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A growing number of Gen Z women—those born between 1997 and 2012—are moving away from traditional, evidence-based contraception and reproductive health advice, instead relying on information from social media influencers and fertility tracking apps. This shift is raising both hopes and concerns among healthcare professionals, as it reflects not only changing attitudes but also potential risks to effective family planning.
Concerns Over Side Effects and Trust in Social Media
Many Gen Z women cite worries about side effects as a primary reason for avoiding oral contraceptives and other hormonal methods. Federal data from 2020 shows that only 14% of women in the U.S. used oral contraception, a dramatic decline from 2010 figures. Experts say this trend is part of a broader power struggle between women and the medical establishment, with younger women seeking greater autonomy over their reproductive choices.
Social media, particularly TikTok, plays a significant role in shaping these decisions. Nearly 45% of TikTok users are women, and more than half of Gen Z respondents in a Kaiser Family Foundation survey said they trust health information found on the platform. Many report watching videos about abortion and birth control, often favoring personal anecdotes over clinical evidence.
Mixed Evidence and the Influence of Personal Stories
While some studies have linked oral contraceptives to increased depression and other health issues, recent meta-analyses suggest that much of this research is not high quality. Nonetheless, TikTok influencers with large followings often share personal stories of adverse side effects, influencing their audiences’ perceptions and decisions. Experts acknowledge that these shared experiences can provide valuable social support, but warn that not all information online is accurate or reliable.
Knowledge Gaps and Uptick in Unplanned Pregnancies
Recent research from the UK highlights a growing knowledge gap: more women are reporting unplanned pregnancies and seeking abortions without having used any contraception. Between 2018 and 2023, the percentage of women not using contraception at conception rose from 56% to 70%. Meanwhile, the use of hormonal contraception and long-acting methods like implants has declined, while reliance on fertility awareness methods has increased.
Demand for Comprehensive Education and Respect
Some experts argue that not all evidence-based options are being fully presented to women, partly because many doctors lack training in fertility awareness methods. Gen Z women are increasingly demanding respect and comprehensive information about their bodies, pushing for education that goes beyond simply prescribing medication.
Barriers to Access and Misinformation
Access challenges persist, with nearly one in five Gen Z women reporting difficulty obtaining emergency contraception—the highest rate among any age group. Longer wait times for appointments and the spread of misinformation about contraception, particularly on social media, further complicate the landscape. While oral contraception remains one of the most accessible methods, some groups continue to cast doubt on its safety, potentially discouraging its use.
“As providers and public health professionals, we could be doing a better job of educating around the reliability of the information they’re getting from these technologies to help people who are trying to prevent unwanted pregnancies,” said Emily Neiman, a clinical nursing instructor at The Ohio State University.
Disclaimer
This article is based on information from Medscape and other reputable sources as of June 2025. It is intended for informational purposes only and should not be considered medical advice. For personal health concerns or contraceptive decisions, consult a qualified healthcare provider.
