Social media is buzzing with all sorts of information but a lot of it is misleading, especially when it comes to birth control.
On platforms like TikTok and X, you'll find videos blaming hormonal contraception for weight gain, claims suggesting that some birth control methods cause infertility and testimonials linking the pill to depression and anxiety.
Instead of traditional contraceptives, many social media influencers are promoting “natural” alternatives, like timing sex according to menstrual cycles, pull out and pray.
This shift from effective birth control methods is worrying as it could lead to more unplanned pregnancies.
Concerns about long-term side effects, like cancer or blood clots, are generally unfounded for low-risk individuals.
However, not everyone needs or wants to use hormonal contraception.
"If you're comfortable with your period and don't experience severe PMS, non-hormonal options like the intrauterine copper device (IUCD) might be a better fit.
“The IUCD can stay in place for up to five years, and fertility returns immediately after removal."
To understand why more women are quitting birth control, Independent Media Lifestyle spoke with Dr Kasturi Moodley, an obstetrician-gynaecologist at the Mediclinic in Pietermaritzburg, KZN.
Moodley, who has been practising for 19 years and recently opened the Midlands Fertility Health Centre, shared her insights.
Why stop using contraceptives?
“There are good reasons to stop using contraception, and there are reasons based on fear and misinformation,” she explained.
“Ideally, the main reason to stop would be that you're ready to start a family. Unfortunately, many are influenced by social media, personal research, and advice from friends and family, which leads to a lot of uncertainty and anxiety about contraception.”
Moodley emphasised that there is no one-size-fits-all solution.
“What works for one person might not work for another. That’s why gynaecologists must discuss all aspects of a patient’s gynaecological health and well-being during consultations.”
When it comes to choosing the right birth control, there's a lot to consider, she explained.
Like the importance of taking a comprehensive look at a person's health before recommending a contraceptive method.
"In our conversations, we cover the entire gynaecological history, medical history, family history, and social history," said Moodley.
"Each of these factors plays an important role in assessing a person's risk when using contraceptives.
“If someone is low-risk and their needs align with the benefits of a particular contraceptive, we then discuss whether it’s the right fit for them."
Meaning they are young and lead relatively healthy lifestyles.
@bymariavillaman Replying to @Nae B ugh YES the hormonal birth control pill can change your shape over time - it contributes to weight gain, bloating and even impairs muscle gain 😳 this is why informed consent is soo important!! #greenscreen #birthcontrolproblems #birthcontrolpill #hormoneweightgain #birthcontrolweightgain #birthcontrolsideeffects #hormonalbirthcontrolsideeffects #hormonalbirthcontrol #thepillsideeffects ♬ original sound - maria 🧚♀️ hormone health
Benefits of contraception
For those with specific health concerns, like heavy periods or severe PMS, hormonal contraceptives can offer significant relief.
"Hormonal methods can positively impact issues like heavy, long periods and disruptive PMS,“ Moodley explained. ”So, while these methods prevent pregnancy, they also help manage other health concerns."
Myths surrounding birth control
“It’s a common misconception that the longer you use hormonal birth control, the harder it will be to conceive. This is simply not true,” she said.
“We advise seeing a gynaecologist before coming off birth control to discuss your reasons, whether you're planning to start a family, and what to expect in the next few months regarding your menstrual cycle.
“We can also guide you on when to be concerned if pregnancy doesn’t happen right away.
“Hormonal contraceptives work by keeping hormone levels low and stable, preventing the release of an egg. Once you stop taking the pill, it generally takes about three months for your body to resume normal hormonal activity and ovulation,” Moodley said.
However, the process can be more challenging as you age or if you have an unhealthy lifestyle.
“The older you are, the harder it is for your ovaries to produce and release eggs. High stress, poor diet, lack of exercise, and increased body mass index can also delay this process.
“The brain has to manage many functions, and added stress makes it more difficult to regulate hormonal levels necessary for ovulation,” she said.
"We often lose sight of how important our lifestyle is," notes Dr Moodley. Maintaining a balanced diet, managing stress, and staying active can make it easier for your body to return to its natural rhythm once you stop the pill."
If you're planning to get pregnant, Moodley recommends stopping birth control a few months ahead of time.
"For example, if you want to conceive in January 2025, you might stop the pill around October 2024. This gives your body a minimum of three months to adjust, normalise your menstrual cycle, and prepare for pregnancy.
"It typically takes about three months for your body to resume normal hormonal activity and ovulation . During this period, you might experience irregular bleeding or spotting as your body recalibrates,“ Moodley explained.
If you're not pregnant within six to 12 months after stopping birth control, it's a good idea to consult your gynaecologist.
"We advise our patients to return if they're concerned about not conceiving within this timeframe. Regular periods typically indicate that your body is adjusting well, but we can provide further guidance if needed," she said.
She added: “Choosing the right birth control method depends on your individual needs and lifestyle. Consulting with a healthcare professional ensures you get the best advice tailored to your situation, helping you navigate your options confidently and effectively.”