# Contraception in MS: What to Consider Keywords: contraception, multiple sclerosis, hormonal methods, non-hormonal methods, Pearl Index, fertility, pregnancy, MS medications > This page provides comprehensive information about contraception options for individuals with multiple sclerosis (MS), addressing considerations related to hormonal and non-hormonal methods, fertility, and the impact of MS treatments on pregnancy planning. ## Details - [Pregnancy and MS](#): MS does not affect female fertility, but male fertility may be impacted depending on lesion locations. Pregnancy should be planned during stable phases of MS. - [Contraception and MS](#): High contraceptive reliability is necessary during certain MS treatments to avoid pregnancy. Consult a doctor for personalized advice. - [Hormonal Contraception Overview](#): Includes methods like pills, implants, hormone spirals, and injections, with varying Pearl Index values indicating their effectiveness. - [Additional Hormonal Methods](#): Hormone spirals provide localized contraception with minimal systemic hormone exposure, offering high reliability. - [Non-Hormonal Contraception](#): Covers barrier methods like condoms and diaphragms, as well as copper-based devices and sterilization, with effectiveness depending on proper usage. - [Important Notes on Contraception and Pregnancy](#): Emphasizes consulting a doctor regarding contraception methods and MS medications during pregnancy or family planning.