If you are nearsighted with astigmatism and want to get contact lenses, choose the type of contact lens based on the degree of astigmatism. If the astigmatism is small, under 100-150 degrees, you can usually wear soft contact lenses or hard contact lenses without considering adding astigmatism. You can try on frames without astigmatism first to see how well your vision is corrected. If you can meet your daily vision needs, you can wear contact lenses without astigmatism and only have them fitted for myopia. If the astigmatism is large or if the astigmatism is low but affects the vision more significantly, you can choose contact lenses with astigmatism design. Contact lenses with a toric design can be fitted according to the degree of astigmatism, which usually also corrects astigmatism and improves vision.