For many years, France has enjoyed high contraceptive coverage: as early as 1988, more than 95% of women at risk of an unintended pregnancy were using contraception, and this rate has remained steady over time. However, this widespread use of contraception still raises many questions, given the frequency of contraceptive failure, particularly among young people. As a result, the number of abortions performed in France has remained at a stable but high level since 2006. These failures can be explained, in part, by a mismatch between the prescribed contraceptive and women’s lifestyles. Indeed, prescribing practices in France follow a stereotypical contraceptive pathway: the pill is the most commonly prescribed contraceptive, particularly among younger women, and is replaced by an intrauterine device (IUD) after one or more pregnancies. To change the patterns of use for different contraceptive methods and move away from automated medical prescribing, the French National Authority for Health (HAS) issued professional guidelines in 2004 to facilitate personalized contraception, allow for a wider variety of methods, and expand access to intrauterine devices (IUDs) to a broader audience, particularly nulliparous women. To support this expansion of access to various contraceptive methods, communication and awareness-raising initiatives were launched by INPES, such as the campaign “The best contraception is the one you choose,” launched in 2007, accompanied by the distribution of the brochure “Choosing Your Contraception.” Beyond regular contraception, access to emergency contraception has evolved over the course of the 2000s. The expansion of access points and conditions—particularly for minors—the extension of the effective time window for oral methods, and the dissemination of information on these factors have likely altered the use of these “emergency contraceptives.” The most recent round of the Baromètre Santé survey took place in 2010, six years after the release of professional guidelines on contraception. This survey, conducted every five years, allows for monitoring changes in the contraceptive landscape and the use of emergency contraception (EC) in metropolitan France. This article therefore aims to describe changes in contraceptive coverage among French women aged 15 to 29, the use of available emergency contraceptive methods, and the challenges encountered in this contraceptive journey, particularly the occurrence of an unplanned pregnancy.[chapter excerpt]