Birth control is changing!

Millions of women worldwide may soon have more contraceptive options, according to updated guidance from the World Health Organisation (WHO). Currently, around 164 million women who wish to delay or avoid pregnancy are not utilizing contraception. The new recommendations from WHO aim to expand choice and make family planning more adaptable and user-friendly.

One notable change pertains to the combined oral contraceptive pill. Women may now use this pill continuously for up to a year or even extend its use for up to six months, deviating from the traditional monthly cycle. WHO also endorses the use of contraceptive implants lasting up to five years, which could decrease the need for replacements, clinic visits, and associated costs.

The guidance additionally suggests mifepristone as an alternative for emergency contraception, to be taken as soon as possible within five days of unprotected intercourse. These changes are particularly pertinent for Bangladesh. While the nation has made significant strides in family planning, millions of women still face an unmet demand for modern contraception.

Bangladesh's National Family Planning Strategy 2025-2030 also underscores ongoing challenges, such as early marriage, adolescent pregnancy, regional disparities, and excessive reliance on short-term contraceptive methods. Longer-lasting implants and more flexible contraceptive options could prove especially beneficial for women in rural and remote areas, where frequent visits to healthcare facilities might be impractical.

WHO is also exploring contraceptive options for men. While condoms, withdrawal, and vasectomy remain the primary male-controlled methods, researchers are investigating several reversible hormonal and non-hormonal alternatives. For Bangladesh, the overarching message is clear: family planning should prioritize informed choice, improved accessibility, and equitable responsibility between women and men.