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Randomised trial, 1972

Does birth control change mood and premenstrual symptoms?

Birth control reduced irritability and aggression between periods and made cycles shorter, more regular, and less painful. It also caused nausea, vomiting, water retention, and drowsiness. We cannot be very confident because this was a tiny study of only 8 women.

Early or limited evidence 8 healthy single university students at Stanford

What they did

Double-blind crossover study of 8 healthy single female university students at Stanford. Each took Enovid (a birth control pill) or placebo for 4 cycles. They tracked their mood daily and had various tests measuring mood, blood hormones, and urine chemicals on 9 days of each cycle.

What they found

On placebo, women had more premenstrual and menstrual irritability, tenseness, and aggression. On Enovid, cycles were shorter, more regular, and less painful. Enovid reduced irritability and aggression between periods but caused nausea, vomiting, water retention, and drowsiness. Blood cortisol was higher throughout the cycle on Enovid.

What it means for you

Birth control may reduce some mood symptoms related to the cycle but causes other side effects. This study is very small (n=8) and from 1972, so results may not apply to newer birth control pills or a broader population.

8

Participants

4

Cycles studied

9

Days per cycle with measurements

About the study

Original title
THE MENSTRUAL CYCLE
Authors
Sam Silbergeld, Neil Brast, Ernest Pascal Noble
Journal
Obstetrical & Gynecological Survey
Year
1972
Study design
Randomised trial
Participants
8
What was tested
Enovid (oral contraceptive pill) versus placebo

Topics