What are the birth control options other than pills?

Question

Hi doctor,

I am 29 years old and currently exploring birth control options other than the pill. I have been using various oral contraceptives for the past eight years, but they have significantly affected my mood and libido. My partner and I do not plan to have children for at least another five years, but I am increasingly frustrated with feeling depressed and having no sexual desire.

I have recently heard about contraceptive gels, but I do not know much about them. I am curious about their effectiveness and whether they carry side effects similar to those of hormonal birth control. I am also concerned about potential messiness and whether they interfere with sexual spontaneity.

At the moment, we occasionally use condoms, but neither of us particularly likes them. I am not ready for an intrauterine device (IUD) because the insertion process sounds painful, and I am worried about possible complications.

My doctor mentioned spermicidal gels, but I have read that they can increase the risk of infections. I am looking for a method that is reliable but does not involve the hormonal side effects that are negatively affecting my relationship and mental health. What would you recommend?

Please help me.

Thanks.

Answer 1

Hi,

Welcome to icliniq.com.

I can understand your concern.

Thank you for reaching out. I suggest the following contraceptive methods for you.

Phexxi (vaginal pH modulating gel): This vaginal gel is used before intercourse to maintain an acidic vaginal pH, which makes it inhospitable to sperm. It is approximately 86 percent effective with typical use. It is non-hormonal and does not impact libido or mood. It is used only when needed and must be applied within one hour before intercourse. However, many users report side effects such as vaginal irritation, a burning sensation, and in some cases, urinary tract infections.
Copper intrauterine device (IUD): This is a non-hormonal contraceptive option that is over 99 percent effective. It provides long-term protection and can last for up to 10 years. It does not interfere with mood or libido. However, some individuals experience heavier or more painful periods, especially in the initial months following insertion.
Barrier methods (e.g., diaphragm, cervical cap): These methods are used with spermicide or a contraceptive gel. They are up to 94 percent effective with correct and consistent use. They are non-hormonal and user-controlled. These methods must be inserted before intercourse. Potential drawbacks include the possibility of urinary tract infections, vaginal irritation, and reduced spontaneity.
Fertility awareness methods: These involve tracking the menstrual cycle and identifying fertile days to avoid intercourse or use a backup method during that window. They are completely free of hormones and devices and offer increased body awareness. However, they require daily commitment, consistent tracking, and a willingness to use alternative protection during fertile periods.
Permanent method (vasectomy): If your partner is ready and certain about not having children in the future, a vasectomy is a safe, non-hormonal, and highly effective permanent birth control method. It involves a minor surgical procedure with a short recovery time. It does not affect sexual performance or hormone levels.

Thank you.