Depression And The Pill: The Dirty Little Secret Is Out
By Kurtis Bright
How A Danish Study Is Finally Forcing Acknowledgement of
a Long-Rumored Secret
Nobody likes to talk about the dirty little secret hiding
behind the contraceptive pill, least of all the manufacturers. Not only that,
the medical profession has long denied and ridiculed the notion, no matter how
many women have reported it.
Even with 4 out of 5 sexually experienced women have used
the pill, we nonetheless rarely hear about the depression that is a common side
effect.
However a recent study out of the University of Copenhagen
is at long last lending credibility what millions of women have already known:
hormonal contraceptives often trigger or exacerbate symptoms of depression.
The Danish study, the largest to date on contraceptive pills
and depression, uses data culled from over a million Danish participants aged
between 15 and 34, tracking them for over 13 years.
Having employed such a long-term, definitive and broad
sample of women using the pill, the study is likely to wipe away the smug
denial the medical establishment has been hiding behind for decades.
What the researchers found was that women who took the
combined oral contraceptive had a 23 percent higher chance to be diagnosed with
depression. And those women who took progestin-only pills--the so-called
mini-pill--were 34 percent more likely to suffer from depression.
And alarmingly, teen girls were even more likely to be
suffer depression if they were on the pill: there was an 80 percent increase in
the odds they would experience depression on the combined pill, and a two-fold
risk on the progestin-only pill. This is especially disturbing given the
well-documented risks teens have for suffering from depression under the best
of circumstances.
And switching to different hormone-based contraception
methods didn’t reduce the chances of depression either--quite the opposite in
fact. Women and girls using the hormonal IUS/coil, the contraceptive patch or
the Nuva ring demonstrated a higher chance of experiencing depression--a much
higher rate in fact than for those on the pill.
Again, and as the researchers themselves note, this is
especially troubling as it pertains to teens. Efforts to steer teens toward
alternatives to the pill--so-called long-acting reversible contraceptives or
LARCs--have met with some resistance.
Doctors also have recommended these alternatives to the pill
because previously it was thought that they have less severe potential side
effects. However, armed with this new evidence that people who already suffer
depression often find that the pill makes their symptoms worse, and that other
hormone-based alternatives are indeed worse, steering depression-prone teens to
the alternatives is tantamount to malpractice.
The researchers also noted that given the fact that conscientious doctors
already steer women with tendency toward depression away from the pill, the
research probably badly underestimates the negative effect.
It is a blockbuster report, one that we can only hope will have repercussions
in doctor’s offices around the world. If you know anyone who uses hormone-based
contraception and suffers depression, please pass on this information to them.
At the very least they should be aware that they are not alone.
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