People Using Phexxi, TikTok’s Favorite Non-Hormonal Birth Control, Say They’re Getting Pregnant Anyway

Phexxi, a form of non-hormonal birth control, is super popular on TikTok, but numerous people have reported getting pregnant despite using it correctly.

A recent report from Rolling Stone explored the efficacy of this contraceptive gel, which was approved by the Food and Drug Administration in 2020. Phexxi works by lowering a person’s vaginal pH to make it a less hospitable environment for sperm. It is designed to be self-inserted into your vagina before having penetrative sex, and a new dose is required every time.

The gel does not contain spermicidal chemicals. It also is non-hormonal, which makes Phexxi suitable for people looking for alternatives to hormonal birth control, like the pill or hormonal IUDs.

According to Phexxi’s manufacturer, the gel is 86 percent effective with typical use and 94 percent effective with perfect use — so, 14 out of 100 people who don’t use it exactly as directed get pregnant. But anecdotal reports paint a different picture. On WedMD, the gel currently has a user rating of 3.3 out of 10, with more than 30 commenters claiming they got pregnant while using it.

Marissa, a former Phexxi user, told Rolling Stone she was shocked when she became pregnant after using the drug for just two months. She remembered thinking, “‘Maybe it was just my case’…Then I went onto websites to look at reviews and realized I was not the only person.”

Admittedly, using Phexxi for contraception is “way, way better than nothing,” Dr. Carolyn Westhoff, a professor at Columbia University, told the magazine. “Not all women are interested or able to use more effective methods.”

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