ASHA remains an independent, unbiased source of information on sexual health. We are guided by science, not ideology. READ MORE.
ASHA remains an independent, unbiased source of information on sexual health. We are guided by science, not ideology. READ MORE.

American Sexual
Health Association

FDA Approves New Hormone-Free Birth Control Option

Phexxi birth control gel

Nearly all women use birth control at some point in their lives, and soon they’ll have one more option available. On May 22, the U.S. Food and Drug Administration (FDA) approved Phexxi, a non-hormonal contraceptive gel that works by keeping the pH levels in the vagina acidic, and thus inhospitable to sperm.

What makes this new option different? As mentioned, it will offer women a new non-hormonal option, so women who can’t or prefer not to use birth control with hormones will have an alternative to condoms, the copper IUD, diaphragm or cervical cap. It’s also an on-demand option, meaning it can be used as needed. The gel comes in an applicator and can be inserted just before sex.

Phexxi works by keeping the pH in the vagina too acidic for sperm to survive. You have to put a new applicator of Phexxi into the vagina every time you have sex. If it’s been an hour or more since you inserted the gel and you haven’t had sex yet, you need to put a new applicatorful in before you do.

If you use Phexxi perfectly, it’s 93% effective. In real life situations, however, it’s been found to be about 86% effective.

In clinical trials, some women developed cystitis, pyelonephritis (kidney infection) and other upper urinary tract infection (UTI), so it’s not recommended for women with a history of recurrent urinary tract infection or urinary tract abnormalities.

Learn more about other hormone-free contraceptive options.

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