Semaglutide, found in medications like Ozempic, may impact the absorption and effectiveness of oral birth control due to its stomach-slowing action. It is less concerning for non-oral contraceptives like IUDs. Weight loss from semaglutide use might affect hormone levels, influencing contraceptive efficacy. Alternatives such as IUDs or patches are recommended for concerned users. Consulting healthcare professionals is crucial for discussing potential drug interactions and ensuring the choice of appropriate contraception, while considering overall health and pregnancy risks.