Azurette

How Does Azurette Work?

Azurette is a combined oral contraceptive, which means that it is a birth control pill that contains two different types of hormones. It contains both an estrogen (ethinyl estradiol) and a progesterone (desogestrel).
The hormones in Azurette prevent pregnancy by stopping ovulation (the maturation and release of eggs from the ovaries). However, it also works to prevent pregnancy in two other, less important ways. Azurette changes the cervical mucus (the fluid of the cervix, which is the lower, narrow part of the uterus that is connected to the vagina), making it more difficult for sperm to enter the uterus.
The drug also alters the lining of the uterus (the endometrium), making it less receptive to an embryo.
Most traditional birth control pills have 21 days of active pills that contain the hormones, followed by 7 days of inactive pills, with no active ingredients. This gives your body a break from the hormones, causing you to have a period.
Azurette has only two inactive tablets (plus five tablets with ethinyl estradiol) for the last week of the pack. These extra days with ethinyl estradiol (an estrogen) may decrease breakthrough bleeding (bleeding between periods).

When and How to Use Azurette

Some general considerations to keep in mind when taking Azurette include the following:
  • Azurette comes in the form of a tablet. It is taken by mouth once a day.
  • You can take Azurette with food or on an empty stomach. If the medication bothers your stomach, try taking it with food.
  • Each pack contains 28 pills. Be sure to take them in order. Once you finish a pack, start a new one right away. You will probably start your period during the last seven days of the pack.
  • It is very important to take Azurette every day, at the same time each day. Try to pick a time that is easy to remember, such as at bedtime or breakfast. If you have trouble remembering, please talk with your healthcare provider, as missing pills increases your risk of pregnancy.
  • Make sure you know exactly what to do if you miss any pills. In some circumstances, you may need to use a backup method of contraception (such as condoms) for seven days.
  • For the medication to work properly, it must be taken as prescribed.
Last reviewed by: Kristi Monson, PharmD
Pregnancy and Pain