Hormonal Birth Control Methods (Non-Pill Options)
Birth control pills are so popular: they're easy, convenient and affordable. But the pill may not be an option for every woman desiring contraception.
Some women may prefer a method that does not involve remembering to take a daily pill. Other women may not be able or want to use estrogen in birth control pills for health reasons or because they are breastfeeding. Some women just prefer not to take a daily pill. For these women, there are other options that provide convenient pregnancy protection.
Non-pill hormonal birth control options include:
- Birth control patches: Xulane (ethinyl estradiol and norelgestromin) and Twirla (levonorgestrel and ethinyl estradiol)
- Birth control ring: NuvaRing (ethinyl estradiol and etonogestrel), generic EluRyng (ethinyl estradiol and etonogestrel) and Annovera Vaginal Ring (ethinyl estradiol and segesterone acetate)
- Birth control implant: Nexplanon, which a health care provider surgically inserts into your upper arm.
- Intrauterine device or IUD: Mirena, Skyla, Kyleena, or Liletta, placed into your uterus by a health care provider.
- Birth control shot: Depo-Provera Contraceptive or Depo-subQ Provera 104.
Review each product individually for a full listing of uses, warnings, and side effects.
Advantages of Non-Pill Birth Control
- Convenient pregnancy protection.
- No need to remember to take a daily pill.
- A high level of contraceptive effectiveness; progestin-only forms may have slightly lower effectiveness.
- Some methods, such as the IUD, last for 5+ years (the non-hormonal copper IUD, or ParaGard, can last up to 10 years).
- Progestin-only forms may be used by women who are breastfeeding or cannot use estrogen due to health reasons. Estrogen can slow down milk production during breastfeeding.
Warnings for Birth Control
Hormonal birth control should NOT be used by women who have a history of breast cancer, endometrial or cervical cancer, undiagnosed vaginal bleeding, liver tumors or disease, increased clotting or stroke risk, or if pregnant.
Smoking increases the risk of serious heart side effects when using a combined estrogen and progestin birth control, including the ring or the patch. Combination estrogen and progestin birth control should NOT be used (is contraindicated) in women over 35 years of age who smoke due to an increased risk of serious side effects, such as heart attack, blood clots, and stroke.
Women of any age should avoid combination hormonal birth control if they have a history of:
- Uncontrolled high blood pressure
- Chest pain
- Diabetes with kidney, eye, nerve, or blood vessel damage
- Breast cancer or any cancer that is sensitive to female hormones
- Severe headaches
- Allergies to any ingredients in their birth control.
- Unexplained vaginal bleeding
- Currently pregnant
- Heart disease, heart attack, problems with your heart valves
- Liver disease
- Blood clots
- Conditions that increase blood clotting
Cardiovascular risks increase with age, weight, family history of heart disease, and number of cigarettes smoked per day. Women should talk to their healthcare professional about their cardiovascular risk before deciding which birth control method to use.
The pill, patch, vaginal ring, IUD, implant or birth control shot do not protect against any form of sexually transmitted disease (STD), including HIV and AIDS. A male latex or female condom should be used in combination with other birth control options if protection against STDs is needed.
Let your physician know if you have migraine headaches when discussing birth control options. You may need to avoid hormonal birth control if you have certain kinds of severe migraine headaches.
Certain medicines may make birth control less effective; check with your pharmacist or doctor for possible drug interactions with all prescription, over-the-counter (OTC), and herbal or dietary supplement medicines you take.
Breastfeeding mothers should avoid the estrogen in combined hormonal birth control as it may reduce milk supply. Birth control options for breastfeeding women include:
- Intrauterine device (IUD)
- Progestin only pills (“mini-pills”)
- Contraceptive implant
- Birth control shot
Common Side Effects
- Spotting between periods
- Possible weight gain
- Breast swelling or tenderness
- Nausea or upset stomach
- Mood changes vaginal infections and irritation, vaginal secretion, headache, weight gain, and nausea.
Serious Side Effects
- Blurred vision
- Severe stomach pain
- Severe headache
- Swelling or pain in the legs
- Chest pain, heart attack, blood clots, stroke.
Other warnings and side effects exist for individual birth control options. It is important to review the specific consumer information for your birth control of choice and discuss any questions or concerns with your healthcare provider.
Tell your healthcare provider about all other medications you take, including prescription, over-the-counter, vitamin and herbal supplements. Certain medications may make birth control less effective. Be sure to have a complete drug interaction review each time you start a new medication.
Hormonal Birth Control Options (Non-Pill)
|Generic Name||Proprietary Name||Details|
|etonogestrel and ethinyl estradiol vaginal ring||
|etonogestrel subdermal implant||
|ethinyl estradiol and segesterone||
|levonorgestrel intrauterine device (IUD)||
|medoxyprogesterone acetate injection||
|norelgestromin and ethinyl estradiol transdermal patch||
|levonorgestrel and ethinyl estradiol transdermal patch||
- Birth Control Pills
- Birth Control Pills - Periods
- Birth Control Pills and Breakthrough Bleeding
- Birth Control Pills: Benefits, Risks & Side Effects
- Emergency Contraception
- Emergency Contraceptives Available in the U.S.
- Grapefruit and Birth Control Pills: Your Questions Answered
- Missed your birth control pill? Here's what to do
- Non-hormonal Birth Control
- Permanent Birth Control
- Antibiotics and Birth Control Pill Interactions: Fact or Fallacy?
- Birth Control and Alcohol: Do They Interact?
- Birth Control Guide
Medicine.com guides (external)
- Xulane Product Label. Mylan Pharmaceuticals. Drugs.com. Accessed July 22, 2020 at https://www.drugs.com/mtm/xulane-transdermal.html
- Depo-Provera Contraceptive Injection. Pfizer. Drugs.com. Accessed July 22, 2020 at https://www.drugs.com/mtm/depo-provera-contraceptive-injection.html
- NuvaRing Product Label. Merck and Co. Drugs.com. Accessed July 22, 2020 at https://www.drugs.com/nuvaring.html
- Kyleena Product Label. Bayer. Drugs.com. Accessed July 22, 2020 at https://www.drugs.com/mtm/kyleena.html
Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.