Psychological side effects of hormonal contraception: a disconnect between patients and providers

Contraception and Reproductive Medicine

Research

Christina Marini¹  Cathy A. Kondas²  Allison B. Deutch³  Sarah Martell⁴ 

[1] Department of Psychiatry, NYU Grossman School of Medicine, New York, NY, USA;Department of Psychiatry, NYU Grossman School of Medicine, New York, NY, USA;Division of Consultation-Liaison Psychiatry, Department of Psychiatry, NYC Health + Hospitals

[2]  Bellevue, New York, NY, USA;Department of Psychiatry, NYU Grossman School of Medicine, New York, NY, USA;Division of Consultation-Liaison Psychiatry, Department of Psychiatry, NYU Grossman School of Medicine, New York, NY, USA;NYU Grossman School of Medicine, New York, NY, USA;Department of Psychiatry, Zucker Hillside Hospital, Queens, NY, USA;

关键词: Hormonal contraception;    Birth control;    Side effects;    Contraception counseling;    Mood changes;   

DOI  :  10.1186/s40834-022-00204-w

 received in 2022-07-04, accepted in 2022-11-29,  发布年份 2022

来源: Springer

【 摘 要 】

BackgroundExisting literature about the psychological side effects of hormonal contraception (HC) is limited. The goal of this study is to better characterize patients’ subjective experiences with HC, its side effects, and contraception counseling.MethodsThis is a cross-sectional, survey-based study using a convenience sample of patients who had used HC at some point in their lives. Recruitment occurred from June 2021-February 2022.ResultsOf the 188 responses included in the analysis, 43.6% reported experiencing mood changes as a side effect of HC at some point in their lives. The most common reason participants cited for discontinuing or switching contraception methods was side effects (48.3%). Participants with a history of psychiatric illness were significantly more likely to report mood changes as a side effect of their HC (61.2%) compared to participants with no history of psychiatric illness (29.5%). Among patients with a history of psychiatric illness, 38.8% responded that their psychiatric symptoms worsened with HC while only 11.2% responded that their symptoms improved with HC. The majority (83%) of participants responded that their provider never mentioned the possibility of psychological side effects during contraception counseling. If/when they experienced side effects associated with their HC, 22.7% of participants disagreed that their provider adequately addressed their concerns.ConclusionThese findings suggest that mood changes may be among the most common perceived side effects of HC and speak to a disconnect between patients and providers when it comes to discussing the possibility of psychological side effects with HC.

【 授权许可】

CC BY   
© The Author(s) 2023

【 图 表 】

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