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Non-randomised trial, 1990

Does testosterone affect sexual behavior differently in pill users versus non-users?

Birth control pill users and non-users had similar sexual activity overall. Only non-users showed cycle-related drops in testosterone and matched decreases in sexual desire. Testosterone levels did not predict actual sexual activity in either group.

Early or limited evidence 18 birth control pill users and 13 non-users matched for partner availability

What they did

18 women taking birth control pills and 13 women not taking pills tracked their daily sexual activity for 1 month. Blood hormone levels were measured at 4 points across their pill or menstrual cycle.

What they found

Non-pill users had higher testosterone throughout their cycle and showed perimenstrual drops in testosterone. Only non-pill users reported decreased sexual desire before menstruation that corresponded to testosterone drops. Both groups had similar frequencies of sexual activity despite testosterone differences.

What it means for you

Birth control pills suppress testosterone and prevent the natural cycle-related changes in desire seen in non-users. However, average testosterone levels were not linked to actual sexual activity in either group. The sample size is small.

18

pill users

13

non-users

4

cycle phases measured

About the study

Original title
Testosterone and sexual behavior in oral contraceptive users and nonusers: a prospective study
Authors
Alexander GM, Sherwin BB, Bancroft J et al.
Journal
Hormones and behavior
Year
1990
Study design
Non-randomised trial
Participants
18
What was tested
Oral contraceptive use

Topics