How Birth Control Impacts Your Mood

Birth control can affect mood in some people because hormonal contraceptives change the levels of oestrogen and progesterone, which influence brain chemicals involved in mood regulation. While many people notice no emotional changes—or even improvements in PMS symptoms—others may experience mood swings, anxiety, or low mood. Online birth control consultations with Mobi Doctor allow a doctor to review your symptoms, discuss contraceptive options, and recommend the most suitable method where clinically appropriate.  

How Birth Control Impacts Your Mood
Medically reviewed

Dr. Chrysoula I. Liakou MD, PhD Google Scholar LinkedIn

Internal Medicine Specialist
Cancer Immunology Researcher

Can Birth Control Affect Your Mood?

Yes, hormonal birth control can impact mood by altering estrogen and progesterone levels. Some users experience mood swings, anxiety, or depression. These effects vary by individual and may improve with time or a change in medication.


Many women who use hormonal birth control experience less painful cramping during their periods, can predict their menstrual cycles, have clearer and less acne-prone skin, and, in addition, have a reduced chance of developing ovarian cysts and uterine cancer when they take it.


Birth control also relieves premenstrual syndrome (PMS) by reducing hormone levels. Even with all these health benefits, in addition to preventing pregnancy, some experience side effects that can be minor but also substantial, depending on the person. This article will discuss whether birth control causes mood swings and its side effects. Various factors cause birth control mood swings, and I'll explain how to manage them.


Lastly, I'll make sure to explain when mood swings require a doctor's attention.


Common Side Effects of Birth Control


Hormonal birth control can lead to side effects in many people, but the side effects usually dissipate after about two or three months. There are, however, some possible side effects for new users of birth control.

Overview of Birth Control Side Effects and Management Tips
Side Effect Description Management Tip
Mood swings Irritability, anxiety, sadness Supplements, healthy diet, exercise
Headaches Triggered by hormonal fluctuations Hydration, stress management
Breast tenderness Swollen or painful breasts Supportive bra, cold compress
Spotting Light bleeding between periods Consistent pill timing
Bloating Mild water retention Limit salt, drink more water



Spotting Or Breakthrough Bleeding


Globally, hormonal birth control will likely cause spotting or breakthrough bleeding. Occasionally, breakthrough bleeding will occur due to hormone fluctuation and a thinned uterine lining.


Birth control pills can help regulate the body's system by taking them every day.



Breast Tenderness


When you start taking birth control pills or other hormonal birth control, you may experience breast tenderness, but it will eventually subside. Wear a supportive bra to reduce breast pain. On birth control, your breasts may also grow larger.



Fluid Retention


You may experience bloating or weight gain while on birth control because of fluid retention. It can add a few pounds to the scale if you retain water, but a correlation between weight gain and hormonal birth control is still unproven.



Headaches Or Migraines


The use of birth control can exacerbate headaches or alleviate them. Women who suffer from migraines may find relief from the pain with birth control hormones. People who have never suffered from headaches may begin experiencing them when they start taking birth control.


Birth control pills can cause rare but severe side effects, such as:

  • Breast cancer

  • Cervical cancer

  • Raised blood pressure

  • Blood clots



Can Birth Control Cause Mood Swings?


Birth control may increase a woman's tendency towards depression and mood swings if prone to these conditions. Those with a history of depression experience mood swings more frequently than those without any depressive episodes, according to the Harvard Study on Moods and Cycles.


A woman on birth control should inform her doctor if she has a history of depression so they can monitor her.


Data was collected between the ages of 18 and 34 by the National Longitudinal Study of Adolescent Health (1994-2008) from 6,654 sexually active nonpregnant women between 18 and 34 who identified as having a woman's body.


Several studies have shown that birth control reduces the symptoms of depression in the exact opposite way that birth control does not.


There is no one-size-fits-all regarding how an individual will respond to the hormones found in birth control.


If symptoms of depression or mood swings persist, you should speak to your doctor about alternative birth control methods.



What Causes Mood Swings on Birth Control?


Hormones are primarily responsible for mood changes and depression caused by birth control. In the body, estrogen and progesterone are regulated by the birth control pill. In nearly half of all cases, women who identify as women go off the birth control pill within a year because of its side effects. This includes mood swings and depression.


To solve these problems, we must understand what causes them. Since the pill elevates cortisol levels in the brain, the HPA axis can be affected. Due to high cortisol levels, people who take the pill experience stress-related mental health problems. In addition to affecting mood and state of mind, the pill inhibits GABA receptor stimulation, which promotes relaxation and reduces brain activity to help the body decompress.


Low GABA stimulation is typically associated with mental-health-related issues such as panic disorder, depression, and PMS.


Low estrogen levels in the pill may reduce the brain's reward process, resulting in challenges.



Who Is at Higher Risk of Mood Side Effects?

 

  • Mental illness or depression runs in your family.

  • A family member (or your mother) suffered mental health side effects from taking the pill. It is only possible for you to take progestin pills (i.e., mini pills).

  • In your pill, you are taking a multiphasic dose of hormones (i.e., an increase in hormone dosage as the cycle progresses).



How to Manage Mood Swings from Birth Control


These actions will help you manage mood swings caused by birth control.


Increase Supplement Intake


As a result of birth control, magnesium and antioxidant vitamins E and C are not absorbed as effectively as they should be. A person may also become deficient in vitamins B2, B6, B12, folic acid, selenium, and zinc. The depletion of the body's reserves requires supplementation to replenish them.


Boosting mood and avoiding depressive episodes requires adequate dosages of these essential vitamins and minerals, which they should discuss with their doctor.



Eat A Healthy Diet


Boosting serotonin levels in the brain with the right foods, such as complex carbohydrates, can help moderate mood swings caused by birth control.


The following foods are among them:

  • Vegetables

  • Quinoa

  • 100% whole-wheat bread (no white flour)

  • Potatoes

  • Barley

  • Fruits

  • Beans

  • Oatmeal


Processed foods and sugars cause inflammation, so you should avoid them.



Get Enough Exercise


You can combat depression and mood swings by exercising, which can increase your energy levels. Every day, even 15 minutes of walking can make a difference.


You may find it hard to get up and move when feeling down, but getting out and getting some fresh air will certainly help.



When to See a Doctor About Mood Changes


While mood swings or depression may seem unavoidable with birth control, you should consult your doctor to determine if your medication is right for you or if something else should be tried. A monophasic birth control pill contains the exact daily dosage, a multiphasic pill has a changing dosage throughout the month, and a mini pill contains only progesterone.


When you cannot cope with mood swings and depression, your doctor may prescribe a different type.


Symptoms to look out for include:

  • Thoughts of suicide

  • Insomnia

  • Physical symptoms, such as severe headaches or migraines

  • Mood swings that affect your life

  • Anxiousness all the time


Will Mood Swings From Birth Control Go Away If You Stop Taking It?


It is expected that mood swings caused by birth control will subside once a person stops using it.


Can Birth Control Change Your Personality?


You may notice birth control impacts sex, attraction, stress, hunger, eating patterns, emotional regulation, friendships, aggression, mood, learning, and several other things.

 

How Can Mobi Doctor Help


With Mobi Doctor, you have access to online urgent care. Get an instant diagnosis, explore conditions and treatments, and text a healthcare professional if needed.

Mobi Doctor is a virtual clinic that provides online consultations and 24/7 support for people with health problems. You can talk to our experts about any health problem, whether an infection, an injury, or a mental health issue. We offer tailored advice and support from our team of doctors and experts.



Birth Control and Mood FAQs

Yes. Hormonal birth control can affect mood in some people, although the experience varies widely. While many notice no emotional changes or even improved mood, others develop mood swings, irritability, anxiety, or low mood after starting a new contraceptive method.

Hormonal contraception changes the levels of oestrogen and progestogen in the body, which can influence brain chemicals involved in mood regulation. These hormonal changes affect everyone differently, making some people more sensitive to emotional side effects than others.

There is no single contraceptive that is best for everyone because people respond differently to hormonal methods. If mood changes develop after starting birth control, a doctor may recommend switching to a different pill, a lower-dose option, a non-hormonal method, or another contraceptive that better suits your medical history.

Many people can discuss contraception through an online medical consultation. A doctor can review your medical history, previous experience with contraception, and any history of anxiety or depression to help recommend the most suitable option where clinically appropriate.

If mood changes occur, they often improve within the first two to three months as the body adjusts to the hormones. Persistent or worsening symptoms should be reviewed because another contraceptive method may be more appropriate.

People with a personal history of depression, anxiety, or previous mood changes while using hormonal contraception may be more likely to notice emotional side effects. This does not mean hormonal birth control is unsuitable, but it may require closer review and follow-up.

Seek medical advice if low mood, anxiety, irritability, or mood swings persist, become severe, or begin affecting your work, relationships, or daily life. Urgent mental health support is needed if you experience suicidal thoughts, self-harm, or severe depression.

Do not stop hormonal contraception without discussing it with a doctor unless you have been advised to do so. A medical review can help determine whether your symptoms are related to your contraceptive and whether switching to another method would be more appropriate.

Yes. Some people find their mood improves after changing to a different hormonal formulation or a non-hormonal contraceptive. The best option depends on your symptoms, medical history, contraceptive needs, and previous experience with birth control.


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