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Interview study, 2015

Does hormonal contraception affect mental health and sexual desire?

Clear effects were found on sexual desire (decreased) and painful menstruation (reduced). No clear difference was found in psychological symptoms overall, though interviews suggested some women may experience mental changes.

Early or limited evidence 30 women interviewed 3 months to 2 years after starting or stopping combined hormonal contraception.

What they did

30 women were interviewed 3 months to 2 years after they started or stopped combined hormonal contraception (birth control pills with estrogen and progestin). Interviews were supplemented with a 16-symptom rating scale where women rated the effects on physical, mental, and sexual changes.

What they found

Both interviews and the rating scale showed a clear effect of hormonal contraception on decreased sexual desire and reduction in painful menstruation. No clear difference was found in psychological symptoms overall, although the interviews suggested there might be some mental changes that the rating scale did not capture.

What it means for you

Hormonal contraception clearly affects sexual desire and menstrual pain, but effects on mental health are uncertain. The difference between what interviews showed (possible mental changes) and the rating scale (no clear difference) means more research is needed to understand mental effects. This is a small qualitative study without a comparison group, so findings may vary widely among women.

30

women interviewed

16

symptom scale items

About the study

Original title
[Mental changes in women due to the use of hormonal contraception]
Authors
Ottová B, Weiss P
Journal
Ceska gynekologie
Year
2015
Study design
Interview study
What was tested
Combined hormonal contraception (start or stop)

Topics