Get Seasonale Online

Seasonale is an extended-cycle oral contraceptive that lets you have just 4 periods a year instead of 13. Get evaluated by a licensed physician and receive a tailored treatment plan, all online and without leaving home.


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What Is Seasonale?

Seasonale (levonorgestrel-ethinyl estradiol) is a prescription medication used to manage pregnancy prevention. It works by combining a progestin and an estrogen to suppress ovulation, thicken cervical mucus, and thin the uterine lining. With the right dose and ongoing monitoring, most people tolerate extended-cycle contraception well and appreciate the convenience of fewer scheduled periods.

  • Extended 91-day cycle means only 4 withdrawal bleeds per year
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  • Explore treatment and prescription options

Is Online Seasonale Treatment Right for You?

Seasonale is appropriate for people seeking reliable hormonal contraception who want the added benefit of fewer periods. Candidates are typically adults who are not pregnant, do not smoke heavily, and do not have contraindications to combined estrogen-progestin therapy such as a history of blood clots, certain migraines, or uncontrolled hypertension.

Because Seasonale contains estrogen and progestin, a thorough cardiovascular and reproductive health history is essential before prescribing. Individuals with a personal or family history of hormone-sensitive conditions, liver disease, or certain clotting disorders will need additional evaluation before this medication is considered appropriate.

  • Diagnosed with or seeking contraception
  • Get personalized guidance from AI and clinicians
  • Explore treatment and prescription refill options
  • Access care from home, often the same day
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Diagnosed with or seeking contraception No contraindications to combined estrogen-progestin therapy Experiencing unintended pregnancy concern or cycle management needs Need a prescription refill Adults 18+ in any U.S. state

How Birth Control Treatment Works at Doctronic


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Book a $39 telehealth appointment (or copay) within 30 minutes. Our doctors create personalized treatment plans with prescriptions when needed.


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Our doctors prescribe non-controlled medications in all 50 states and send prescriptions to your pharmacy for same-day pickup.

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Frequently asked questions

Seasonale uses the same hormones as many standard pills but packages them in a 91-day cycle: 84 active hormone pills followed by 7 inactive pills. This means you have a withdrawal bleed only 4 times per year instead of the usual 12 to 13 times.

When taken correctly and consistently, combined oral contraceptives like Seasonale are more than 99% effective. With typical use, effectiveness is around 91%, mainly due to missed or late pills.

The most commonly reported side effects include breakthrough bleeding or spotting between periods, nausea, breast tenderness, and headache. Spotting is especially common during the first few months as your body adjusts to the extended cycle.

Seasonale is not appropriate for people who smoke and are over 35, have a history of blood clots or stroke, have certain types of migraines with aura, have uncontrolled high blood pressure, are pregnant, or have a history of hormone-sensitive cancers or liver disease.

No. Seasonale prevents pregnancy but does not protect against sexually transmitted infections such as HIV, chlamydia, or gonorrhea. Barrier methods like condoms should be used if STI protection is needed.

If you miss one active pill, take it as soon as you remember and take the next pill at the regular time, even if that means taking two pills in one day. If you miss two or more pills, follow the package instructions carefully and use backup contraception such as condoms for at least 7 days.

You start by completing an AI-guided health evaluation that collects your medical history, current medications, and relevant risk factors. A licensed physician then reviews your information, makes a clinical determination, and if appropriate, sends a prescription to your preferred pharmacy.

Yes. Doctronic connects you with licensed physicians who are trained and credentialed in their states. All consultations are doctor-reviewed and audited for quality, and your personal health information is protected under HIPAA.