The field of family planning has historically focused on the uptake and continuation of hormonal contraceptive methods, specifically long-acting reversible methods. Our emphasis on the uptake and continuation of hormonal methods perpetuates the idea that these methods are superior to non-hormonal methods, regardless of individual preferences and circumstances, which can lead to stigmatization of non-hormonal users and foster distrust between patients and providers. Thus, we need to reframe how we examine contraceptive switching and improve our understanding of why people switch from hormonal to non-hormonal methods. Further, we need to center this research as necessary in its own right, given that researchers and clinicians must respect all contraceptive choices to achieve reproductive autonomy. The proposed study will examine hormonal to non-hormonal contraceptive switching using a novel longitudinal cohort study of 2,015 pregnancy-capable people in the Southwestern United States between 2019-2023 who were surveyed at 3-month intervals for one year (n=5 observations). This study uses sequence and cluster analysis to showcase common contraceptive use trajectories among participants, determine clusters of similar contraceptive use trajectories, and describe how participants in these clusters may differ. Further, this study uses mixed effects modeling to assess predictors of switching from hormonal to non-hormonal contraceptive use relative to sustained hormonal contraceptive use. Findings from this study will inform researchers’ and clinicians’ understanding of the contraceptive life course, what precipitates contraceptive change, and who might be at risk of not having their contraceptive preferences met. This information can be used to improve patient-centered contraceptive counseling practices.