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Balcoltra is an oral contraceptive designed to prevent pregnancy. It combines two hormones, levonorgestrel (a progestin) and ethinyl estradiol (an estrogen), which work together to effectively prevent pregnancy. The medication is taken once daily, following a 28-day cycle with 21 active hormone pills and 7 placebo pills that include a small amount of iron. These iron-containing placebo pills help maintain the habit of daily intake but are not intended to treat iron deficiency. In addition to preventing pregnancy, Balcoltra can also help regulate menstrual cycles, reduce blood loss, alleviate painful periods, and lower the risk of ovarian cysts. This medication does not offer protection against sexually transmitted infections, so it is recommended to use barrier methods, such as condoms, during sexual activity to reduce the risk of infection. Balcoltra is also available in a generic form known as Joyeaux.