Jul 30, 2024

The hormonal impact of contraceptive pills beyond birth control

Siddhartha Jana

The contraceptive pill causes complex hormonal changes beyond its primary role of preventing pregnancy.

Source: Canva

Most pills are combined oral contraceptives (COCs) that contain synthetic estrogen and progestin.

Source: Canva

COCs work primarily by suppressing ovulation through inhibiting follicle-stimulating hormone (FSH) and luteinizing hormone (LH).

Source: Canva

Progestin thickens cervical mucus to block sperm from reaching the egg and thins the uterine lining to prevent egg implantation.

Source: Canva

Common short-term side effects include nausea, breast tenderness, breakthrough bleeding, headaches, mood changes, and decreased libido.

Source: Canva

Long-term use of COCs slightly increases the risk of venous thromboembolism (VTE), though this risk is relatively low.

Source: Canva

The pill provides non-contraceptive benefits such as lighter periods, reduced menstrual cramps, and a lower risk of ovarian and endometrial cancers.

Source: Canva

The pill does not typically affect long-term fertility; normal ovulation and menstruation usually resume shortly after discontinuation.

Source: Canva

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