Not happy with your current birth control? Whether you want fewer hormones, better convenience, or STI protection, there are good alternatives. Below I lay out the main choices, how they work, and quick tips to pick the right one for your life.
Long-acting reversible options: IUDs (copper and hormonal) and implants are set-and-forget. The copper IUD is non-hormonal and works for up to 10 years. Hormonal IUDs and implants release progestin and last 3–5 years (IUD) or about 3 years (implant). These are among the most effective methods for preventing pregnancy.
Pills, patches, ring, and shot: These use hormones. Combined pills or rings contain estrogen + progestin; the mini‑pill has only progestin. Patches and rings replace a daily pill with weekly or monthly routines. The shot (Depo) needs an injection every 3 months. These are effective when used correctly but need regular attention.
Barrier and partner-based methods: Condoms (male and female) protect against STIs and pregnancy. Diaphragms and cervical caps are placed before sex and used with spermicide for better protection. These work well for people who want hormones out of the picture and occasional use.
Natural and permanent choices: Fertility awareness methods track cycles and avoid sex on fertile days—no drugs, but user-dependent and less reliable for some. Sterilization (tubal ligation or vasectomy) is permanent and suits people sure they don’t want future pregnancies.
Emergency contraception: Plan B (levonorgestrel) and Ella (ulipristal) reduce pregnancy risk after unprotected sex. The copper IUD can also be used as emergency contraception and then left in place for ongoing protection.
Ask four quick questions: Do you want kids later? Do you prefer no hormones? How often will you remember a method? Do you need STI protection? Your answers narrow the field fast. For example, if you want no hormones and long-term coverage, the copper IUD fits well. If you need STI protection and flexibility, condoms are the clear choice.
Think about side effects and routine. Hormonal options can cause mood or bleeding changes for some people. Long-acting devices require a clinician for placement and removal. Fertility awareness needs regular tracking and motivation.
Last step: talk to a healthcare provider. They can check medical history, explain risks, and help with placement or prescriptions. If cost or access is an issue, ask about clinics that offer sliding-scale fees or local programs. Want more detail on any option? Check our site’s guides and product pages for tips on safety, buying, and practical use.
