Talk with your healthcare provider about how to choose the best contraceptive options for your needs.
Non-Hormonal Birth Control
Some of the best birth control options with fewer side effects include non-hormonal methods.
They also can be used for emergency contraception.

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Sponges also can be used.
Spermicides
Spermicides can be used with or without an inserted vaginal machine.
They are available as foam, gels and creams, or tablets and suppositories.
When used alone, they’re placed one hour before sex.
There can be side effects, especially with frequent use that increases the risk of irritating vaginal tissues.
It’s a prescription product applied before sex.
Phexxi should not be used at the same time as a vaginal ring.
UTI, bacterial vaginosis, and yeast infection can occur, with rare bladder or kidney infections.
Condoms
Male and female condoms are safe and effective use.
Talk with your healthcare provider about finding the right balance for your health needs.
There are common side effects associated with the use ofcombination birth control pills.
Most people will notice any effects in the first few weeks or months of use.
The hormonal IUD can stay in place for three to eight years, depending on the brand.
A decrease in ovarian cancer (as well as endometrial and colon cancers) is associated with hormonal methods.
Implants
Some people opt for implanted devices or long-acting injections that rely on hormonal effects.
The synthetic hormone etonogestrel is used in the implanted capsule, typically placed in the arm.
Side effects are similar to those of progestin-only pills, including irregular menstrual bleeding.
Injections
Depo-Provera(medroxyprogesterone) also can be used as a hormonal method.
The injections of a synthetic progestin can last about three months; you should schedule doses at 12-week intervals.
Side effects are possible, including bone density loss and weight gain.
Vaginal Ring
NuvaRing and Annovera are options when choosing avaginal ring.
They rely on synthetic estrogen and progesterone and can cause side effects similar to birth control pills.
Some people experience increased vaginal secretions or, less often, bleeding resulting from a vaginal ring.
Additionally, some people can experience skin irritation with patches.
Summary
Birth control pills have various strengths and benefits, as well as potential side effects.
The method you choose will best match your health history and needs.
Teal S, Edelman A.Contraception Selection, Effectiveness, and Adverse Effects: A Review.JAMA.
2021 Dec 28;326(24):2507-2518. doi: 10.1001/jama.2021.21392.
Food and Drug Administration.Opill tablets (norgestrel tablets)[drug label].
Association of Reproductive Health Professionals.Choosing a Birth Control Method.
Centers for Disease Control and Prevention.Contraception and Birth Control Methods.
2023 May 10;12(10):3388. doi: 10.3390/jcm12103388.
Food and Drug Administration.Slynd label.
MedlinePlus.Progestin-Only (norethindrone) Oral Contraceptives.
The American College of Obstetricians and Gynecologists.Progestin-only hormonal birth control: Pill and injection.
2018;103(10):1309-1317. doi:10.1113/EP086797
Lee A, Syed YY.Estetrol/Drospirenone: A Review in Oral Contraception.Drugs.
2022 Jul;82(10):1117-1125. doi:10.1007/s40265-022-01738-8.
MedlinePlus.Estrogen and Progestin (Oral Contraceptives).
American College of Obstetricians and Gynecologists.Long-acting reversible contraception implants and intrauterine devices.
American College of Obstestricians and Gynecologists.Hormonal contraception and the risk of breast cancer.
Food and Drug Administration.Depo-Provera physician information.
Al-Haddad S, Branham KKR, Clare CA.Advances in contraception: vaginal contraceptive rings.Ther Adv Reprod Health.
Published 2023 Jul 14. doi:10.1177/26334941231186733