What is the best birth control to have if you want periods?

There are several birth control options that allow you to have regular or somewhat regular menstrual-like periods. Here are a few commonly used methods:

1. Combined Oral Contraceptives (COCs):

COCs contain both estrogen and progestin hormones. When taken correctly, they prevent ovulation and provide a regular monthly shedding of the uterine lining, resulting in a withdrawal bleed that resembles a period.

2. Progestin-Only Pills (POPs):

POPs, also known as the "mini-pill", contain only progestin hormone. While POPs don't entirely prevent ovulation, they thicken the cervical mucus, making it more difficult for sperm to enter the uterus. POPs may cause irregular bleeding patterns, including infrequent or breakthrough bleeding.

3. Contraceptive Patch:

The contraceptive patch releases a combination of estrogen and progestin through the skin. Like COCs, the patch works by preventing ovulation and leads to a predictable monthly withdrawal bleed.

4. Contraceptive Ring:

The contraceptive ring, inserted into the vagina, also delivers a combination of estrogen and progestin. Regular use typically results in monthly menstrual-like periods.

5. Hormonal Intrauterine Device (IUD):

Certain types of IUDs, such as the hormonal IUD (Mirena or Skyla), release a low dose of progestin that thickens cervical mucus and reduces the growth of the uterine lining. Hormonal IUDs may cause changes in bleeding patterns, including lighter or infrequent periods.

It's important to discuss your preferences and medical history with a healthcare provider to determine the best birth control option for you while considering the desire to maintain relatively regular periods. The provider can assist you in making an informed decision based on your individual needs and provide guidance on any potential side effects or bleeding irregularities associated with a particular method.