Mapping U.S. Contraception Interest in Short and Long Term Birth Control
The ’60s gave us everything from bell-bottom jeans to lava lamps, and the first-ever oral contraceptive, which was a mix of estrogen and progesterone — a.k.a. a combination birth control pill. When it comes to contraception, there are so many more choices out on the market today than your grandparents had access to. From female condoms to IUD implants to vaginal rings, short and long-term birth control options are plentiful!
While managing periods and STD prevention are two of several motivators for females seeking contraception, others are taking family planning into their own hands and postponing or forgoing parenthood altogether.
At a time when some feel that the desire for body autonomy is threatened due to the recent U.S. Supreme Court decision on Roe v. Wade, the team here at Lemonaid Health wanted to find out more about female contraception interest in the U.S. and provide some information about birth control options. So, whether you’re looking for alternatives or just want to discover the most widely searched-for contraception in your state, keep reading for a behind-the-scenes look at contraception interest across the country!
Methodology
To find out what different states are searching for more often than others when it comes to contraception, the team at Lemonaid Health analyzed Google Trends search data from August 2021 to August 2022. We started with a list of 15 common contraceptive methods and compared their relative search interest state to state.
Google gives each searched query a value of 0 to 100 based on how often that term is searched compared to all other searches in an area. It then ranks states based on that proportion to paint a picture of how frequently a term is searched across the country.
Now, let’s take a closer look at how short and long-acting contraception research differs from state to state.
The Top-Searched Form of Contraception in Every U.S. State
As the contraceptive market is projected to reach $16.8 billion by 2028, it’s no secret that each state has its preferences. The female condom was popular in California, Hawaii, New Jersey, and Virginia. Interestingly, California recently banned stealthing, the practice of removing a condom during sex without the consent of your partner. This could drive interest in learning about other condom alternatives like the female condom — which puts more women in control.
The pull-out method had the highest search interest in places like Arizona, Maine, Michigan, and North Dakota. While it’s often viewed as one of the most unreliable methods of birth control, nearly 40,000 women in North Dakota live in contraceptive deserts (counties with limited health centers unable to meet the needs of the women who qualify for publicly funded contraception), creating one possible reason why the pull out method is the most searched contraceptive in the Peace Garden State.
Texas had the highest search interest for the emergency contraceptive pill, a morning-after pill used to prevent pregnancy after unprotected sex. According to March of Dimes, Texas scores low when it comes to the health of mothers and babies, perhaps driving the interest in learning more about the morning-after pill.
The Top-Searched Forms of Contraception Overall
When it comes to sexual health, many of the top search contraceptives were long-acting, reversible contraception options, such as the IUD Implant, a.k.a. an intrauterine device. Utah (100 out of 100) had the highest search interest for contraception with the IUD implant as their top-searched method.
One statewide poll revealed that 27.25% of women in Utah felt that cultural expectations about gender roles were one of their biggest challenges in the Beehive State. As birth control is strongly intertwined with the female liberation movement, perhaps the interest in IUDs is one way this state is pushing back against stereotypical gender roles.
Mississippi (96.29 out of 100) had a high search interest for sterilization (tubal ligation), a process where women get their tubes tied. Though it is a completely legitimate process today, Mississippi previously passed sterilization legislation that adversely affected black mothers who relied on government assistance, making them choose between a prison sentence or submitting to sterilization if they had a child out of wedlock.
Texas (88.57 out of 100) and Kentucky (81.14 out of 100) are both states with a lot of interest in contraception as a whole. The emergency contraception pill is the most searched-for term in Texas, while in Kentucky it’s sterilization (tubal ligation). Oklahoma (78.86 out of 100) is the fifth most interested state in female contraceptives, and Oregon (70.57 out of 100) follows closely behind.
Oregon is home to the Oregon Permanent Contraception Research Center, which opened in 2014 with a grant by the Bill & Melinda Gates Foundation. Their goal is to develop permanent nonsurgical contraception that is safe and effective, which could explain the state’s intrigue in the birth control implant, a form of contraception that lasts up to 5 years.
Mapping Abstinence Searches in the US
Americans are having less sex across the board, which got us wondering which states were ranking the highest for abstinence searches. Mississippi (100 out of 100), Arkansas (100 out of 100), North Carolina (97 out of 100), Oregon (96 out of 100), and Louisiana (94 out of 100) all had the highest search interests for abstinence-based birth control.
Aside from North Carolina and Oregon, the remaining southern states (Mississippi, Arkansas, and Louisiana) are abstinence-only education states, which focus on emphasizing the path of abstinence compared to other contraception or condom alternatives. Coincidentally, Arkansas, Louisiana, and Mississippi have the highest teen pregnancy rates in the country.
D.C. (43 out of 100), Delaware (43 out of 100), West Virginia (50 out of 100), Maine (50 out of 100), and Colorado (50 out of 100) had the lowest interest in abstinence searches. D.C., Delaware, West Virginia, and Colorado all have legislation that allows pharmacists to prescribe certain birth control methods. The easy access to contraceptives may be one reason why these states have less interest in googling abstinence.
Ask the Experts
To round out our analysis of contraception interest in the U.S., we found out the questions that are most often asked about birth control, emergency contraception, and IUDs using the search engine tool Ahrefs. We then had Dr. Matthew Walvick, who leads Lemonaid Health’s Medical Team, answer them.
What are effective methods of contraception?
Dr. Walvick: “Effective methods of contraception come in many forms, several of which we have covered in this article. Examples of effective contraception include condoms, birth controls such as oral contraceptive pills, contraceptive patches, contraceptive vaginal rings, contraceptive implants, contraceptive injections, emergency contraception, IUDs, contraceptive caps, or diaphragms.”
How does birth control work?
Dr. Walvick: “Birth control attempts to prevent pregnancy by various methods focused on preventing the sperm from fertilizing the egg. These methods can be preventing or delaying ovulation, thickening cervical mucus to stop sperm from entering the uterus, or thinning the uterine lining to prevent a fertilized egg from attaching.”
How long does birth control take to work?
Dr. Walvick: “In regards to birth control pills; if you take the first pill within 5 days of your last menstrual period you can be protected against pregnancy right away. If you take the first pill at any other time of your menstrual cycle, you will need to use a backup form of birth control (for example a condom) for the first 7 days of taking the pill.”
What is emergency contraception?
Dr. Walvick: “Emergency contraception is a method of preventing pregnancy. Someone may use emergency contraception if their initial form of birth control failed, they missed doses of birth control, or did not use any form of contraception. Sometimes called the “morning after pill,” emergency contraception does not cause an abortion.”
How long does a morning after pill protect you?
Dr. Walvick: “There are two types of “morning after pills” -Plan B One Step® and Ella®. Plan B should be taken as soon as possible and no later than 3 days (72 hours) after unprotected sex to help prevent pregnancy. Ella should be taken as soon as possible and no later than 5 days (120 hours) after unprotected sex to reduce the chance of pregnancy.”
How effective are IUDs and how long do they last?
Dr. Walvick: “Overall, IUDs are an extremely effective (99%) form of birth control. If placed within 5 days of having unprotected sex, an IUD can be an extremely effective (99%) form of emergency contraception as well. The length of time an IUD lasts depends on the type. The copper IUD lasts up to 12 years, while hormonal IUDs last 3, 5, or 8 years.”
Closing Thoughts
Some states leaned toward the birth control shot while others were more intrigued by the pull-out method. Once we tallied the results, the IUD implant and the vaginal ring were the most-searched contraception methods overall!
The first step in taking charge of your reproductive health is by learning about different types of contraception. At Lemonaid Health, we deliver convenient, flexible, and affordable healthcare right from the comfort of your own home. Learn more about our birth control services or get help in choosing the best short or long-term birth control for you!