contains 28 tablets (90 mcg levonorgestrel / 20 mcg ethinyl estradiol ). Amethyst is classified as a low dose non-cyclical continuous oral contraceptive pill.

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How does it work

Amethyst works the same way as other combination birth control pills. The main difference is that amethyst provides a stable low dose of ethinyl estradiol and levonorgestrel, which must be taken every day of the year. Unlike most other birth control pills , Amethyst does not contain inactive pills, so there is no placebo period. By taking this pill every day (as continuous contraception ), you will no longer have your regular periods.

Environmental debate

The idea of not having your period sounds quite surprising. Opponents argue that manipulating a woman's menstrual cycle by completely ending her menstrual cycle is unnatural or harmful. Well , my friends, these "opponents" need a quick reality check. You see, any woman who takes birth control pills (no matter what) is already manipulating her menstrual cycle. Few women have a natural 28-day menstrual cycle; you are considered "normal" if you have your period every 24 to 38 days. The standard birth control pill manipulates a woman's cycle, making it an ideal 28-day cycle.

Women who take birth control pills don't even have a "real" period. What they actually experience every month is called withdrawal bleeding , which is what happens over the course of seven days when they take the placebo pill. Bleeding is usually shorter and easier than during a normal period because women taking the pills do not accumulate the lining of the uterus, so less blood needs to be shed. Usually after the hormones are not taken (which occurs in the fourth week of a normal pill cycle), a small group of uterine lining is removed. When you take amethyst, you are getting hormones constantly (since there is no placebo period, active pills for 28 days), so you should have little to no uterine bleeding.

Now get ready for this information: the so-called period that occurs during the regular 21- or 28-day packs of combined birth control pills actually has no other medical function than to convince you that you are not pregnant. Researchers who invented birth control pills in the 1960s believed that women were more likely to take them, and that the church would be more receptive to them if they built them on the monthly week (to mimic the female cycle more naturally) .

We know that women choose to skip periods by manipulating the contraceptive method for a variety of reasons … perhaps due to strenuous physical work, an upcoming honeymoon or vacation, and / or severe menstrual symptoms. For decades, doctors have taught women how to do it right. So far, many pill users choose to avoid menstruation by starting a new pack of pills during the fourth week (when their period usually occurs).

Advantages and benefits

  • Medical authorities say there are no health risks or medical reasons why women should have their periods.
  • Avoiding a woman's menstrual week (as Amethyst does) can lead to a decrease or complete elimination of symptoms associated with a week of menstruation, such as bloating, cramps, irritability, headaches, breast tenderness, and various other pains. .
  • Elimination of menstruation with continuous oral contraceptives has proven to be an effective treatment for many health problems such as endometriosis , anemia / menorrhagia , and epilepsy .
  • Using amethyst will also save women money. This is because you no longer have to buy feminine hygiene items and / or menstrual medications to treat headaches and other symptoms of PMS. It also makes amethyst more environmentally friendly (for anyone looking to live a "greener lifestyle, you know, reduce your carbon footprint").

Potential risks

  • Many women appreciate periods; This gives them confidence that they will preserve fertility and femininity, and makes them understand that they are not pregnant.
  • Some people are concerned about constant exposure to the hormones associated with amethyst. But many doctors point out that an additional seven days of low-dose hormone exposure per month is unlikely to significantly increase risks beyond those already faced by women taking other types of combination birth control pills .
  • Since approximately 1% to 8% of oral contraceptive users become pregnant each year, young women who have never been pregnant and take amethyst may not recognize the symptoms associated with pregnancy, if they become pregnant, as they cannot trust in the missing period. prevent them from getting pregnant.
  • The low doses of hormones used in amethyst can cause breakthrough bleeding (unexpected spotting). In one study, 49% of regular oral contraceptive users achieved amenorrhea in cycle 2 and 88% achieved it in cycle 12 .

Side effects

Amethyst has the same side effects as other hormonal methods combined. Serious complications rarely occur with the use of oral contraceptives.

All oral contraceptives, including amethyst, are more likely to fail:

  • Smoking women.
  • Women 35 years of age or older (should be watched when taking amethyst).
  • Smoking women over 35 years of age.
  • Women who have conditions associated with a heart attack (such as high cholesterol , high blood pressure , diabetes, cardiovascular disease, and conditions that increase the risk of blood clotting).


Amethyst (like other combined birth control pills) is 91% to 99.7% effective. This means that with normal use, only 9 out of 100 women will get pregnant in the first year of using amethyst. When used correctly, less than 1 baby can get pregnant in the first year of using Amethyst.

How to get it

To get a prescription for amethyst, you will most likely need a medical exam, a blood pressure test, and possibly a pelvic exam by a doctor. Then women can get a prescription from a local pharmacy.


Amethyst can be purchased at a pharmacy or clinic with a valid prescription. You should check your health insurance policy as amethyst should be covered at no cash costs for all non-grandpa insurance plans.

STD protection

Amethyst will not protect you from sexually transmitted infections .

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