6 Alternatives to the Birth Control Pill

When I was 23, after having been on the birth control pill since the age of 14 (prescribed for ovarian cysts), I had had enough of the horrible side effects of the pill. So I quit. And guess what? I didn’t have a period for three months, I had terrible acne, and I was experiencing mood swings.

After three months of having no period (amenorrhea) I visited the doctor and asked him for help. So what was his answer?

“Take the birth control pill”.

This was my first “aha” holistic moment, ladies. It’s where it all began. To me it sounded counterproductive to get back on the pill after just quitting it three months prior.  I knew I wanted my body to have a healthy period naturally.

So What Are My Other Options?!

Okay, so after reading my previous article about the serious side effects associated with the birth control pill, you are probably starting to think that the pill is not the best thing for your body. But what other methods of birth control can you use?

Listed below are the safest and best alternatives to the oral contraceptives. And I realize they all have their pros and their cons, so just weigh them out to see which one suits you best. 

1. Fertility Awareness Method: 99.4% effective

The Fertility Awareness Method (FAM) requires you to track your menstrual cycle and abstain from unprotected sex during the time you can get pregnant. On average there are 8-10 days a female can get pregnant. There are many apps that you can download to track your cycle. I use Kindara. You can even get a Temp Drop thermometer that does all the work for you!

But you don’t have to get a fancy device to practice FAM. All you have to do is take your temperature first thing in the morning with a BBT thermometer. Even if you don't choose this method, it's a good idea to use an app like this to track your periods.

Please note that if you have irregular periods or your period is outside of the 36 day range, then this method will require a back up barrier method such as a condom until you regulate your cycles. That said, women with irregular cycles should still chart their cycles because it will provide invaluable insight into the root of the problem. Also note, if your period tracker app doesn't ask for your temperature, then it is not FAM but the Rhythm Method. No app can predict ovulation. The Rhythm Method is often confused with FAM, but RM is not a reliable birth control method.

2. Condoms: 98% effective

Oh gosh, really? Yes. Really, really. Give them a chance. Plus, if you are using the Fertility Awareness Method, you’ll only have to use them around 8 days per month if you choose to have sex during your fertile window. The condom is the most effective of the barrier methods, and because it is the only method that prevents the transmission of STIs, so it really is a great option for single ladies.

3. Copper IUD: 99.6% effective

If you are uncomfortable with the above barrier methods, are unable to consistently chart your cycle to use FAM, or feel you are not consistent with your birth control methods, then your next best option is the copper IUD. It doesn’t contain hormones, which is excellent because it means you will still ovulate. It's also great for ladies looking for something more permanent as it lasts for ten years. The copper IUD is inserted into your cervix, and stops the sperm from making it way to your uterus. However it does require insertion and removal by a doctor (which can be painful) and can cause heavy periods. I do not recommend this option for anyone with a history of autoimmune disease or heavy and painful period.

4. Diaphragms: 94% effective

These are like condoms for girls that sit up in the cervix. But unlike a condom they can be put a few hours before sex. You must go to a doctor to get fitted for one, and they last up to two years.

5. Today Sponge: 91% effective

These can be purchased over the counter at your local pharmacy. It can be inserted 24 hours ahead of sex so that give you lots of flexibility. The sponge is inserted with spermicide and is placed like a cap over your cervix.

6. Withdrawal Method: 96%

There is no sperm in pre-ejaculatory fluid, but your partner must make sure he urinates prior to sex to get rid of any sperm from previous ejaculations.

Okay ladies. You now have homework to do. Reflect on these alternatives, and if you have a partner, I encourage you to include them in on the conversation to find out which one suits your lifestyle as a couple best. If you'd like support during the transition off hormonal birth control, my online course, The Period Solution, can help you restore and balance your hormones.

And remember, if you decide to stick with the birth control pill that okay, too. No one is judging you. This is your decision to make. I encourage you to listen to your intuition for guidance.

Be Well,

Jenna