Newly Discovered Side Effect of Birth Control Pills May Keep Some Women Feeling on Edge

Newly Discovered Side Effect of Birth Control Pills May Keep Some Women Feeling on Edge
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Mary Gillis
9/1/2023
Updated:
9/1/2023
0:00
Birth control meds may leave some women trapped in a self-perpetuating cycle of stress when they choose to take the daily pill compared to women who rely on their natural cycle, a new study suggests.

According to a paper just published in Behavioural Brain Research, women who were not on birth control and who were put in social situations designed to reduce stress like singing in groups and playing board games, saw their levels of stress-regulating hormone ACTH drop. Women who were on the hormone-infused oral contraceptive put in the same social situations, on the other hand, did not experience any reduction in ACTH.

“Being with other people is one of the most effective ways of reducing stress. Our results are really important because they indicate that people who use birth control pills do not experience the same reduced stress hormone levels in connection with social activity as people who do not use the pill,” Michael Winterdahl, co-author and visiting scholar at Aarhus University in Denmark, said in a news release.
“This study underscores the widespread influence of oral contraceptives beyond reproductive health,” the paper reads.

Results by Menstrual Phase

The authors split 131 women into two different groups. Both groups were asked to give blood samples upon arrival at the research site. The needle acted as a source of anticipatory stress in addition to its role as a tool to collect blood.

Participants also answered questions about their current mood and level of closeness with other people. They were all then assigned to various activities such as playing board games, getting to know each other in small groups, singing songs together, or attending a church service.

Afterward, women from both groups were asked to revisit the initial study questions about mood and closeness, and another blood sample was drawn. An intravenous catheter was put in at the same time the initial blood sample was collected to avoid causing additional stress due to a second prick.

When their cycles were accounted for (menstrual, proliferative, or secretory phase), stress-reducing activities were successful in women not taking birth control who were in their menstrual phase or their secretory phase. They saw a 13.5 percent and 7.4 percent reduction in ACTH, respectively. However, there was no change in ACTH levels in the women who were in the proliferation phase of their cycle.

“Progesterone levels are very low during the proliferative phase of a natural cycle.” Mr. Winterdahl said. Progesterone converts to the hormone allopregnanolone, which therefore regulates stress.

Yet, women who were on birth control had the lowest progesterone levels.

According to Mr. Winterdahl, birth control pills cause the stress response to be ‘disconnected,’ meaning it can not be adapted to a given situation.

The Pill, ACTH, Progesterone and Allopregnanolone

It’s too soon to tell why ACTH levels flatlined in connection with social activities and the complex mechanisms involved in the relationship between hormone levels and stress response need more untangling.

However, the researchers are working based on the theory that birth-control pills can suppress the body’s own production of progesterone.

Birth control contains progesterone which is the hormone that prevents pregnancy. Progesterone is broken down into the hormone allopregnanolone, which is involved in a wide range of calming effects and stress responses.

Long-term administration of birth control has been shown to induce a sharp decrease in the allopregnanolone concentrations in rats, the authors point out. The pill has also been shown to decrease circulating allopregnanolone levels in women.

Common Adverse Events of Birth Control Pills

While most side effects of birth control are mild and short-term, women should be aware that the pill can cause:
  • Breakthrough bleeding
  • Nausea
  • Headaches
  • Abdominal cramping
  • Breast tenderness
  • Vaginal discharge
  • Decreased libido
  • Disrupted glucose metabolism
More severe side effects include the risk of stroke, heart attack, hypertension, and reduced bone mineral density. Women with a pre-existing heart condition or who smoke should not take oral contraceptives.
Mary Elizabeth Gillis is a health reporter and cardiopulmonary specialist with over a decade of experience. After graduating with her doctorate in applied physiology, she earned a master of science degree in journalism from Columbia University.
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