Birth Control: Types, Side Effects, and What Really Works

When you think about birth control, a range of methods used to prevent pregnancy. Also known as contraception, it’s not just about pills—it’s about your body, your rhythm, and your choices. Whether you’re new to this or switching methods, the real question isn’t which one works best on paper—it’s which one works best for you.

Hormonal contraception, methods that use synthetic hormones to stop ovulation includes the pill, patch, ring, and IUDs like Mirena. These are popular because they’re over 99% effective when used right. But they’re not one-size-fits-all. Some people get headaches, mood swings, or weight changes. Others feel nothing at all. Then there’s non-hormonal birth control, options that work without affecting your hormones, like the copper IUD, condoms, or fertility tracking. These are great if you want to avoid hormones altogether—but they often require more effort. The copper IUD lasts up to 10 years and doesn’t mess with your cycle, but periods can get heavier. Condoms protect against STIs too, but they need to be used every single time.

What most guides leave out is how your lifestyle, health history, and even your job affect what’s right for you. If you travel a lot, a daily pill might be a hassle. If you have migraines with aura, some hormonal options could be risky. If you’re trying to get pregnant in the next year, you’ll want something that leaves your system fast. And if you’re worried about cost, there are affordable options—even free ones through public health programs.

Below, you’ll find real comparisons, side effect breakdowns, and stories from people who’ve tried multiple methods. No fluff. No marketing. Just what actually happens when you use these tools day after day. You’ll see what works, what doesn’t, and what no one tells you until you’re already on it.