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We live in a time when misinformation spreads faster than ever. So, naturally, myths about birth control can lead to confusion, anxiety, and even risky decisions among teens. According to the Centers for Disease Control and Prevention (CDC), nearly half of all high school students have had sexual intercourse, yet many operate with incomplete or incorrect information about contraception.
Let's separate fact from fiction so you can make informed decisions about your reproductive health and feel empowered about your healthcare choices.
FACT: Research consistently shows that access to birth control doesn't increase sexual activity among teens.
The American Academy of Pediatrics reviewed multiple studies and concluded that providing teens with contraceptive information and access does not lead to earlier sexual activity or more sexual partners. In fact, according to research published in the Journal of Adolescent Health, teens who receive comprehensive sexual health education and contraceptive access are actually more likely to delay sexual activity and make safer choices when they do become sexually active.
At Twentyeight Health, we focus on providing judgment-free education and access because we know informed teens make better decisions.
FACT: Modern low-dose hormonal methods have minimal effects on weight for most people.
While weight concerns are among the top reasons teens hesitate to use contraception, research shows that modern birth control methods have evolved significantly. Today's lower-hormone options have minimal effects on weight for most users. A comprehensive review published in the Cochrane Database found that most combined hormonal contraceptives showed no substantial evidence of weight gain.
Different methods affect people differently. For example:
At Twentyeight Health, our providers work with you to find the right option for your unique body. If weight changes occur with one method, we'll help you explore alternatives until you find the perfect fit.
FACT: Most birth control options can be prescribed without an exam.
The American College of Obstetricians and Gynecologists (ACOG) has updated their guidelines to confirm that hormonal contraceptives can be safely prescribed without a pelvic examination. This is especially good news for teens who might feel anxious about their first gynecological visit.
Through Twentyeight Health's online platform, you can discuss your health history, preferences, and concerns with a board-certified provider without an in-person exam. Our comprehensive health questionnaire captures the information needed to safely prescribe appropriate contraception.
FACT: Research conclusively shows that contraception is fully reversible and doesn't impact long-term fertility.
A study published in the Contraception Journal followed women who discontinued various birth control methods and found no delay in return to fertility regardless of how long they used contraception. Whether you use birth control for months or years, your ability to get pregnant returns quickly after stopping—usually within 1-3 months, depending on the method.
FACT: There are many options with different benefits, side effects, and usage patterns.
The CDC outlines over a dozen distinct birth control methods, each with unique characteristics. Options range from daily pills to monthly rings, quarterly injections, and long-acting methods that work for years.
Birth control methods vary in:
At Twentyeight Health, we believe in personalized care. Our providers help match methods to your lifestyle, preferences, and health needs through thoughtful conversation and education.
FACT: Different types of pills have different timing requirements.
According to the Mayo Clinic, combined hormonal pills (containing estrogen and progestin) have a 12-hour window before efficacy decreases. However, progestin-only pills do require stricter timing, with a 3-hour window for optimal effectiveness.
Our Standard Care Plan includes automatic refills and 24/7 provider messaging, so you'll always have support staying on track.
FACT: Many options are affordable or free with insurance/Medicaid, and online services have made access easier than ever.
A study from the Kaiser Family Foundation found that the Affordable Care Act's contraceptive coverage requirement has eliminated out-of-pocket costs for birth control for most privately insured women. Additionally, programs like Title X and Medicaid provide free or low-cost contraception to eligible teens.
Twentyeight Health makes access even simpler:
We also accept Medicaid in more states than any other telehealth provider, making affordable care accessible to more teens than ever before.
FACT: Many states allow teens to access confidential reproductive healthcare without parental involvement.
The Guttmacher Institute reports that 25 states and the District of Columbia explicitly allow all minors to consent to contraceptive services without parent or guardian involvement. This legal framework exists because research shows that when confidential care isn't available, many teens won't seek healthcare but will remain sexually active—putting them at higher risk.
At Twentyeight Health, we understand family dynamics vary widely. While we encourage open communication with parents when possible and safe, we also respect your right to confidential care in accordance with your state's laws. Our providers can discuss the specific regulations in your state and help you navigate your options.
Getting birth control through Twentyeight Health is straightforward and stress-free:
How do I know which birth control is right for me?
There's no one-size-fits-all answer, we consider your health history, lifestyle needs, and personal preferences. Some teens prioritize convenience, others want help with acne or period pain, and some need options that are easy to keep private. Through our intake process, we find the method that aligns with your specific needs.
What if I experience side effects?
Side effects are common when starting a new method, but they usually improve within 2-3 months. Through our messaging platform, you can connect with a provider regarding any concerns, and they’ll help determine next steps. With so many contraceptive choices available, we can almost always find a good match, even if the first option isn't perfect.
Is it normal to feel nervous about starting birth control?
Absolutely. Many teens feel nervous about starting contraception—whether it's concerns about side effects, privacy, or just navigating healthcare for the first time. We create a judgment-free space where you can ask anything, and we'll provide honest, evidence-based answers to help you feel confident in your decisions.
Making informed decisions about birth control is an important step in taking charge of your health and future. At Twentyeight Health, we believe everyone deserves access to accurate information, quality care, and respectful support—regardless of age, income, or location.
Our process is designed with teens in mind: confidential, convenient, and comprehensive. You'll find compassionate providers who understand the unique challenges young people face when navigating reproductive healthcare.
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In just 5 minutes, you can complete our health questionnaire and begin your journey to finding the right birth control method for your needs.
This article was medically reviewed by Twentyeight Health's clinical team.
