An unwanted baby can make depression worse
Why the pill can promote depression
"This mechanism probably contributes to the fact that the newer preparations are still considered superior despite the higher risk of thrombosis," says Glaeske. "It would be better to stick with the original preparation for the time being and wait to see whether the hormonal balance levels off." After the first few months, women should provide feedback on whether they are experiencing changes in their bodies or side effects - for example, tired or listless, developed acne or gained weight. The doctor can explain this and will usually advise you to wait at least six months. Unless serious problems arise.
Preparations work differently on every woman
So far there are no indications that the problems are limited to certain preparations. "Women describe very different adverse effects," says Glaeske. "Both when taking combination preparations and when taking the minipill, which only contains gestagens."
A little more often, however, the mood deteriorates in women when they take a pill with androgenic effects. "This can happen now and then with pills that contain levonorgestrel, for example," says Glaeske. "Because in rare cases they promote acne, which can affect the psyche." But this is more of an initial effect. In principle, it can occasionally happen that the pill also affects the mood later. "For example, when a situation occurs in life that results in a psychological low," says Glaeske. "Even then, the pill can possibly increase this."
How high is the risk of depression?
Glaeske does not think that hormonal contraception should be discouraged if someone is predisposed to depression - in the family or because problems have already arisen. "The overall risk of depression for individuals is rather low." In the Danish study, the prescription of antidepressants from the pill increased by 0.5 percent. "It is important, however, that doctors and patients think of the pill as a possible trigger for the symptoms described and that they take the reports from girls and young women about problems that begin with taking the pill seriously," he advises.
Basically, most experts recommend: So-called second generation pills are the first choice. They contain proven progestins, but they can make acne worse, for example. Doctors should only prescribe third-generation pills as an alternative in the event of intolerance. They contain newer progestins, which often change the complexion less, but can increase the risk of thrombosis a little more. It is crucial to carefully clarify with the gynecologist before prescribing which type of pill is most suitable after weighing the benefits and risks.
Conclusion: The contraceptive pill can have side effects such as mood swings or decreased libido and can also promote depression. In general, it often takes time for the body to get used to the daily dose of hormones. This affects both physical and psychological side effects. If the symptoms persist, it may make sense to switch to another preparation after consulting the attending gynecologist. However, depression can be serious and increase the risk of suicide. In the event of signs of depression, women should seek medical advice from their gynecologist as soon as possible. even if the symptoms appear shortly after you start taking it.
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