Top 10 Myths About the Contraceptive Pill

When it comes to the subject of contraceptive pills, haven’t most of us heard whispers like “pills cause infertility” or “only married women should use them”?

Myths like these stir anxiety, fuel stigma, and often delay informed decisions – and that just isn’t fair.

From random WhatsApp forwards to well-meaning but misinformed advice, it’s tough to separate fact from fear. Many women silently navigate confusion, side-eye judgement, and endless what-ifs around a pill meant to help.

At Eva Woman Care Clinic, we hear these concerns daily – and we’re here to clarify, support, and guide you with zero judgement. Whether you’re managing PCOS or just want clarity, our expert doctor Dr Grishma Ranjangaonkar offers the answers you deserve.

Myth 1: Contraceptive pills cause significant weight gain

“You’ll gain loads of weight if you start the pill.” Sound familiar? 

This is one of the most common myths we hear. The truth is, any weight changes are usually small and temporary. Some women may retain water due to hormonal shifts, but it typically stabilises within a few months. 

Activity levels, eating habits, and family history play a much larger role in long-term weight trends than the pill itself. Our team frequently helps women understand how to manage side effects with simple lifestyle tweaks.

Myth 2: Birth control pills lead to infertility

Worried that taking the pill will stop you from getting pregnant later? It won’t. 

Most women regain their fertility within a month or two of stopping the pill. Even women using it for years conceive easily when they choose to. The confusion often stems from injectable methods like Depo-Provera, which can take several months longer for fertility to return. 

At Eva Woman Care, we explain how different options work so you’re not left second-guessing your future plans. If you have any questions about infertility or birth control options, we welcome you to visit us for a thoughtful and informative chat.

Myth 3: All contraceptive pills must be taken at the same time every day

Telling all women to take their pills at the “exact same time or else” is misguided. 

It depends on the pill type. Combination pills offer a bit of flexible timing; a few hours’ delay won’t change effectiveness much. 

But with progestin-only pills – also called mini-pills – timing matters more. A delay of over three hours can reduce protection. Using phone alarms or scheduling it around daily routines can help build consistency with ease.

Myth 4: Breastfeeding is a reliable contraceptive method

Yes, breastfeeding affects fertility – but only under strict conditions. 

The method called LAM (Lactational Amenorrhea Method) works for up to six months only if you’re exclusively breastfeeding and haven’t had periods. A missed feed or the return of menstruation reduces its reliability. At our clinic, we recommend back-up birth control like the mini-pill or IUD for postpartum women who want to avoid surprises while breastfeeding.

Myth 5: You need to take a break from using pills periodically

The idea that the body needs a “rest” from birth control is outdated. In fact, breaks can lead to unwanted pregnancy. The pill was designed for long-term use and doesn’t lose effectiveness over time. 

Some injectable options may affect bone density, but pills don’t carry this concern. Regular check-ups, like the ones we offer at our clinic, help monitor overall wellness and adjust methods if needed – not because the body “gets used” to it.

Myth 6: Emergency contraception is the same as abortion

This belief not only spreads fear – it’s plain wrong. Emergency contraception prevents ovulation; it doesn’t end a pregnancy. 

 

If fertilisation has already occurred, emergency pills won’t have an effect. Unlike abortion pills, they don’t harm a developing embryo or interfere with implantation. We often meet women feeling guilty for using it, but there’s no need for shame. It’s a safe and legal backup option when things don’t go as planned.

Myth 7: Newer brands of pills are more risky than older ones

New doesn’t mean unsafe. Updated pills often contain lower hormone doses and are crafted to reduce side effects like nausea or acne. The risk of blood clots exists, but it’s rare and higher in women with certain medical conditions. 

 

That’s why we take medical history so seriously during contraceptive counselling. At Eva Woman Care Clinic, we personalise your pill choice to your health profile – not just what’s “old” or “new.”

Myth 8: Contraceptive pills negatively affect libido and mood for everyone

Some women notice mood shifts or changes in desire, but these effects vary wildly between individuals. 

 

Just like moods fluctuate naturally, hormonal combinations can influence each body differently. Feeling low or losing interest in intimacy isn’t an automatic pill effect. Often, a brand switch or taking a different formulation can resolve the issue. With our guidance, patients find solutions that balance physical and emotional well-being.

Myth 9: The pill protects against sexually transmitted diseases

The pill does quite a bit – but it can’t fight infections. It prevents pregnancy, not STDs. Condoms, both male and female, provide that barrier protection. 

That’s why we always promote dual protection, especially for those with new or multiple partners. Combining a condom with a reliable pill offers both pregnancy prevention and STD defence. It’s smart and safer.

Myth 10: Only women are responsible for contraception

Contraception isn’t a one-woman job. While many methods are geared toward females, men play a crucial role too. 

Condoms and vasectomy are valid options and should be part of the conversation. At our clinic, we encourage couples – married or not – to make birth control a shared topic. When both partners contribute, it becomes less stressful and more supportive.

Additional Insights on Health and Safety

Non-contraceptive health benefits of oral pills

Beyond pregnancy prevention, oral pills help manage issues like acne, polycystic ovaries, and painful periods. Women with irregular bleeding often find relief as the pill regularises their cycles. Some rely on it to reduce heavy flow or ease intense cramps. 

At our clinic, many start pills not just for birth control but to improve their quality of life and feel more in control of their bodies.

Potential health risks and how they’re managed

Concerns like blood clots or cancer risks are valid but need the right context. Blood clot risk remains low for most young, healthy women. 

Some studies link long-term use with slightly higher risks for breast or cervical cancer, balanced by reduced risks for ovarian and endometrial cancer. At Eva Woman Care Clinic, we ask about your family health history before recommending any pill – ensuring maximum safety and minimum worry.

Choosing the Right Contraceptive Method

Overview of types of contraceptive pills

Pills aren’t one-size-fits-all. Combination pills contain oestrogen and progestin, whereas mini-pills have only progestin. Extended-cycle pills allow you to skip periods for several months. Each type fits different needs – some suit women with acne, others suit breastfeeding mothers. We always match the pill with your body, needs, and convenience to reduce hassle and maximise effectiveness.

Factors to consider when selecting contraception

Your life stage, health conditions, and personal goals matter in making the right choice. While a college student might prefer short-term options, someone done with family planning may consider permanent methods. Our thorough counselling session assesses not just physical health, but emotional and daily life needs – ensuring the path you pick is comfortable and sustainable.

FAQ

Hormonal methods change hormone levels to stop ovulation. Non-hormonal methods block sperm physically or track fertility naturally.

Anytime you notice spotting, mood shifts, weight swings, or discomfort, it’s worth a check-up. Our consultations are open for all queries.

Yes. Extended pills or skipping placebo pills can safely delay periods. Many women use this method for events, travel, or health reasons.

Just as accurate as in women not using the pill. If you're pregnant, the test will show it - pill or not.

Condoms are about 85% effective with typical use. Vasectomies are more reliable and considered permanent. Pills score above 91% when used correctly.