contraception

Big word. Also known as birth control. It’s how we stop pregnancy from happening during penis-in-vagina sex, and there are loads of options depending on your body, your lifestyle, and your plans.

Contraception explained

Contraception methods explained

Expectations
vs reality

Once I pick a contraception method, I’m set for life.

Reality

You might change your mind. What felt like a great choice at first might stop feeling right after a few months or a few years. Hormones shift, life shifts, vibes shift and that’s normal!

My body will quietly accept this and thank me for being responsible

Reality

It may or your body might announce an abrupt protest. Spotting, mood swings, cramps, weight gain, breakouts. Everyone’s experience is different, and how your body responds to synthetic hormones or a new device (hello, IUD) is totally unique. Some methods come with an adjustment period, others just aren’t ever going to be friends with your body. 

I’ll pick a method and never think about it again

Reality

Welcome to the contraceptive luckydip. You might try one, hate it, switch, tolerate another, read a Reddit horror story, switch again, and end up using condoms for a while. This doesn’t mean your indecisive. Contraception is all about trial and error. Unfortunately.

My friend loves it, so I will too.

Reality

Bless your friend and her glowing IUD testimonial but your body is not her body. And her body is not your body. What works perfectly for her might feel like a hormonal hostage situation for you. You get the point. Time to live your best individual life!

Conversation Starters

Contraception chats don’t have to be awkward. Just a couple thoughtful adults who value their body and their partners. You don’t need a script, a candlelit setting, or a 12 slide PowerPoint. You just need the confidence to say, “Hey, can we chat about contraception for a sec?” and the trust that anyone worth having sex with will appreciate that you brought it up.

“Hey, just wanna check, we’re using condoms?"
“I’m using [pill/IUD/implant/etc] but still want to use a condom."
“What do you want to do about contraception? Shall we use a condom?”
“Before we get carried away, are you good with condoms? I’m not on any birth control, so just want to be clear.”
“Are you happy if we keep using [contraceptive method]?”
“Can we chat about contraception? I think we look at our options.”
“Thoughts on switching to another birth control method?”

Contraception chats don’t have to be awkward. Just a couple thoughtful adults who value their body and their partners. You don’t need a script, a candlelit setting, or a PowerPoint. You just need the confidence to say, “Hey, can we chat about contraception for a sec?” and the trust that anyone worth having sex with will appreciate that you brought it up.

“Hey, just checking, are you using any contraception at the moment? Would you like me to wear a condom?”
“Shall I put on a condom?”
“I know contraception has been your responsibility, is that still okay with you? We can explore other options together if it’s feeling like it's not the right fit for you.”
“How are you finding [contraceptive method]? Do you want to explore other options?”
Young woman wearing lavender shirt and purple sunglasses smiling with arms outstretched under a concrete structure with green pillars.

Walk into your gyno/doctors appointment like a boss

So you're calling up to make the appointment. Say something like:

I’d like an appointment to discuss my contraception options.

This tells them you need a longer consultation, super important! During this appointment, the last thing you want to feel is rushed out the door.

Talking points when you're in the appointment

You could write these down on a piece of paper or in your phone before the appointment.

You can literally read them to your GP/GYNO. Who cares what they think - they will most likely be super impressed by your organisational skills!

  • "I want to talk through contraception options. I’m not sure what’s best for my body and lifestyle"
  • "What are the side effects and benefits of this [method you are considering]?
  • "What’s the process for getting it?"
  • "How much does it cost?" 
  • "How effective is it?"

"I’m on [pill/implant/IUD/injection etc], and I’ve been having [mood changes, weight gain, headaches, irregular bleeding, acne, etc.]. I want to talk about switching methods."

  • "I’m interested in getting [insert name of contraception method], and I’d like to discuss if this would be suitable for me."
  • "I want a hormone-free contraceptive method. What are my options?"

"I have a history of [insert health concern/condition], so I need to know which contraception is safe for me."

Your hormones explained

Transitioning off hormonal contraception

Been on the pill (or any kind of hormonal contraception) for what feels like forever and thinking about giving it the flick? Whether you’re fed up, feeling a bit off, or just want to know what your body’s like without the synthetic hormones, hi, you’re not alone. It’s a big, personal decision, and if you're feeling a bit unsure or wobbly about it, that’s totally normal.

Here's what you may encounter after stopping hormonal contraception.

Week 1

It’s completely normal to feel shocked, teary, overwhelmed or even a bit excited. All feelings are valid. You’re not broken, and this isn’t weird, it’s just new.

Biological:
Hormone levels (estrogen, progesterone, LH, FSH) begin to shift.
Synthetic hormones slowly become less and less as your natural hormones start to kick in.

Psychosocial:
You may feel a bit “off” - tired, teary, foggy, headachy, or totally fine.
Some people feel empowered and “back in control”; others may feel anxious without their usual routine.

Week 2

Biological:

  • Hormonal fluctuations begin to intensify as your cycle ramps up.
  • Ovarian activity may start increasing (especially in people with regular pre-contraception cycles).
  • Cervical mucus may return (a sign ovulation is gearing up).
  • Possible early PMS-type symptoms.

Psychosocial:

  • Your mood may feel a bit unstable as your brain is adjusting to your body’s natural hormonal rhythm again.
  • Confidence may rise (or wobble) as you adjust to new routines.
  • Increased body awareness - tracking changes, watching for signs, Googling everything.

Relational:

  • At this point, if you are in a relationship, partners may notice shifts in energy, mood, or desire. This is a really good opportunity to have a conversation about what’s happening for you and how your partner can potentially support you through this transition!

Week 3

Biological:

  • Ovulation may occur for the first time post-hormonal contraception.
  • Skin changes might start showing up - acne is common, especially if the pill was helping manage it.
  • You may feel bloated, crampy, or experience breast tenderness.

Psychosocial:

  • You may feel more emotionally “alive” for better or worse.
  • Some people say their libido or motivation comes back. Others might feel like they're still in limbo.

1 month

Biological:

  • Many people get their first natural period around now (but it can take up to 3 months).
  • Hormonal acne may peak, then start to stabilise.
  • Vaginal discharge and libido may shift with natural hormone fluctuations.

Psychosocial:

  • Your spectrum of emotions may feel like a colourful rainbow compared to being on hormonal contraception. Sometimes it can feel like you are going from a black and white tv screen to colour! 
  • You might feel more aligned or mismatched with your partner, depending on how you navigate the changes together.

6 months

Biological:

  • For most people, the menstrual cycle has stabilised.
  • Skin, energy, mood, and libido often settle into your new normal.
  • Underlying conditions (e.g. PCOS, endometriosis) that were masked by hormones may resurface.

Psychosocial:

  • By this point you may feel “back in sync” with your body’s natural rhythm.
  • Increased confidence in natural cycle tracking, fertility awareness, or symptom management.
  • Greater mental clarity around what works and what doesn’t for your health and lifestyle.

The breakup kit: post hormonal birth control

​​So you’re coming off hormonal contraception. You don’t need a hazmat suit, just a few grounding, feel-good essentials to ride that wave to the other end. You got this! 

Open red notebook with handwritten notes and a black pen resting on a yellow striped blanket on a brown couch.
A journal

Log your feelings, moods, and body changes. Use it as a check-in with yourself and a future reference point for any contraceptive choices down the line. Think of it as your cycle’s new BFF.

Illustration of an open book with cream-colored pages and a red bookmark.
Feel goooood education

Queue up a podcast eppy or grab a book that helps you understand what’s happening without freaking you out. Bonus points if it makes you laugh while teaching you something.

Young woman sitting on a bed with a stuffed panda, listening to music with earphones and dancing in a room decorated with numerous posters and photos on the walls.
Your go-to uplifting playlist

The one that makes you dance in your undies or cry in a cathartic, movie-montage way. Your hormones are doing a lot, music can help you meet the moment.

Woman sitting in a car, leaning forward with eyes closed and mouth open, expressing exhaustion with the text 'I'm tired.'
Bulk self-kindness

Be kind to yourself. Rest when you're tired. Snack when you're snacky. Feel your feels.

Where this info comes from

This page was created using guidance from trusted Australian and international health organisations, clinical guidelines, and peer-reviewed research. These sources support the medical accuracy, accessibility, and lived experience approach behind this content.

  • Otten, C. (2021). The sex ed you never had. Allen & Unwin.