7 of the best OTC birth control options

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People can buy over-the-counter birth control without a prescription from drugstores, online retailers, or telehealth companies. Some options protect against STIs, and others can provide 24-hour protection.
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This article looks at some over-the-counter (OTC) birth control options, including emergency contraception, barrier methods, and fertility trackers. It also discusses the factors a person should keep in mind when considering OTC birth control and answers some frequently asked questions.
birth control
emergency contraception
fertility trackers
This article talks about perfect and typical use of birth control. Perfect use describes how effective a form of birth control is if everyone uses it exactly as instructed every time they have sex. Typical use describes how effective a form of birth control is if a person sometimes uses it as instructed but may also use it irregularly or imperfectly.
Even with perfect use, contraception is not 100% effective. People should discuss birth control options with a healthcare professional to find the right option for them.
Sex and gender exist on spectrums. This article will use the terms “male,” “female,” or both to refer to sex assigned at birth. Click here to learn more.
Click here to learn more
Best emergency contraceptive: Nurx New Day
Nurx New Day
Best for 24-hour protection: Today Sponge
Today Sponge
Best for STI protection: Hims Ultra Thin Condoms
Hims Ultra Thin Condoms
Best internal condom: Ormelle Female Condom
Ormelle Female Condom
Best spermicide: VCF Vaginal Contraceptive Film
VCF Vaginal Contraceptive Film
Best latex-free condoms: SKYN Selection Non-Latex Condoms
SKYN Selection Non-Latex Condoms
Best fertility tracking app: Natural Cycles
Natural Cycles
What is over-the-counter birth control? 
OTC birth control describes contraceptives that a person can buy without a prescription. OTC birth control is usually available at drugstores and online retailers, such as Walmart, Walgreens, or CVS Pharmacy.
Condoms, spermicides, and the birth control sponge are common types of over-the-counter birth control.
Condoms
spermicides
birth control sponge
The majority of OTC birth control options do not affect a person’s hormones and aim to prevent pregnancy by blocking sperm or tracking when a person is likely to be fertile.
sperm
Who is OTC birth control best for? 
OTC birth control may suit individuals who want to avoid pregnancy by using methods that do not require a prescription or visiting a doctor’s office.
People without health insurance may also benefit from OTC birth control.
health insurance
These methods may also be a good option for people who cannot or do not want to take or use hormonal birth control, such as the birth control pill, shot, patch, ring, or implant.
birth control pill
shot
patch
ring
implant
Additionally, hormonal birth control does not protect a person against sexually transmitted infections (STIs) or HIV. Some OTC birth control options can protect a person against these conditions.
does not protect
sexually transmitted infections (STIs)
HIV
Learn more about nonhormonal birth control here.
Learn more about nonhormonal birth control here.
Over-the-counter vs. prescription birth control
There are benefits and drawbacks of both OTC and prescription birth control.
OTC birth control may suit those who are looking for a temporary contraceptive method rather than a long-term form of birth control. Additionally, OTC birth control is generally accessible and affordable.
However, some OTC birth control methods can only be used once and may not be the best sustainable or cost-effective option for long-term use.
Prescription birth control methods have very low failure rates for typical use. For instance, intrauterine devices (IUDs) have a typical use failure rate of 0.1% to 0.8%. In contrast, external or male condoms have a typical use failure rate of 13%, and spermicides have a failure rate of 21%, according to the Centers for Disease Control and Prevention (CDC).
intrauterine devices (IUDs)
Centers for Disease Control and Prevention (CDC)
Learn more about the safest condoms.
Learn more about the safest condoms.
Prescription birth control that has been approved by the Food and Drug Administration (FDA) is covered by health insurance under the Affordable Care Act.
Food and Drug Administration (FDA)
Affordable Care Act
7 of the best OTC birth control options of 2022
Please note that the writer of this article has not tried these products. All information presented is purely research-based and correct at the time of publication.
Medical News Today follows a strict product selection and vetting process. Learn more here.
Learn more here
Below are seven of the best OTC birth control options that are available online.
Nurx New Day
New Day is the generic version of Plan B One-Step emergency contraception. A person can use emergency contraception to prevent pregnancy after having sex without birth control or a barrier method.
Plan B One-Step
Nurx New Day contains 1.5 milligrams (mg) of levonorgestrel and is a type of hormonal birth control.
Individuals can take Nurx New Day up to 24 hours after having sex without birth control or a barrier method. That said, Nurx states that this drug may also be effective for up to 72 hours.
Learn more about Nurx.
Learn more about Nurx.
available to people without insurance
free shipping
not harmful if a person has become pregnant, according to Nurx
online reviews raise concerns about shipping and customer service
not available in all 50 U.S. states
The emergency contraceptive pill is available for $20. A person can choose free shipping or expedited shipping for $15.
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Today Sponge
Today Sponge manufactures birth control sponges and is the only brand available in the U.S. It is 91% effective in people who have never given birth, according to Planned Parenthood, and 80% effective for those who have, with typical use.
91% effective
Individuals insert the sponge inside their vagina before having sex and remove it using a small fabric loop attached to the sponge. A person must wait 6 hours before removing it, according to the company.
vagina
The sponge works by blocking sperm from entering the cervix. It also contains spermicide, which kills any sperm that comes into contact with the sponge.
The Today Sponge website states that its birth control sponge is currently unavailable. The company has stopped production due to manufacturing issues and COVID-19 restrictions in India. Other stockists, such as Walmart, are also out of stock.
Today Sponge
COVID-19
hormone-free
provides 24-hour protection
a person can insert it into their vagina up to a day before having sex
unsuitable for people with a history of toxic shock syndrome
toxic shock syndrome
unsuitable for those with a spermicide or polyurethane foam allergy
single-use
less effective in those who have given birth
does not protect against STIs or HIV
can be difficult to remove
A pack of three sponges costs $11.99 on the company’s website or $21.78 at Walmart.
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Hims Ultra Thin Condoms
Hims, a male health telehealth company, sells Ultra Thin Condoms. These condoms are designed to enhance sensitivity, fit most people, and be compatible with sex toys. According to Hims, the hexagon design provides a good grip on a person’s skin.
telehealth company
Hims also states that these condoms can protect a person against HIV and STIs.
However, they are made from natural latex and will not suit people with a latex allergy.
latex allergy
Learn more about Hims.
Learn more about Hims.
offers protection against STIs and HIV
compatible with most sex toys
lubricated
designed to feel unnoticeable
not suitable for people with a latex allergy
single-use
A pack of 12 condoms costs $24.
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Ormelle Female Condom
Internal condoms are also known as female condoms because a person wears them inside the vagina to prevent sperm from reaching the uterus. They can be inserted up to 8 hours before a person has sex.
Internal condoms
8 hours
Ormelle sells its female condoms through online retailers, and they are available without a prescription.
Ormelle is not approved by the FDA. To date, the FDA has only approved one female condom — FC2. However, a person will need a prescription to buy FC2.
approved
FC2
According to the CDC, internal condoms have a failure rate of 21% with typical use. They can protect a person against STIs.
21%
protect against STIs
effective alternative to external condoms
can increase sexual pleasure, according to Planned Parenthood
Planned Parenthood
will not interrupt sex
may be difficult to use
single-use
can be expensive
not suitable for people who are uncomfortable touching their vagina
Prices for the Ormelle Female Condom range from $16.95 for six condoms to $99.95 for 50.
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VCF Vaginal Contraceptive Film
Spermicide films are thin sheets that dissolve inside the vagina and form a gel that kills sperm. VCF writes that its spermicide film is hormone-free and contains nonoxynol-9, which is a widely used spermicide.
VCF advises that a person uses the film 15 minutes to 3 hours before sex and places it as close to the cervix as possible. The company also claims that it does not run and stain and is naturally washed away by the body after sex.
can be used in addition to condoms, cervical caps, and diaphragms
diaphragms
does not include hormones
discreet
does not protect against STIs
failure with typical use is 28%
28%
may cause allergic reactions
may increase the risk of HIV
increase
A pack of nine films costs $33.10.
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SKYN Selection Non-Latex Condoms
SKYN is a brand that sells latex-free external condoms that are suitable for people with a latex allergy. This product is made with polyisoprene instead of latex.
This pack includes three types of condoms, including:
10 Original condoms
6 Extra Studded condoms
8 Extra Lube condoms
According to SKYN, the Original condoms have a smooth texture and are designed to feel natural. The Extra Studded condoms are made with raised dots to add texture and feature a cooling menthol lubricant. SKYN states that the Extra Lube condoms in this pack are made with 40% more lube than the brand’s Original condoms.
suitable for people with a latex allergy
affordable
pack includes three types of condoms
not all condoms have an extra-thin design
does not include a variety of widths
The SKYN Selection Non-Latex Condoms cost $17.99.
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Natural Cycles
Natural Cycles is a birth control app that has been cleared by the FDA. This is a type of nonhormonal birth control that uses a person’s basal temperature to work out their fertility status. Basal temperature is a person’s body temperature when they are at rest. During ovulation, a person’s basal body temperature may rise, which can indicate that they are fertile.
Learn more about how tracking basal body temperature can help in getting pregnant.
Learn more about how tracking basal body temperature can help in getting pregnant.
To use the Natural Cycles app, a person must take their temperature at least five times a week when they wake up and before eating or drinking. They must then enter their temperature into the Natural Cycles app, which uses an algorithm that analyzes a person’s temperature, period, and menstrual cycle data to assess if they are fertile or not on a particular day.
period
menstrual cycle
The app will indicate fertile days as red and nonfertile days as green. A person should use barrier methods of birth control on red fertile days.
Learn about the safe days for avoiding pregnancy.
Learn about the safe days for avoiding pregnancy.
The company states that people with irregular periods may find they have more red days than other users.
irregular periods
A person cannot use hormonal birth control while using the Natural Cycles app, as many hormonal birth control options stop ovulation from happening.
ovulation
Natural Cycles states that its birth control app is 98% effective with perfect use and 93% effective with typical use.
Learn more about the Natural Cycles birth control app.
Learn more about the Natural Cycles birth control app.
suitable for people who cannot use hormonal birth control
easy to use
monthly and annual subscriptions are available
requires daily temperature readings
cannot be used with hormonal birth control
environmental factors may influence a person’s basal body temperature
a person must buy the Natural Cycles thermometer separately with a monthly subscription
Natural Cycles costs $9.99 monthly or $89.99 annually. The annual subscription includes the Natural Cycles thermometer for free, which costs $14.50 on a monthly plan.
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OTC birth control at a glance 
The table below compares the seven products included in this article.
Nurx New Day
Today Sponge
Hims Ultra Thin Condoms
Ormelle Female Condom
VCF Vaginal Contraceptive Film
SKYN Selection Non-Latex Condoms
Natural Cycles
Learn more about how the FDA approves medical products.
Learn more about how the FDA approves medical products.
Which OTC birth control is right for you?
Some factors that a person should consider when looking for OTC birth control methods include:
Price: OTC birth control is generally affordable. However, most OTC birth control options are single-use, which may not make them a cost-effective option if a person intends to use them long-term.
Hormones: Most OTC birth control does not use hormones, which makes it suitable for people who cannot take or use hormonal birth control. However, the emergency birth control pill does use hormones.
Allergies: If a person has allergies to certain spermicides, foams, or latex, they may find that some OTC birth control methods are not suitable for them.
STI and HIV protection: A person should consider their risk of getting or transmitting an STI or HIV. External and internal condoms can protect a person against STIs and HIV. This is because they provide a physical barrier between the penis and vagina. Other methods, such as spermicides and sponges, do not provide this barrier and therefore cannot protect against STIs or HIV. A person should get tested if they think they have an STI or HIV.
penis
Ease of use: Some OTC birth control methods are easier to use than others. For instance, external condoms are worn over the penis, whereas internal condoms are inserted into the vagina. People who are not comfortable putting their fingers inside their vagina may not find internal birth control methods suitable. People must remember to use fertility trackers consistently to get the best results.
Where to buy OTC birth control
Many companies stock OTC birth control online or in the store. These include:
Amazon
Walmart
CVS Pharmacy
Hims
Hims
Hers
Hers
Nurx
Nurx
When to see a doctor
People can work with a doctor to determine what type of OTC birth control will be best for them. A person can discuss whether hormonal or nonhormonal birth control would suit their needs and lifestyle, as well as the benefits and risks that come with each type of birth control.
If a person thinks they may be pregnant, they can take a pregnancy test at home or at a doctor’s office.
pregnant
Additionally, if a person has symptoms of an STI or HIV, they should contact a doctor for advice.
Frequently asked questions
Below are some of the most frequently asked questions about OTC birth control.
The cost of OTC birth control will vary on the product. Prices typically range from $10–20, but subscription services may cost more. Many OTC birth control products are single-use, which may make them expensive if used very regularly.
A person can consider how often they will need OTC birth control to help them choose the most cost-effective option for them.
Planned Parenthood explains that birth control pills are only available with a prescription, and the cost can be up to $50 per pack. Birth control is covered by health insurance under the Affordable Care Act, although some plans may only cover certain brands or generic versions of birth control.
Planned Parenthood
Levonorgestrel morning-after pills do not require a prescription, and they are available for people of any age group.
Some barrier methods of OTC birth control, such as external or internal condoms, can protect a person against STIs.
The CDC states that using latex condoms correctly can help reduce a person’s chance of getting sexually transmitted infections and HIV. It also writes that a person should not reuse condoms and avoid oil-based lubricants, which may weaken latex condoms.
CDC states
Summary
OTC birth control products, such as spermicides, sponges, condoms, or emergency contraceptives, are available without a doctor’s prescription. Some methods can protect a person against STIs and HIV, while others are more effective when used with internal or external condoms. OTC birth control may also be suitable for people who cannot take hormonal birth control, as many options are hormone-free.
People may find OTC birth control affordable and convenient to use, with prices generally ranging from $10–20. However, failure rates with typical use can vary.
A person can consider talking with a doctor to determine which type of OTC birth control is best for them and their lifestyle.