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The primary use of Zovia is to prevent pregnancy. However, there are also many "off-label" Zovia uses, including the treatment of heavy menstrual bleeding and painful menstrual periods. The drug works to prevent pregnancy by stopping ovulation, altering the cervical mucus, and changing the lining of the uterus. It is only approved for use in adult and adolescent females who have started their menstrual periods.
Zovia Uses: An OverviewZovia® (ethynodiol diacetate/ethinyl estradiol) is a prescription birth control pill, also known as an oral contraceptive (or simply, "the pill"). It comes in two different strengths -- Zovia 1/50 and Zovia 1/35. Zovia 1/50 contains more estrogen (ethinyl estradiol) than Zovia 1/35.
High-Dose Estrogen ContraceptivesZovia 1/50 (but not Zovia 1/35) contains a high dose of estrogen, compared to most birth control pills that are currently available. Any birth control pill with 50 mcg or more of ethinyl estradiol is considered a high-dose estrogen contraceptive (Zovia 1/50 contains 50 mcg of ethinyl estradiol per tablet). When birth control pills first came out, they had much higher estrogen doses, compared to today's birth control pills. Over the years, new birth control pills have gradually reduced the estrogen dose, because estrogen is responsible for many of the dangerous problems associated with birth control pills (like heart problems, blood clots, and strokes).
Although these new, low-dose birth control pills are effective, they tend to provide less cycle control. This means that there is often more bleeding between periods (breakthrough bleeding) and, sometimes, heavier periods with low-dose pills. The high-dose birth control pills seem to control the growth of the endometrium (the lining of the uterus that is shed with bleeding) more than the low-dose pills.
Because the higher dose of estrogen in Zovia 1/50 increases the risk of many serious side effects, you should only take it if your healthcare provider thinks that it is the best choice for your situation. If regular or low-dose birth control pills work fine for you, you should not take Zovia 1/50.