Contraception eligibility pre-screener

Answer the questions below to see which types of birth control may be safe for you, based on U.S. Medical Eligibility Criteria (USMEC) guidelines. All questions use plain language. Take your time — there are no wrong answers.

This tool is for education only. It does not replace a visit with a provider. A licensed clinician can review your answers and discuss options before any prescription is given.

0 of 12 sections answered

Section 1 — Your age

How old are you?

Under 3535 to 3940 or older

Section 2 — Smoking

Do you currently smoke cigarettes?

No, I do not smokeYes — fewer than 15 cigarettes a dayYes — 15 or more cigarettes a day

Section 3 — Blood pressure

What best describes your blood pressure?

If you are not sure, a pharmacist can check it quickly. Normal is below 120/80.

Normal — I do not have high blood pressureMildly high or well-controlled with medicine (top number 140–159, or bottom number 90–99)Severe or uncontrolled (top number 160 or higher, or bottom number 100 or higher)I don't know my blood pressure

Section 4 — Migraines & headaches

Do you get migraines or severe headaches?

Migraines with aura means you see flashing lights, blind spots, or have numbness or tingling in your face or hands before the headache starts.

No, I do not get migrainesYes — migraines without aura (no visual or sensory warning signs before the headache)Yes — migraines with aura (flashing lights, blind spots, numbness, tingling, or speech changes before the headache)I get severe headaches but I'm not sure if they are migraines

Section 5 — Diabetes

Do you have diabetes?

NoYes — diabetes without any organ damage (no kidney, eye, nerve, or blood vessel problems)Yes — diabetes with organ damage, or I have had diabetes for more than 20 years

Section 6 — Body weight

Have you been told by a doctor that you have obesity, or do you have a BMI of 30 or above?

BMI is a number based on your height and weight. Your doctor can tell you your BMI, or you can find a free BMI calculator online.

NoYes

Section 7 — Postpartum & breastfeeding

Have you given birth recently?

No — I have not given birth in the past 6 monthsYes — less than 3 weeks ago, and I am not breastfeedingYes — 3 to 6 weeks ago, and I am not breastfeedingYes — less than 6 weeks ago, and I am breastfeedingYes — 6 weeks to 6 months ago, and I am still breastfeeding

Section 8 — Weight-loss surgery

Have you had weight-loss surgery that changes how your body absorbs food?

This includes Roux-en-Y gastric bypass and biliopancreatic diversion. It does not include gastric sleeve or gastric band surgery.

NoYes — I have had gastric bypass or a similar procedure

Section 9 — Lupus

Have you been diagnosed with lupus (also called SLE, or Systemic Lupus Erythematosus)?

NoYes — and my doctor confirmed I do not have antiphospholipid antibodiesYes — but I don't know my antiphospholipid antibody statusYes — and I have been told I have antiphospholipid antibodies

Section 10 — Medications

Are you currently taking any of the following medicines?

Check all that apply. These medicines can make some types of birth control less effective.

Rifampin or rifabutinUsed to treat tuberculosis (TB)Seizure medicinesPhenytoin (Dilantin), carbamazepine (Tegretol), phenobarbital, primidone, topiramate (Topamax), or oxcarbazepine (Trileptal)HIV treatment medicinesEfavirenz, nevirapine, or ritonavir-boosted medicinesSt. John's WortAn herbal supplement sometimes used for mood or sleepNone of these

Section 11 — Kidney health

Have you been told you have chronic kidney disease?

NoYes