This work investigates the influence of couple stresses on intrinsic and extrinsic dislocations within three-dimensional heterogeneous multilayered structures. The materials consist of orthotropic and dissimilar layers with different elastic properties, incorporating the microstructural lengths from a special version of the anisotropic couple-stress elasticity. Double Fourier series expansions are used to describe extended displacements and tractions, considering rotation and couple-stress components and accounting for arbitrary displacement and rotation discontinuities associated with dislocation and disclination loops as well as periodic dislocation and disclination networks at semi-coherent interfaces. The dual-variable and position technique is used to recursively determine the field responses at any point in the multilayered laminate. The application examples focus on dislocation problems with couple stresses, revealing the effects of the core-spreading dislocation technique, free surfaces, anisotropic elasticity, and couple stresses on the field solutions. The analysis also uncovers pressure and von Mises stress amplitudes, non-zero rotation, and non-symmetric stress profiles due to couple stresses in copper/niobium bimaterials. Changes in the sign and magnitude of the Peach-Koehler forces are observed when couple stresses are introduced, which deviate from the classical theory of dislocations. The investigation finds a significant 29% reduction in energy per unit area at a semi-coherent interface between copper and niobium influenced by couple stresses. These results deepen our understanding of how couple stresses affect dislocation behavior in multilayered materials, and provide prospects for future discrete dislocation and disclination dynamics simulations with engineering applications in various nano- and micro-structured materials.