Products & Reviews Online Birth Control for Endometriosis to Help Reduce Your Symptoms From fast shipping to affordability, these companies are top-ranked By Ashley Ziegler Ashley Ziegler Ashley Ziegler is a lifestyle writer specializing in motherhood, family health, and consumer products. She has written for Romper, Moms.com, and more. Learn about our editorial process Published on April 28, 2023 Medically reviewed by Renita White, MD Medically reviewed by Renita White, MD LinkedIn Renita White, MD, FACOG, is a board-certified obstetrician/gynecologist. She practices at Georgia Obstetrics and Gynecology, and cares for women all over the metro Atlanta area in Georgia. Learn about our Medical Expert Board Print We independently evaluate all recommended products and services. If you click on links we provide, we may receive compensation. Learn more. It’s estimated that 10% of menstruating people between the ages of 15 and 44 years old have endometriosis, a condition where the lining typically found in the uterus (endometrial tissue) grows and builds up outside of the uterus. This can cause intense pelvic pain; heavy, painful periods; infertility; gastrointestinal issues; inflammation; and cysts. While there are several treatment options for endometriosis, hormonal birth control is one of the simplest and most effective interventions. Research shows that progestin-only pills or combination pills (containing progestin as well as estrogen) may be best at treating endometriosis symptoms. Endometriosis can only be diagnosed with an in-person exam from a healthcare professional, but if your condition is well-managed with birth control, online services offer a convenient way to get new prescriptions and have medication shipped directly to your home. Finding the best online birth control for endometriosis can be challenging, especially with so many companies offering this service. We researched nearly two dozen telehealth providers and online pharmacies with the help of a nurse and clinical researcher to come up with a list of our picks for online birth control for endometriosis. We also had this article medically reviewed by an OB-GYN to ensure accuracy. Read on to see which companies we recommend. Our 8 Picks for Online Birth Control for Endometriosis of 2023 Most Educational: Nurx For Subscription/Membership: Blink Health For Affordability: Planned Parenthood Direct With Insurance: PlushCare For Fast Shipping: LetsGetChecked For Medical Support: Hers For Options: Amazon Pharmacy For Teens: Twentyeight Health Online Birth Control for Endometriosis to Help Reduce Your Symptoms View All Online Birth Control for Endometriosis to Help Reduce Your Symptoms Our Top Picks Nurx Blink Health Planned Parenthood Direct PlushCare LetsGetChecked Hers Amazon Pharmacy Twentyeight Health See More (5) How to Compare Key Considerations FAQs Methodology Most Educational : Nurx NURX Learn More Key Specs Cost: $25 consultation; $15+ per month for Rx (self-pay); free shippingLive Medical Consultation Required? No Accepts Insurance? Yes (only for prescriptions) Pros & Cons Pros Accepts most major insurance providers Unlimited messaging with healthcare provider for one year after consultation Pill, patch, shot, and ring are available Cons Not available in all 50 states yet Does not accept insurance for cost of consultation Why We Chose It Nurx not only offers a wide variety of birth control brands and types, but it also makes it easy for patients to ask questions and learn more about their medication through unlimited messaging with a healthcare provider. Finding the best birth control for endometriosis treatment can take a little trial and error, meaning the ability to message a healthcare provider at any time is a major perk. You may want to discuss side effects or persistent endometriosis symptoms or ask about other medication options. With this quick and easy access, you can get as much information from a provider as you need to feel comfortable and confident in your treatment. Even before you sign up for Nurx, you may be able to get your questions answered on its FAQ page. The vast, searchable resource has more than 250 FAQs about birth control, including several about endometriosis. The perks of Nurx go beyond the educational aspect, too. To get a new prescription, you’ll fill out your health information, indicate which type of medication you’re interested in, and pay a $25 consultation fee. Your provider will help determine the best birth control option for you and your unique needs. From there, Nurx will ship a three-month supply of your medication to your home. It will be placed on auto-renew, so your next batch of pills will arrive before your current batch has run out. Your consultation is good for one year, so you won’t need to schedule another appointment until you need to renew your prescription. Nurx accepts insurance for the cost of prescriptions, or you can opt to self-pay (birth control pills start at $15 per pack). However, consultations are self-pay only. Nurx offers more than 50 different types of birth control options to patients 13 years old and up (though some states require parental consent for birth control), and services are currently available in 34 states. For Subscription/Membership : Blink Health Blink Health Learn More Key Specs Cost: $10 for consultation and first month membership; $10 monthly membership; cost of prescriptions varies Live Medical Consultation Required? YesAccepts Insurance? No Pros & Cons Pros No initial consultation charge and free renewal consultations Low membership price Wide selection of birth control pill options Cons Pill is the only form of birth control offered Members pay a subscription fee plus cost of prescription Why We Chose It Blink Health is one of a few online birth control platforms to offer a subscription model, but what makes the program stand out is that subscribers don’t have to pay a consultation fee to get a prescription written or renewed. During the first month of your subscription, you’ll have your medical consultation, receive a prescription, and pay as little as $10 in total (depending on the medication prescribed). After that, the cost of the membership is $10 per month, plus the cost of the prescription.Once you’re enrolled in the subscription program and you’ve had your initial consultation, you’ll have access to unlimited messaging with a provider so you can ask questions any time you’d like. This is especially important if you want to discuss persistent endometriosis symptoms or worrisome side effects. Your medication will be sent to your home and set on auto-refill (frequency is based on your provider’s dosage), so you don’t have to worry about running out of medication.Before signing up for a subscription, it’s important to know that, at this time, you can only get generic brand birth control pills through Blink Health (it will not prescribe the patch, ring, shot, or any other delivery method). This helps keep the self-pay cost of medication low, which is important since it does not accept insurance. However, if you do have insurance and want to take advantage of those benefits, you can get a birth control prescription from an outside provider and fill the script through BlinkRx. It will fill and ship your medication every month and ensure you pay the lowest possible price based on your insurance plan. For Affordability : Planned Parenthood Direct Planned Parenthood Learn More Key Specs Cost: $0 consult to request birth control pills by mail; $15–$25 consult fee to request prescription sent to local pharmacy, medication $15+ per packLive Medical Consultation Required? In some circumstances/statesAccepts Insurance? Medicaid accepted in select states Pros & Cons Pros Patch, ring, and pill all available Free medical consultations with home shipping Option to have prescriptions filled through Planned Parenthood or local pharmacy Cons Does not accept insurance (with the exception of Medicaid in a handful of states) Switching birth control methods requires an in-person appointment Only pills can be shipped to your home Why We Chose It If your healthcare costs are high because of your endometriosis, you’re likely looking to save money whenever you can. Planned Parenthood Direct is a great option if you’re looking for an online birth control platform that aims to keep costs low without insurance. Simply download the app onto your device and schedule a consultation. A healthcare provider will look over your information and, if deemed appropriate, write a prescription for birth control that will either be shipped to your home or sent to a local pharmacy for pickup. In certain states and circumstances, your provider will schedule a live consultation. Medical consultations are free of charge if you’re requesting a birth control prescription to be sent to your home, and the cost of a prescription starts as low as $15 per pack. Consults cost $15 to $25 if you’re requesting a prescription to be sent to your local pharmacy. Planned Parenthood Direct offers prescriptions for birth control pills, the patch, or the ring. If you’re prescribed pills, you can have them shipped to your home in a three-month supply, which will be put on auto-refill for a year. If you’re looking for a wide variety of pill options, you’ll want to look elsewhere, since as of now, there are only 10 pill options available through the app: nine combination pills and one progestin-only pill. For patients who opt for the ring or patch, the prescription will be sent to a local pharmacy for processing and pickup. After you’ve been prescribed your birth control, you have the option to send a message to a healthcare provider at any time through the app. However, if you want to change your method of birth control, you will have to set up an in-person appointment at a nearby clinic. Planned Parenthood Direct is currently unavailable in Alabama, Louisiana, Massachusetts, Mississippi, New Hampshire, North Carolina, South Carolina, Tennessee, and West Virginia. With Insurance : PlushCare PlushCare Learn More Key Specs Cost: $15/month or $99/year membership fee; $0 to $129 for initial consult and $0 to $99 for subsequent consults; $0 to $50 per month for medicationLive Medical Consultation Required? YesAccepts Insurance? Yes Pros & Cons Pros Accepts insurance for consults and prescriptions Same-day appointments available IUD and implants an option Cons $15 monthly membership fee IUD and implant require in-person placement Does not ship any prescriptions to your home Why We Chose It If you have insurance, PlushCare is a great online birth control platform because, unlike most other companies, it allows you to use your insurance to pay for your consultations as well as prescriptions. Since it partners with several major insurance companies, including UnitedHealthcare, Aetna, and Humana, these services are accessible to a wide range of patients. People with endometriosis will appreciate that they can message medical providers with questions at any time and access same-day appointments for a wide variety of health concerns, whether it’s gastrointestinal issues or pain management, or even mental health issues that may arise in relation to a chronic condition. PlushCare requires patients to sign up for a membership, which costs $15 per month (with the exception of the first month, which is free) or $99 annually. Insured subscribers simply need to input their benefits information into their profile and PlushCare will only charge you a copay for your consultation and medication. With most insurance plans, birth control copays are $0. If you’re not using insurance, there is a self-pay option, but it can get pricey. In addition to the membership fee, you’ll pay $129 for your initial consultation and $99 for any subsequent visits, in addition to the cost of your birth control (which can cost up to $50 per month). Membership benefits are the same, whether you are using insurance or self-paying, and they include unlimited messaging with your provider, access to same-day appointments, prescription discount cards, discounts on lab tests, and free memberships for family members. Birth control methods that PlushCare providers can prescribe include the pill, shot, ring, patch, IUD, or implant. The pill, shot, ring, and patch can be picked up at your local pharmacy (PlushCare does not ship medications to your home), but you’ll have to visit a doctor in person in order to have your IUD or implant inserted. Limited access to PlushCare’s services is available without a membership by calling 1-800-221-5140. For Fast Shipping : LetsGetChecked Let’s Get Checked Learn More Key Specs Cost: $0 consultation; $10+ medicationLive Medical Consultation Required? NoAccepts Insurance? No Pros & Cons Pros Free medical consultation Low-cost generic options Option to purchase up to a year of medication upfront Cons Only offers pills (no patch, ring, or other methods) Does not accept insurance Why We Chose It While most online pharmacies offer relatively quick standard shipping, LetsGetChecked is one of the few that also has an express shipping option. Standard shipping, which is five business days, is always free, but you can have your medication delivered in one to two days for an additional charge. If you’re in need of birth control fast to help quell your endometriosis symptoms, LetsGetChecked’s express shipping may be for you. Getting a prescription through LetsGetChecked is relatively easy—and the medical consultation is free. Simply sign up, fill out an assessment, and a provider will review your information and write you a prescription, if appropriate. It’s important to note, however, that at this time you can only get the pill through LetsGetChecked, so this isn’t the best option if you’re looking for another method of hormonal birth control, such as the patch or ring. Also, the company does not accept insurance, so everything is self-pay. Working outside the insurance system helps LetsGetChecked keep prices low, with medications starting at around $10 per month. Finally, there isn’t an option to pick up your prescription at a local pharmacy, so you will need to rely on home delivery. LetsGetChecked differs from other online pharmacies in that you sign up for a subscription for either three, six, nine, or 12 months of birth control. Regardless of what subscription you choose, you’ll only be sent a three-month supply of birth control at once, but if you choose a three-, six-, or nine-month subscription, you’ll need to remember to go in and renew it at some point, and if you put this off for too long you may need to take advantage of the express shipping in order to avoid a lapse in treatment. For Medical Support : Hers Hers Online Therapy Learn More Key Specs Cost: $0 consultation; $12+ monthly medication fee; $5 follow-up consultationsLive Medical Consultation Required? YesAccepts Insurance? No Pros & Cons Pros Free follow-up consultations 24/7 asynchronous provider messaging Affordable pricing Cons Only prescribes birth control pills Requires subscription Why We Chose It When you’re using birth control to treat endometriosis, having reliable medical support is key. Hers is one of the few online birth control services that not only gives patients access to unlimited messaging with their medical provider but also offers follow-up consultations as needed. Even better, the follow-up consultations are only $5, making this care very accessible. Hers is a good choice for someone who is looking specifically for birth control pills and who is comfortable with generic medications, as it does not offer brand-name or other methods such as the ring, patch, or shot. Hers does not accept insurance, but monthly birth control medication plans start as low as $12. In addition, Hers only offers 12 combination birth control pill options and one progestin-only pill. Getting a prescription through Hers is much like the other platforms. You’ll fill out an online assessment and have a free consultation with a provider who will review your information and prescribe you the birth control most appropriate for your situation. Once you have your prescription, you’ll go into your account and set up shipping preferences based on your subscription plan. Your subscription and medications will be set to auto-renew, so your next shipment of medication will be delivered to your house around six days before you need to start a new pack. Another way Hers stands out is that its telehealth providers can address other sexual and reproductive health concerns, such as mental health, skin care, hair loss, and even primary care issues like digestive problems. Primary care telehealth appointments are $39, online counseling is $99 per session, and psychiatry is $85 per session. Mental health prescriptions start at $49 per month for a three-month subscription. For Options : Amazon Pharmacy Amazon Pharmacy Learn More Key Specs Cost: $30-$35 consultation; $5/month RxPass gets Prime members access to 50 generic meds for free, $8+ for one month of medication (self-pay) Live Medical Consultation Required? Yes (offered through Amazon Clinic) Accepts Insurance? Yes Pros & Cons Pros Large assortment of birth control options Affordable and transparent self-pay rates Accepts prescriptions from outside providers Cons Full savings benefits require a Prime subscription Consultations through Amazon Clinic only available in 33 states Why We Chose It Given how many regular products Amazon carries, it probably comes as no surprise that Amazon Pharmacy is one of the most well-stocked online platforms for birth control. You’ll find a wide variety of more than 100 generic and name-brand pills, patches, and rings that you can have delivered right to your home. Also, insurance is accepted and self-pay prices as well as the cost with insurance are both clearly outlined on each product, so there are no surprises. Since birth control requires a prescription, Amazon Pharmacy requires you to participate in a medical consult in order to send out medication (if you don’t have a preexisting prescription to transfer). You can set up a telehealth appointment and get a prescription written for you with ease through one of Amazon’s partner clinics at Amazon Clinic. Most consultations cost around $30 to $35, and telehealth prescribing is currently available in 33 states. If you already have a provider you love, you can have your prescription sent to Amazon Pharmacy to be filled. Prescriptions are sent in three-month packs and are set to auto-renew, so you don’t have to worry about refilling them. While you can’t contact your medical provider directly after the consultation, Amazon pharmacists are available 24/7 to answer any medication or side effect questions you may have. If you have insurance, you can load all of your information into Amazon Pharmacy and it will take care of filing the claim for you. Prime members get as many generic medications from a list of 50 (if prescribed) with a $5 RxPass. A Prime membership is not required to use Amazon Pharmacy, but if you have it you’ll get free two-day shipping. Shipping is also free for non-Prime members, but it takes four to five days. For Teens : Twentyeight Health Twenty Eight Health Learn More Key Specs Cost: $26 annual fee (includes provider consultation); $18+ for birth control (self-pay)Live Medical Consultation Required? NoAccepts Insurance? Yes Pros & Cons Pros Available to patients as young as 13 years old Low annual fee includes consultation Over 100 birth control options Cons Only available in 34 states (plus Washington D.C.) Doesn't offer as many additional health services as other platforms Why We Chose It Twentyeight Health is one of only a few online birth control platforms that will treat patients as young as 13. It provides this care while still adhering to state laws and requirements for treating minors. Symptoms of endometriosis, particularly painful cramps, can start in the teenage years, and birth control is often prescribed as treatment. Unfortunately, many online birth control platforms won’t treat people under the age of 18. That’s why we love Twentyeight Health: it accepts patients as young as 13 years old. And if you’re just starting to try out birth control to address endometriosis symptoms, you’ll be excited to learn that Twentyeight Health has more than 100 options to choose from (both generic and brand name), so finding one that fits your needs shouldn’t be difficult. Getting started with Twentyeight Health is easy. Simply pay the $26 annual fee, set up a medical consultation, and a provider will write a prescription, if appropriate, for a medication that matches your preferences and your health condition. Once written, the prescription is shipped directly to you within three to five days. It’s set to auto-refill for a year so you don’t have to think about it. If you have questions about your medication or want to discuss switching to another brand or method, you can message the provider at any time through the online portal. Twentyeight Health works with several major insurance providers, but if you’re paying out of pocket, medication starts as low as $18 per month. It is currently available in 34 states, plus Washington D.C., but keep in mind that some states require parental consent for minors seeking birth control. Compare the Best Online Birth Control for Endometriosis Company Cost Live Medical Consultation Required Accepts Insurance Free Shipping Nurx Most Educational $25 consultation; $15+/month for Rx (self-pay) No Yes Yes Blink Health With Subscription/Membership $10 consult and first month membership; $10/month membership; cost of prescription varies Yes No Yes Planned Parenthood Direct For Affordability $0 consult to request birth control by mail; $15–$25 consult to request prescription sent to pharmacy, medication $15+/pack In some circumstances/states Medicaid accepted in certain states Yes PlushCare With Insurance $15/month or $99/year membership; $0 to $129 initial consult, $0 to $99 subsequent consults; $0–$50/month medication Yes Yes Yes LetsGetChecked For Fast Shipping $0 consultation; $10+/month medication No No Yes Hers For Medical Support $0 consultation; $12+ monthly medication fee; $5 follow-ups Yes No Yes Amazon Pharmacy For Options $30-$35 consultation; $5/month generic meds RxPass, $8+/month medication (self-pay) Yes Yes Yes Twentyeight Health For Teens $26 annual consult fee; $18+ for birth control (self-pay) No Yes Yes How to Compare the Best Online Birth Control for Endometriosis Finding the best online birth control for endometriosis will depend on a variety of factors and your unique situation. Some things to consider include: Cost and insurance: Each platform has its own pricing model; some accept insurance and others don’t. If you have insurance, birth control is likely free under the Affordable Care Act, so it benefits you financially to use a service that accepts insurance. On the other hand, self-pay patients should consider the cost of consultation, medication, and any subscription or shipping fees to get a clear picture of how much a service will cost compared with others. Accessibility: Not every online birth control platform is available to every patient. When you’re trying to choose the best one for yourself, make sure the service and delivery are offered where you live and that you’re part of the age group the company treats (especially important for teens and patients over 45). Medical support: When you’re using birth control to treat endometriosis, you’ll likely want to have easy access to medical support in case you experience any side effects or symptoms that are concerning. You may need to switch your birth control or be referred to an in-person provider, and in these cases, the quicker you can get support, the better. Birth control variety: There are several different birth control methods available, and hundreds of generic and name-brand options. If you know exactly what medication you want, then it’s important to make sure the platform you choose offers it. For patients who are new to birth control treatment, it’s helpful to have several options, because finding the right fit can take some trial and error. Shipping and privacy: Look into each platform’s shipping and delivery policies before choosing which one to work with. Consider the packaging (do you want it to be discreet?), shipping speed, expedited shipping options, and any associated costs with shipping and delivery. Also, confirm the platform you want to use is able to deliver medication to you, as some have restrictions. If you’d rather pick your medication up at a local pharmacy, look for a service that offers this feature; it may mean you’re able to get your medication faster and can use insurance to cover the cost. Key Considerations With Birth Control for Endometriosis Who Should Take Birth Control for Endometriosis? First, it’s important to go through the process of being diagnosed with endometriosis, which usually requires in-person evaluations, tests, lab work, or other procedures. Once you’ve gone through all of this, confirm with your provider that birth control is a safe and realistic treatment option for you. If you’re given the go-ahead, and you’re experiencing symptoms that can be treated with birth control, then it’s safe to move forward with getting a prescription. When requesting a birth control prescription online, for your safety, be sure to inform the provider of all of your health conditions, medications, and relevant medical history. Ask the provider which birth control formulations are shown to best address your specific symptoms. How Does the Pill Help Endometriosis? Hormonal contraception uses synthetic female hormones to regulate menstrual cycles, thereby reducing the heavy bleeding and cramping typically experienced with endometriosis. Some research shows progestin-only pills are best for treating endometriosis. Other formulations that include both progestin and estrogen, may also be effective, especially ones that are high in progestin. Since there is currently no cure, keep in mind that birth control will only treat the symptoms of endometriosis. “Birth control can help manage the painful symptoms of endometriosis by regulating the hormones that cause the overgrowth of endometrial tissue. This can help reduce menstrual flow and cramps, as well as reduce inflammation,” says Lindsay Modglin, a nurse and subject matter expert in online pharmacies. It’s important to note that depending on the severity of your symptoms, birth control may lessen your pain but not alleviate it entirely. Frequently Asked Questions How Can I Be Sure an Online Birth Control Pharmacy Is Trustworthy? You may be trepidatious about putting your medical care in the hands of online services, but Modglin says that a quality online pharmacy is required to get the same licensure as a brick-and-mortar one, and will require the same documents and information from patients. “This means you must have a valid prescription from a provider before filling medications,” she says. “If the platform doesn't request a prescription or a consultation with one of its board-certified providers, it's not a safe source.” Can Endometriosis Be Cured? Unfortunately, at this time there is no cure for endometriosis. The only option is to treat the symptoms with birth control, pain relievers, and gastrointestinal medications, or, in more severe or advanced cases, surgical procedures. What Types of Birth Control Help With Endometriosis? “Hormonal birth control containing estrogen and progestin or progestin only can help manage endometriosis," says Modglin. "The most common types of birth control used to treat endometriosis are oral contraceptive pills, patches, and the vaginal ring. Depo-Provera injections can also help reduce symptoms.” What Are Common Side Effects of Taking Birth Control With Endometriosis? Side effects of taking birth control for endometriosis can vary based on what type you opt for. Most side effects are temporary and subside as your body gets used to the medication. If yours last more than three months, you may want to ask your provider about switching birth control formulations or delivery methods. Some common birth control side effects include:HeadachesIrregular periodsBloatingNauseaBreast tendernessDepression Methodology In order to create this list, we researched approximately two dozen online birth control services, considering factors such as cost, availability, insurance, method and brand options, age restrictions, and medical support. We also sought advice from Lindsay Modglin, a nurse and subject matter expert in online pharmacies. Finally, we took extra steps to ensure each platform was reputable and that our information accurately reflects current service offerings. Our primary focus was on the ease with which users could connect with doctors as well as whether the birth control options include the forms most used to treat endometriosis, such as progestin-only pills and high-progestin combination pills. Endometriosis pain. Article Sources Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy. Johns Hopkins Medicine. Endometriosis. Casper RF. Progestin-only pills may be a better first-line treatment for endometriosis than combined estrogen-progestin contraceptive pills. Fertil Steril. 2017;107(3):533-536. doi:10.1016/j.fertnstert.2017.01.003 Guttmacher Institute. An overview of consent to reproductive health services by young people. Healthcare.gov. Health benefits & coverage: Birth control benefits. Eunice Kennedy Shriver National Institute of Child Health and Human Development. What are the treatments for endometriosis?. By Ashley Ziegler Ashley Ziegler is a lifestyle writer specializing in motherhood, family health, and consumer products. She has written for Romper, Moms.com, and more. She received her Bachelor of Arts in Communication from Purdue University and her Master of Science in Management from Indiana Wesleyan University. Edited by Olivia Campbell Olivia Campbell Olivia Campbell is a health editor for performance marketing at Verywell. She is author of the New York Times best-selling book “Women in White Coats: How the First Women Doctors Changed the World of Medicine.” Learn about our editorial process and Simone Scully Simone Scully Simone is the health editorial director for performance marketing at Verywell. She has over a decade of experience as a professional journalist covering mental health, chronic conditions, medicine, and science. Learn about our editorial process See Our Editorial Process Meet Our Medical Expert Board Share Feedback Was this page helpful? Thanks for your feedback! What is your feedback? Other Helpful Report an Error Submit By clicking “Accept All Cookies”, you agree to the storing of cookies on your device to enhance site navigation, analyze site usage, and assist in our marketing efforts. Cookies Settings Accept All Cookies