Hormonal Birth Control Options
Hormonal birth control uses safe, carefully dosed hormones to prevent pregnancy — and there are more options than most people realize. Some you think about every day, some once a week, and some work for years without you lifting a finger. At the Daly City Youth Health Center, all of these methods are confidential, and they're free with Family PACT insurance (which we can help you sign up for at your visit).
One important note: for the pill, the patch, the ring, the shot, and the implant, you do not need a pelvic exam. A conversation with a provider is usually all it takes to get started.
The methods, side by side
The pill. You swallow one pill every day at the same time. It works extremely well when taken on schedule, and many people also get lighter, more regular periods.
The patch. You stick a small patch on a fleshy area — butt, back, arm — and swap it once a week. Same hormones as the pill, less to remember.
The ring. You insert a small, flexible plastic ring into the vagina and leave it in place for three weeks, then take a week off. Most people never feel it once it's in.
The shot (Depo-Provera). You come into the clinic and get a shot every three months. Nothing to remember in between, though you do have to keep the appointments on time.
The implant. A matchstick-sized plastic rod placed under the skin of your arm. It works for up to three years and is one of the most effective methods that exists.
The IUD (intrauterine device). A tiny T-shaped device placed in the uterus by a provider. The hormonal IUD lasts up to five years (newer models even longer); there's also a non-hormonal copper IUD that lasts up to ten years. A good option if you want years of protection with zero maintenance.
| Method | How often you think about it | Lasts | Pelvic exam needed? |
|---|---|---|---|
| Pill | Every day | — | No |
| Patch | Once a week | — | No |
| Ring | Once a month | — | No |
| Shot | Every 3 months | — | No |
| Implant | Almost never | Up to 3 years | No |
| IUD | Almost never | 5–10 years | Yes (placement) |
Which one is right for me?
There's no universal "best" method — there's only the one that fits your body, your routine, and your life. If you're forgetful, a long-acting method like the implant or IUD removes the pressure. If you like being in control day to day, the pill might suit you better. Bring your questions to your appointment; talking it through with a provider is the fastest way to decide.
One thing hormonal methods don't do: protect against STIs. Whatever you choose, pair it with condoms if there's any STI risk. Call (650) 985-7000 to make an appointment and talk through your options.