This study explores the topic of the birth control use of college women, and the factors that influence their decision of whether or not to use contraception consistently. A literature review was performed on Academic Search Premier, SocIndex, Women's Studies International, Pubmed, CINAHL, and ICRW. Interviews were conducted with 7 participants recruited through convenience sampling. The results suggest that low perception of risk, lack of access, and alcohol use are all major influences on women's decisions regarding birth control. A review of current policy was also completed, and potential policy changes are suggested in order to improve college women's consistent contraceptive use.