Which contraceptive pill is the best and safest?

In daily life, some women or men choose to take oral contraceptives to prevent pregnancy. But which contraceptive pill is the best and safest?

Which Contraceptive Pill Is the Best and Safest?

Currently, the safest and most effective combined oral contraceptives (COCs) are considered to be those containing both estrogen and progestin. These pills not only provide reliable contraception but also help regulate menstrual cycles. Importantly, they do not adversely stimulate the ovaries nor cause unopposed endometrial hyperplasia—which could lead to endometrial pathology. Contraceptive pills are broadly categorized as short-term (short-acting), long-term (long-acting), “visiting spouse” (for intermittent use), sustained-release, and emergency contraceptives. Side effects vary depending on the type of contraceptive used.

Long-acting oral contraceptives are the most commonly used in China. Oral contraceptives that more closely mimic the natural hormonal cycle may cause less physiological disruption. The greatest risk associated with hormonal contraceptives is an increased risk of thrombosis—particularly among individuals already at high risk for blood clots. Abroad, a wider variety of contraceptive options exist—including transdermal patches and vaginal rings—tailored to individual preferences and needs. In China, intrauterine devices (IUDs) remain the most popular contraceptive method among women of childbearing age.

Many people still opt for barrier contraceptive methods. Only a small number of adults choose regular hormonal contraception, while a larger proportion rely on emergency contraception. In fact, emergency contraception is the method least recommended by obstetricians and gynecologists. It has a relatively high failure rate and may cause significant menstrual disturbances. Therefore, emergency contraception should never be used as a routine or primary contraceptive strategy. We hope this article has been helpful to you!