In recent years, a troubling trend has surfaced within Wales concerning the decline in long-term contraception uptake among women. Experts suggest that misinformation, particularly prevalent on social media platforms like TikTok and Instagram, may significantly contribute to this downward spiral. While social media has empowered many to share personal stories about their experiences with various contraceptives, it can also perpetuate fear-based narratives that overshadow factual, evidence-based information.
Data from Public Health Wales illustrates a stark decline in the number of women opting for the combined pill, dipping from 8,531 users in 2019 to merely 2,233 in 2023. This alarming trend coincides with record-high abortion rates documented for the year 2022. According to Dr. Helen Munroe, clinical lead of the Women’s Health Network for Wales, the effects of misinformation can prompt many women to make uninformed decisions regarding birth control methods. As women increasingly turn to social media to gauge their options, the potential for encountering misleading or harmful content grows, which could result in them choosing not to use necessary medical interventions.
Lily Lesh, a 25-year-old from Cardiff, represents those influenced by the lack of clear, comprehensive information. She shares her experience of being intimidated by anecdotal horror stories surrounding the contraceptive implant, which deterred her from considering such options. Similarly, women find themselves bombarded by a plethora of posts related to hormonal contraception, manifesting in over 27,000 distinct entries tagged under #contraception on TikTok. These narratives often discuss negative side effects such as mood fluctuations, weight changes, and acne, casting a shadow over the potential benefits of these contraceptive methods.
Despite TikTok allowing users to share personal health narratives as long as they do not disseminate harmful misinformation, users need to navigate these platforms cautiously. Lily advocated that social media can be a double-edged sword; while stories from peers served as helpful resources for young individuals, it is easy for extreme cases to dominate discourse, thus skewing perspectives on effective contraception.
Dr. Munroe emphasized the importance of informed decision-making surrounding contraceptive use. Many women rely on hormonal contraceptives for broader health management beyond pregnancy prevention, such as alleviating symptoms of conditions like endometriosis. She underscores the pressing need for healthcare professionals to counter misinformation by providing accurate, evidence-based guidance, making such information readily available, especially through social media channels, where many women are seeking insights.
Emily Solman, a prominent Welsh content creator, has also felt the influence of social media on perceptions of contraception. Through her podcast, she discusses a range of topics related to hormone balancing and sexual health. She receives many inquiries about contraception, reflecting the curiosity and uncertainty prevalent among individuals. However, Emily cautions against the tendency to equate influencer experiences with universal health solutions; what works for one person may not apply to another due to individual variances in body chemistry and health circumstances.
In light of decreasing contraception use and rising misinformation, the Welsh government has initiated efforts to improve access to verified health information. They encourage individuals to consult resources such as Sexual Health Wales Online for reliable information regarding sexual health and reproductive services. This initiative aligns with their commitment to bolster the accessibility of health services, combining traditional models with modern, online provisions through GPs, pharmacies, and sexual health clinics.
Addressing these challenges may require a cooperative effort from healthcare providers, individuals, and media platforms to ensure accurate information disseminates effectively, enabling women to make informed choices regarding their contraception and overall health. The intersection of personal narratives with empirical data must be treaded carefully to balance awareness and accessibility without compromising informed decision-making.







