Most methods will not cause weight gain. Many young women are starting birth control for the first time while their body is going through many other changes. Some women gain weight naturally when transitioning from their teens into their twenties. If that happens to be when a woman starts birth control, it’s easy to put the blame on the pill, patch, the implant, the hormonal IUD, or ring. The truth is each of these methods can be used without an expected weight gain. A recent study showed about 1 in 4 women who use the shot will gain some weight. However, the majority of women (3 out of 4) don’t gain much weight. So most women using the shot are able to keep their weight steady with healthy eating and regular exercise.
Birth control patch

Will birth control make me gain weight?
It seems like every birth control has side effects. Is it really worth it?
Any medicine has some side effects, but when people hear the negative stuff, it sticks in their brain like a cheesy old song you can’t stop humming. That’s just human nature, and it happens to all of us.
Remember that drug companies list every single scary thing you could possibly experience with a medication. Even if it’s super rare. They have to. It’s the law. So before you run for the hills, consider this: the potential side effects of something as harmless as aspirin are pretty scary when you read them, too. Birth control is definitely worth it if you aren’t ready to have a baby. Trust us, pregnancy has more side effects than we can count. There are so many different birth control methods that there’s something for everyone.
How does the patch work if it just sits on your skin?
The hormones in the patch are similar to those in the pill or the ring. The hormones are in the sticky part, and they get absorbed through the skin and travel through your body.
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How effective is the patch at preventing pregnancy?
The patch can be very effective—but only when it’s changed on time. With perfect use, the patch is more than 99% effective. Typical use is far more likely, however, and that’s around 91%.
In other words:
Of those women who use the patch exactly as directed, fewer than 1 in 100 will experience an accidental pregnancy during the first year of using this method.
Of those women who do not use the patch exactly as directed, about 9 in 100 will experience an accidental pregnancy during the first year of using this method.
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Can I wear the patch all the time and not get my period?
This isn’t really recommended. Hormone levels from the patch may be a little higher over time than with the pill, so it’s recommended that you leave the patch off 1 week a month.
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Can I swim or take a shower while I’m wearing the patch?
Yes, you sure can. It’s really rare that the patch falls off.
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What are good methods for women with high blood pressure?
For women with high blood pressure, methods with estrogen–the pill (except for the mini-pill), the ring, and the patch–may make their blood pressure even higher, increasing the risk of a heart attack or stroke. Fortunately there are lots of highly effective birth control options that are safe and estrogen-free like the IUD, the implant, or the shot. Talk to your doctor about your condition and what birth control is best for you.
Which birth control method will help reduce my cramps?
Most women who use hormonal birth control–the pill, the ring, the shot, the patch, the implant, or a hormonal IUD–will have less painful periods than those who don’t. This is because these methods of birth control make the lining of the uterus thinner. There’s less tissue in the uterus to shed, so periods are lighter. One special note on the implant and the shot: for some women, these methods cause more days of spotting or bleeding, but periods become lighter and less painful overall.

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