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Review, 2011

What health benefits do birth control pills have?

Birth control pills reduce symptoms of heavy periods and period pain, lower PMDD symptoms, reduce acne, and lower the risk of ovarian and endometrial cancer. Modern pills have lower estrogen doses than older ones and carry less cardiovascular risk.

Moderate study design Women taking combined oral contraceptives

What they did

Review article summarizing the non-contraceptive health benefits of combined oral contraceptives established over 50 years since their introduction.

What they found

Estrogen dose in birth control pills has decreased from over 100 micrograms to less than 30 micrograms. Non-contraceptive benefits include improvement of menorrhagia (heavy periods) and dysmenorrhea (period pain), reduction in premenstrual dysphoric disorder symptoms, and decreased acne. Birth control pills prevent pregnancy-related deaths. Use of birth control pills before menopause reduces the risk of ovarian and endometrial cancer after menopause. Decreased ovarian cyst formation occurred with higher-dose pills but not with modern low-dose pills. Cardiovascular risks have decreased due to the lower estrogen dose.

What it means for you

Birth control pills offer many health benefits beyond pregnancy prevention, especially modern low-dose formulations. This is a review of 50 years of evidence rather than new research. Individual benefits may vary, and the review does not provide details about effect sizes or which formulations work best for specific conditions.

>100 to <30 mcg

Estrogen dose decrease over 50 years

About the study

Original title
The state of hormonal contraception today: established and emerging noncontraceptive health benefits
Authors
Maguire K, Westhoff C
Journal
American journal of obstetrics and gynecology
Year
2011
Study design
Review
What was tested
Combined oral contraceptive pills

Topics