People Are Getting Pregnant on TikTok's Trendy 'On-Demand' Birth Control

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People Are Getting Pregnant on TikTok's Trendy 'On-Demand' Birth Control
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NEW: Is hormone-free Phexxi too risky in a post-Roe America? “Like putting lemon juice in your vagina and hoping for the best.”

, where videos tagged #phexxi have a combined 2.3 million views, there is high demand for the product. According to the company, a little more than 100,000 women hold Phexxi prescriptions today in the United States.

“It’s not surprising to hear about contraceptive failures with Phexxi,” says Mary Jane Minkin, MD, a practicing gynecologist and clinical professor in the Department of Obstetrics, Gynecology, and Reproductive Sciences at the Yale University School of Medicine. While she says it is “better than not using anything,” the 86 percent effectiveness rate would give her pause in terms of recommending Phexxi as a standalone method of birth control.

Phexxi, she says, falls in the third category, alongside methods like condoms, which are 87 percent effective with typical use. , representatives for EvoFem explained that its advertised effective rates are based on a clinical trial that, instead of Pearl Index, used the Kaplan-Meier estimate — a statistical technique often used to measure the survival rate of cancer patients.

“It really pisses me off that they are packaging themselves as ‘feminist’ for a product that doesn’t work at a time when [abortion] access has shrunk in certain parts of the country,” Emma says. “I think that when women live in those oppressive states — if you live in a state like that, I think you’re using it correctly”

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