If you have partners with different bodies, whether you’re queer, bisexual, pansexual, polyamorous, non-monogamous, or just figuring things out, it’s completely normal to wonder what contraception you actually need.

There isn’t one single “best” option. For many people, the answer is using different methods for different situations.

Think about what you’re trying to prevent

Contraception isn’t just about pregnancy. You might be thinking about:

• Preventing pregnancy
• Reducing the risk of STIs (including HIV)
• Avoiding hormones
• Using something low-maintenance
• Feeling confident and in control

Your needs might change depending on who you’re having sex with and that’s okay.

If you have sex with someone who has a penis

If you have a uterus and ovaries, pregnancy may be possible.

Methods that prevent pregnancy include:

• The pill (combined or progesterone-only)
• The implant
• The injection
• The hormonal coil (IUS)
• The copper coil (IUD)
• The patch or vaginal ring

These methods do not protect against STIs, so many people also use external condoms for extra protection.

If you have sex with someone who has a vagina

Pregnancy isn’t a concern, but STIs can still be passed on.

Barrier methods that can help reduce risk include:

• Internal condoms
• External condoms (for oral sex or on sex toys)
• Dental dams (or cut-open condoms)

If you share sex toys, using condoms on them and changing between partners can help keep things safer.

Using a combination of methods

People with partners of different genders often use a mix of protection, such as:

• A long-acting method (like the implant or coil)
  plus
• Condoms or barriers depending on the type of sex

This approach can help protect against both pregnancy and STIs, without relying on one method to do everything.

What about PrEP, PEP and testing?

If there’s a risk of HIV, PrEP can be a good option. It protects against HIV but doesn’t prevent pregnancy or other STIs, so it’s usually used alongside other methods.

Regular sexual health testing is important, especially if you have multiple partners or don’t always use barriers. Testing is free, confidential, and quick and you can order a self-test kit on the online portal.

There’s no one-size-fits-all answer

The best contraception is the one that:

• Works with your body
• Fits your relationships
• Helps you feel safe and in control

If you’re unsure, you don’t have to work it out alone.

Get free, confidential advice

Suffolk Sexual Health Service offers non-judgemental support for everyone, whatever your sexuality, gender, or relationship style.

You can get advice on contraception, STI testing, and HIV prevention that actually reflects your real life.