Is the shot or the pill better for birth control?

The birth control shot and birth control pill are two effective forms of hormonal birth control, each with their own benefits, risks, and side effects. Does one work better than the other?
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People can choose from many different birth control options.
birth control
When choosing between the shot and pills, people may want to consider their effectiveness, side effects, risks, and convenience.
This article explores the benefits and risks of the shot and pills for birth control and tips for choosing between them.
What is the birth control shot?
Hormonal birth control comes in several forms, including an injectable shot.
When using the shot, a person will receive injections of a hormone every 3 months.
3 months
The birth control shot, or Depo-Provera, also contains progestin, the hormone that prevents ovulation.
Depo-Provera
progestin
ovulation
Progestin prevents the ovaries from releasing an egg. This makes pregnancy very unlikely. The hormone can also make the lining of the uterus less likely to allow an egg to implant.
What are birth control pills?
A person needs to take birth control pills at the same time each day.
birth control pills
There are many different brands of birth control pills, each with slightly different levels of hormones. There are two main groups of pills. Combination contraceptive pills contain estrogen and progestin. Progestin-only pills, or mini pills, do not contain estrogen.
estrogen
Like the shot, all pills contain progestin, which helps prevent ovulation.
The estrogen component in the combination pills thickens the uterine lining, which provides stability and controlled bleeding patterns. This is why people taking the combination pill usually have a regular monthly period.
A person should discuss which type of pill may be best for them with a doctor. For example, progestin-only pills may be safer for people living with high blood pressure or a higher risk of stroke.
may be
high blood pressure
stroke
Effectiveness
According to the Office on Women’s Health, the effectiveness rates of the shot and the pill are slightly different. About 6 in every 100 people who have the shot will become pregnant within the first year, while about 9 in every 100 people who take the pill will become pregnant within the first year.
Office on Women’s Health
If someone does not get the shot as regularly as every 3 months, they are more likely to become pregnant.
3 months
Likewise, if a person misses a pill or takes it later than the ideal time, this could make the pill less effective.
could make
Certain medicines can interfere with both the birth control shot and pills, which could reduce their effectiveness. A person should ask their doctor about drug interactions when taking a new medicine, including antibiotics.
antibiotics
If someone wants to become pregnant after stopping birth control injections, it can take up to 10 months on average.
10 months
Side effects
As with most medications, birth control pills and the shot can cause side effects. People may wish to discuss these with their doctor when considering the best option. The side effects are similar for the shot and pills because they contain similar hormones.
Side effects of the birth control shot include:
bleeding between periods
bleeding between periods
bone loss when a person uses this option long-term
bone loss
headaches
headaches
missed periods
missed periods
mood changes
mood changes
sore breasts
sore breasts
weight gain
Doctors may advise that a person receiving birth control shots take calcium supplements to reduce the risk of bone loss. When they stop receiving birth control injections, they will usually gain lost bone back.
calcium
Side effects of birth control pills include:
headache
increased blood pressure
blood pressure
mood changes
sore breasts
an upset stomach
upset stomach
weight gain
Doctors associate the mini pill with fewer side effects than combination contraceptives.
In rare cases, taking the combination pill can cause blood clots and a higher risk of heart attack and stroke. People are more likely to experience these complications if they are older than 35, if they smoke, or if they have a history of migraine.
heart attack
migraine
Where to get birth control
Birth control requires a prescription. In recent years, online companies have made it easier for people to get a prescription for and obtain birth control, such as pills, without leaving their homes.
Some common ways to get birth control pills include:
Online: Companies such as Hers and Nurx offer full service birth control options that include prescription services and discrete delivery of birth control pills. Many of the companies work with a person’s insurance and accept health savings account (HSA) money for payment.
Hers
Nurx
insurance
Pharmacies: A person can have a doctor or other healthcare professional send a prescription to their local pharmacy to fulfill the prescription.
Clinics: Several low cost or free clinics allow a person to obtain birth control pills or other methods of birth control at their sites.
A person needs to visit their doctor or healthcare professional’s office to receive the injection once every 3 months for the shot.
Bleeding patterns
With the shot, people may experience more sporadic bleeding patterns, but as time goes on, they tend to have much lighter, less frequent episodes of bleeding.
may experience
Some people even have a total absence of periods after a while. The drawback is that they will not necessarily know when they are going to bleed.
People may have irregular bleeding with pills initially, but generally, this will become a regular, predictable bleed each month.
may have
People can also take pills on an extended cycle to avoid having periods every month. For the most part, they will know when to expect a period. However, if they miss pills, they may bleed unexpectedly.
Cost
The Affordable Care Act requires that all insurance companies and Medicaid provide birth control methods at no additional cost. A person living without insurance can visit a low or no-cost clinic to obtain low cost or free birth control.
Affordable Care Act
People without insurance or who work for an employer with a religious exemption will need to pay for birth control. However, they can use funds from their HSA or other accounts.
According to the National Women’s Health Network, one birth control shot costs around $60 without insurance. Birth control pills typically cost $20–50 per month, but generic forms of pills can cost as little as $10 per month.
National Women’s Health Network
People who need assistance paying for birth control can visit clinics to obtain low cost pills and other birth control methods.
Which one is right for me?
When a person uses them in the way a healthcare professional directs, birth control pills and the shot can effectively prevent pregnancy.
Some of the major considerations include:
Convenience: If someone is worried that they will not be able to take their pill at the same time every day, they may prefer the shot. If they do not want to go back to the doctor’s office every 3 months, birth control pills may be more convenient. A person can also order birth control pills online and receive them on a subscription basis.
Bleeding patterns: Both the shot and pills can cause changes in menstruation. The shot can make periods lighter, less frequent, and unpredictable for some people. Combination pills can help regulate a person’s menstrual cycle and allow them to predict when their period arrives.
Effectiveness: Both contraceptive methods have similar effectiveness when a person uses them appropriately, though the shot may be slightly more effective than the pill.
Side effects: Both methods have side effects. Some people may have different side effects than others, as each person’s body reacts differently to hormones.
Cost: The Affordable Care Act requires Medicaid and insurance plans, except those with religious exemptions, to cover the cost of birth control methods. Those without insurance can acquire several types of birth control from clinics that provide services for low or no cost.
Alternative birth control options
Aside from the shot and pills, people can use other prescription or nonprescription methods of preventing pregnancy.
Nonprescription birth control options include:
female condoms
female condoms
male condoms
male condoms
spermicides
spermicides
sponges
sponges
Prescription methods include:
diaphragms
diaphragms
implantable rods
implantable rods
intrauterine devices
intrauterine devices
patches
patches
vaginal rings
vaginal rings
People can use a prescription or nonprescription method together with male or female condoms for protection against sexually transmitted infections (STIs). Sponges and spermicide may not prevent STIs.
sexually transmitted infections (STIs)
Frequently asked questions
Below are some of the most common questions and answers about birth control shots and pills.
The shot offers slightly better pregnancy prevention — 6 in every 100 people who receive it will become pregnant in the first year. The pill offers similar protection, with 9 in every 100 people becoming pregnant in their first year of taking the pill.
6 in every 100
9 in every 100
However, both methods are only effective if the person follows recommendations for taking them. A person taking the pill needs to take it at the same time every day, while a person receiving the shot will need to schedule appointments with a healthcare professional every 3 months to maintain their protection.
If a person does not follow the schedule, they have a higher risk of becoming pregnant. A person can also use barrier methods, such as condoms, in combination with the pill or the shot, for further protection.
A person should speak with a doctor about switching from the pill to the shot. A doctor can provide any specific guidelines for the individual.
A person should get their first shot 7 days before their last pill and continue taking it for the remaining 7 days.
7 days
A person should also speak with their doctor about switching from the shot to the pill. They may provide additional, specific instructions to the person.
When switching from the shot to the pill, a person can start the pill within 15 weeks from their last shot.
15 weeks
A person’s period can change and become irregular when receiving the shot, particularly in the first year. During this time, a person’s bleeding may become unpredictable, heavier, and erratic.
first year
After this, a person’s bleeding often lightens, with some people no longer having any bleeding at all.
After this
Depo-Provera does not cause infertility. Most people can become pregnant within 10 months of their last injection.
10 months
Like other shots, it can cause mild discomfort, like a pinch, at the site of the injection.
A person may develop an infection or reaction at the injection site. If this occurs, they should contact a doctor as soon as possible.
Summary
Birth control pills and shots are effective ways to prevent pregnancy. Both use similar hormones, so they have similar side effects and risks.
Some people prefer the convenience of only having to get a birth control injection every 3 months, while others may like to receive their birth control pills in the mail as needed.
A person should discuss birth control options with a doctor.