Know Your Options

Know Your Options

Finding the Right birth control fit for you

starts with understanding your options.

Choosing birth control is an important decision. It’s one you’ll want to feel good about not just for today and next month but potentially for years. Being educated about what’s out there and talking with your healthcare provider about what's right for you can help you make a confident choice and find the birth control option that fits your life.

These are not all the things to consider when thinking about birth control. Talk to your healthcare provider about which methods might be right for you.

Hormonal vs. Non-Hormonal Birth Control

As you evaluate methods, it can be helpful to think about birth control in 2 categories based on how they work: hormonal and non-hormonal.

Hormonal birth control works mainly by preventing ovulation (the release of an egg from an ovary). Most hormonal birth control contains a combination of 2 female hormones: estrogen and progestin. Some methods contain only a progestin. Non-hormonal birth control methods work by keeping the sperm from reaching the egg. Each method is not for everyone and may come with particular side effects. Talk to your doctor about which birth control is right for you. We can help you start the conversation.

Hormonal

Combined hormonal:
  • Pill
  • Patch
  • Vaginal Ring
Progestin only:
  • Minipill
  • Implant
  • Shot
  • Hormonal IUD

Non-Hormonal

  • Condoms
  • Vaginal Gel
  • Diaphragm
  • Copper IUD
  • Sponge with spermicide

Lifestyle Considerations

Choosing a birth control means considering your likes and dislikes as well as your routine. Would a same-time-every-day pill routine suit your schedule best? Or would a weekly or monthly method give you the freedom and flexibility you want? Maybe you just want a longer-acting method so you don't have to think about it again for awhile.

Do-it-Yourself

  • Pill
  • Patch
  • Vaginal Ring
  • Diaphragm
  • Vaginal Gel
  • Sponge with spermicide
  • Condoms

Needs a medical procedure

  • Implant
  • IUD
  • Shot

Timing

Daily
  • Pill
Weekly
  • Patch
Monthly
  • Vaginal Ring
3 months
  • Shot

 

3 years or more
  • Implant
  • IUD
On demand
  • Diaphragm
  • Vaginal Gel
  • Sponge with spermicide
  • Condoms
    Hormonal vs non-hormonal birth control

    Hormonal vs. Non-Hormonal Birth Control

    As you evaluate methods, it can be helpful to think about birth control in 2 categories based on how they work: hormonal and non-hormonal.

    Hormonal birth control works mainly by preventing ovulation (the release of an egg from an ovary). Most hormonal birth control contains a combination of 2 female hormones: estrogen and progestin. Some methods contain only a progestin. Non-hormonal birth control methods work by keeping the sperm from reaching the egg. Each method is not for everyone and may come with particular side effects. Talk to your doctor about which birth control is right for you. We can help you start the conversation.

    Hormonal

    Combined hormonal:
    • Pill
    • Patch
    • Vaginal Ring
    Progestin only:
    • Minipill
    • Implant
    • Shot
    • Hormonal IUD

    Non-Hormonal

    • Condoms
    • Vaginal Gel
    • Diaphragm
    • Copper IUD
    • Sponge with spermicide
    Lifestyle Considerations

    Lifestyle Considerations

    Choosing a birth control means considering your likes and dislikes as well as your routine. Would a same-time-every-day pill routine suit your schedule best? Or would a weekly or monthly method give you the freedom and flexibility you want? Maybe you just want a longer-acting method so you don't have to think about it again for awhile.

    Do-it-Yourself

    • Pill
    • Patch
    • Vaginal Ring
    • Diaphragm
    • Vaginal Gel
    • Sponge with spermicide
    • Condoms

    Needs a medical procedure

    • Implant
    • IUD
    • Shot

    Timing

    Daily
    • Pill
    Weekly
    • Patch
    Monthly
    • Vaginal Ring
    3 months
    • Shot
    3 years or more
    • Implant
    • IUD
    On demand
    • Diaphragm
    • Vaginal Gel
    • Sponge with spermicide
    • Condoms

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Is Twirla Right For you?

Twirla may be a good fit for you if you prefer a method that:

  • You don’t have to take every day
  • Gives you visible reassurance that you’re covered
  • Uses a combination of hormones found in many birth control pills
  • Is self-applied without a medical procedure

Meet Twirla®

Twirla is a weekly hormonal birth control patch for women with a body mass index (BMI) less than 30 kg/m2 that you check daily and change weekly. Twirla is less effective in women with a BMI of 25 kg/m2 or more to less than 30 kg/m2. Do not use Twirla if your BMI is 30 kg/m2 or more.

To prevent pregnancy, Twirla needs to remain adhered to the skin for 7 days. Check it daily and after any water exposure to ensure the edges haven’t lifted. Avoid prolonged water exposure—swimming or contact with water often or for long periods of time (30 minutes or more) or the use of makeup, creams, lotions, oils, powders, and other products on the skin area where you put or plan to put the patch.

Twirla does not protect against HIV infection (AIDS) and other sexually transmitted infections (STIs).

IMPORTANT SAFETY INFORMATION, INCLUDING BOXED WARNING

  • Do not use TWIRLA if you smoke cigarettes and are over 35 years old. Smoking increases your risk of serious cardiovascular side effects from combination hormonal contraceptives (CHCs), including death from heart attack, blood clots or stroke. This risk increases with age and the number of cigarettes you smoke.
  • Do not use TWIRLA if your body mass index (BMI) is 30 kg/m2 or more. If you do not know what your BMI is, please talk to your healthcare provider. Women with a BMI of 30 kg/m2 or more who use CHCs may have a higher risk for developing side effects like blood clots compared to women with a BMI lower than 30 kg/m2.

Who should not use TWIRLA?

Do not use TWIRLA if you have or have had blood clots; history of heart attack or stroke, high blood pressure that medicine cannot control, any condition that makes your blood clot more than normal, or certain heart valve problems; smoke and are over 35 years old; BMI ≥ 30 kg/m2.

TWIRLA is also not for women who have diabetes and are over 35 years old, diabetes with high blood pressure or kidney, eye, nerve, or blood vessel damage, diabetes for longer than 20 years; have had breast cancer or any cancer that is sensitive to female hormones; certain kinds of severe migraine headaches; have liver problems or liver tumors; unexplained bleeding from the vagina; who are or may be pregnant; or who take hepatitis C drugs containing ombitasvir/paritaprevir/ritonavir, with or without dasabuvir, as this may increase levels of liver enzymes in the blood.

TWIRLA may not be a good choice for you if you have ever had depression; jaundice (yellowing of the skin or eyes) caused by pregnancy (also called cholestasis of pregnancy) or related to previous use of hormonal birth control.

What are the most serious side effects of TWIRLA?

TWIRLA increases the risks of serious side effects, including blood clots, stroke, or heart attack especially in women who have other risk factors. These can be life-threatening or lead to permanent disability. This increased risk is highest when you first start using hormonal birth control and when you restart the same or different hormonal birth control after not using it for a month or more. Treatment with TWIRLA should be stopped at least 4 weeks before and through 2 weeks after major surgery.

What are the most common side effects of TWIRLA?

The most common side effects reported by women using TWIRLA in a study were skin reactions at the patch site, nausea, headache, menstrual cramps, and weight gain.

These are not all the possible side effects of TWIRLA. Call your healthcare provider for medical advice about side effects.

You may report side effects to FDA at 1-800-FDA-1088 or at www.fda.gov/medwatch.

What else should I know about TWIRLA?

TWIRLA is a birth control patch for women with a BMI less than 30 kg/m2 who can become pregnant. It contains two female hormones, a progestin called levonorgestrel, and an estrogen called ethinyl estradiol. TWIRLA may not be as effective in women with a BMI of 25 kg/m2 or more. If you have a BMI of 30 kg/m2 or more, please talk with your health care provider about which method of birth control is right for you.

You should not use TWIRLA any earlier than 4 weeks after having a baby or if you are breastfeeding.

Hormonal birth control methods help to lower the chances of becoming pregnant when taken as directed. They do not protect against HIV infection (AIDS) and other sexually transmitted infections (STIs).

The risk information provided here is not complete. To learn more, review the TWIRLA Patient Information and talk with your healthcare provider or pharmacist.