Seasonale Birth Control Pills

Seasonale Birth Control

Table Of Contents

What are Seasonale Birth Control Pills?

Seasonale birth control pills are a combination birth control that contains both estrogen and progestin. The birth control is taken orally to prevent ovulation (the release of an egg) during a women’s menstrual cycle. Seasonale birth control packs contain 84 pills with active ingredients and 7 reminder pills. This brand of birth control is taken for three consecutive months and is referred to as an extended-cycle birth control. Seasonale reduces the number of times you get your period. When taking the birth control, you can expect to get your period once every 3 months (4 timers per year).

The medication is effective at preventing pregnancy due to its ability to cause changes to the cervical mucus and uterine lining. Like other birth control pills, Seasonale thickens the vaginal fluid and prevents fertilization (sperm reaching an egg). The medication also changes the lining of the uterus, which reduces the chance of a fertilized egg attaching to the womb.

Important Information about Seasonale

You should not take Seasonale birth control pills while pregnant or breastfeeding. The contraceptive contains estrogen, which may cause serious negative effects to your baby. Consult your doctor before you take this medication.

Seasonale birth control may raise your blood pressure. You should not take this medication if you have high blood pressure.

Do not take Seasonale birth control if there is a chance that you could be pregnant.

Before taking Seasonale, tell your doctor if you have had any of the following conditions:

  • Circulation problems
  • Blood-clotting disorder or a history or blood clots
  • History of hormone related cancer (breast or uterine)
  • Liver disease or liver cancer
  • History of jaundice
  • Uncontrolled high blood pressure
  • History of heart disease (heart attack or stroke)
  • Unusual vaginal bleeding

Smoking can increase your risk of experiencing a heart attack, stroke or blood clot. It is recommended that you do not smoke while taking Seasonale.

If you are over the age of 35, the risk of experiencing these conditions are significantly increased. For this reason, you should use an alternative method of birth control if you are 35 years or older.

What to Know Before Taking Seasonale Birth Control Pills

Oral contraceptives do not protect you or your partner against sexually transmitted diseases including HIV and AIDS. To project yourself from contracting a disease, always practice safe sex and use a latex condom.

While taking this medication, you should visit your doctor regularly and report any severe symptoms.

How to Take Seasonale Birth Control Pills

Seasonale birth control pills should be taken as prescribed by your doctor or pharmacist. You should always follow the directions outlined on the prescription label. Your Seasonale prescription will contain 3 trays of pills; 2 trays with 28 active pills in each and the third tray contains 28 active pills and 7 reminder pills.

You can begin taking Seasonale birth control in two ways. Typically, your doctor will tell you which method is best suited for your body.

  1. Day 1 Start – Start taking the birth control the day that your menstruation cycle starts. Take one “active” pill for 84 days (12 weeks) straight. Once the 84 pills are gone, start taking a reminder pill for the next 7 days. You will get your period during this time.
  1. Sunday Start – Start taking Seasonale on the first Sunday after your period starts. Follow the same instructions as the day 1 start method and take a pill for 84 consecutive days. After the 84 days, start taking the 7 reminder pills until the pack is gone.

If you become sick while taking Seasonale birth control or experience vomiting or diarrhea, you should use a backup birth control method such as a diaphragm or spermicide.

Store Seasonale birth control in a dry space and keep it away from direct heat or sunlight.

What Happens If You Miss a Dose of Seasonale?              

Seasonale Missed Dose

If you miss a dose of Seasonale birth control, your chances of becoming pregnant are significantly increased.

If you forget to take one “active” dose of your medication, take two pills the following day. Then continue taking the regular dose of one pill a day.

If you miss two “active” pills in a row, take two pills for two days until you are caught up in your pack. Then continue taking the regular dose of one pill a day.

If you miss three or more pills in a row, do not take any of the missed pills. Continue taking one pill per day and leave the remaining three pills in the package.

You should always use a backup method of birth control when you forget to take a dose of medication.

What is The Difference Between Seasonale vs Seasonique?

The main difference between Seasonale vs Seasonique is that Seasonale birth control has placebo “sugar pills” that are taken for 7 days.

In comparison, Seasonique is a continuous birth control and does not contain any placebo pills. Instead of a sugar pill, an estrogen only pill is taken for 7 days after taking the 84 active pills. Because the body absorbs a continuous level of estrogen, women experience less bleeding while taking Seasonique.

Seasonale Side Effects

Seasonale Side Effects

If you experience any signs of an allergic reaction, seek immediate medical attention. Signs of an allergic reaction include hives, difficulty breathing, or swelling of the face, lips tongue or throat.

Common side effects of Seasonale may include:

  • Mild nausea
  • Acne
  • Low sex drive
  • Weight gain
  • Depression
  • Breast tenderness or swelling
  • Freckles or darkening of facial skin
  • Changes in weight or appetite
  • Vaginal bleeding
  • Change in menstrual period

More serious side effects include the following. If you experience any of these symptoms, stop using Seasonale immediately and see your doctor:

  • Chest pain or heavy feeling
  • Pain spreading to the jaw or should
  • Swelling in hands, ankles or feet
  • Breast lump
  • Sudden cough
  • Coughing up blood
  • Sudden severe headache
  • Slurred speech
  • Problems with vision or balance

This is not a complete list of Seasonale side effects. If you think that you are having an adverse reaction to this medication, stop taking this medication immediately and see your doctor.

Seasonale Reviews 

Seasonale Consumer Reviews

According to consumer reviews on, Seasonale birth control has a rating of 6.1 out of 10. The reviews vary, but most reviews are positive, and consumers are happy with the results. The most common complaint about the birth control is that women experienced an increase in breakthrough bleeding and some had periods of heavy bleeding.

Other Medications That May Interact With Seasonale

When taking Seasonale, it is recommended that you avoid certain medications, as some can interfere with the results of Seasonale or may cause serious side effects. Some medications that you should avoid while taking Seasonale include: tamoxifen, tizanidine, tranexamic acid, and aromatase inhibitors such as anastrozole and exemestane.

Before you start taking Seasonale or any other medication, provide your doctor with a list of prescription medication that you are taking.

To learn more about other birth control pill options click here.