The pill: What they don’t tell you about its potential impact on mental health

I thought I was losing control – crying one minute, filled with rage the next and unable to leave my bed after that.

My recent PMS symptoms had gotten worse, and it took me months to make the connection. It was a relief to realise my emotions weren’t all me, but they might be because of something I was putting into my body every day: the pill.

It wasn’t until I did a recent poll on Instagram following my own experiences with the pill that I realised just how common it is to suffer negative mental health symptoms when taking this form of contraception. My DMs were flooded with women telling me how they were filled with rage, anxiety, and had uncontrollable mood swings.

The poll revealed that 82% of women who voted had negative side effects, and I thought it was time to do some of my own research.

My story

I started taking the pill when I was 16 years old, and in the 12 years I’ve taken it, I don’t remember the impact it would have on my mental health ever being explained to me. When I was a teenager, I put my unstable emotions down to being what I was – a teenager. But throughout my 20s, I wasn’t noticing an improvement in my emotions or behaviours. Over the years, I’ve noticed some symptoms that have become impossible to ignore:

  • Anxiety and difficulty managing stress.
  • Low mood to the point where I can’t leave my bed.
  • Rage and irritability. Which if you know me, doesn’t match my personality at all.
  • Rapidly changing mood swings, which causes me to feel totally unstable at times.

These symptoms massively impacted (and still impact) the way that I cope with stressful situations, like work, relationships and my perception of self. Sometimes things that would usually cause most people joy, like getting paid for example, would cause an unnecessary stress response as I frantically try to plan my finances and catastrophise whether I’m making the right choices for myself. Now I’m questioning, is all this stress really me?

Recently, I went to the doctor to get some help with these symptoms as they only felt like they were getting worse. To my surprise, the first thing the doctor suggested was putting me on anti-depressants every month during my PMS window. This felt like an extreme solution, so we settled on me continuously staying on my pill without a break to see if that settles my symptoms instead. For me, it felt frustrating that there wasn’t another, more helpful or holistic option the doctor wanted to explore with me.

contraceptive pill

What do the studies say?

All it takes is a simple Google search to find countless articles and studies that link the contraceptive pill to a decline in mental health. It’s reassuring to see that my symptoms are common ones that many women struggle with. One study suggests that women over 20 years old were 92% more likely to develop depression after taking the pill.

I did, however, find further frustration in the fact that there seems to be absolutely no solution to the problem. Most studies and articles end with “more research needs to be done”. To me, this begs the question, when will women’s health be a priority? When will we have answers?

My research also revealed that anti-depressants are an effective way of managing PMS symptoms. But, if the cause is the contraceptive pill, why isn’t coming off it a viable option? Why didn’t my doctor discuss switching to any other form of contraception or even the possibility of cycle tracking?

By chance, I came across a remarkable woman called Dr Sarah Hill, a psychologist specialising in women’s health and sexual psychology. If you’re interested in how the pill might be impacting you, I would strongly recommend looking her up, as she explains the negative impacts go far beyond just our mental health and impact who we are sexually attracted to and how we experience sex. This completely new information made me wonder, if this was presented to us all in our first appointment to get the pill, would as many of us have tried it out?

What are the alternatives?

After the poll I made on Instagram asking about the negative impacts of the pill, some women shared their stories of how they explored alternatives, and their experience became a much more positive one. The most popular ones were:

  • The Mirena coil – a hormonal coil that works by releasing hormones directly into your womb. Corrinne Towsey, via Instagram, told me that the Mirena coil had been a “game changer”.
  • Cycle-tracking, which relies on you keeping track of when you’re ovulating and avoiding having sex during this window so the egg remains unfertilised. The bonus here is it’s hormone-free and completely non-invasive.
  • More expensive brands of the pill, Faye Thompson told me via my DMs that she “swears” by a more expensive brand of the pill called Yasmin.

Of course, what works for one woman might not work for another, and although there are benefits to these alternative methods, there are drawbacks and not everyone will have a positive experience. If we take cycle tracking, for example, it entirely relies on accuracy, self-control, doesn’t protect against STIs and won’t reduce menstrual blood loss. So, I’d strongly suggest doing your own research and consult with your GP to determine which option would be best for you.

uterus
birth control

What next?

What I think needs to happen is more transparent conversations around the contraceptive pill and a better exploration of alternative (particularly non-hormonal) forms of contraception. Now that I’ve done my research, I understand my options a little better, as well as understand the impact the pill is having on my mental health. My behaviours and emotional responses aren’t necessarily me; they’re the result of the synthetic hormones I’m putting into my body to prevent pregnancy. This means I can adjust my self-care and compassion towards myself depending on my experience during my cycle.

If you’re feeling similar to how I was, research your options and share stories with the women around you to see what’s worked well for them. Most importantly, listen to your body and if something doesn’t feel right, speak with your doctor and demand to know your options. You could ask direct questions like:

  • Are my symptoms related to my contraception?
  • What non-hormonal options are available to me?
  • What holistic alternatives are there for managing my negative symptoms?

Every woman deserves to feel in control of her body and mental health, and the first step to taking it back is by having these conversations.

Disclaimer: The information provided in this article is for general informational purposes only and is not intended as medical advice. While we strive to present up-to-date, accurate content, the views and opinions shared are those of the author and the featured experts and do not necessarily reflect those of High Life North. We are not medical professionals, and readers should always consult with a qualified healthcare provider regarding any concerns or questions related to their health and well-being.

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Charlotte Battista

Charlotte is a passionate future counsellor who began her journey in 2019. After earning her BA(Hons) in Guidance and Counselling from Northumbria, she’s on track to start working with her own clients by July 2025. Charlotte is dedicated to empowering people to discover their best selves. She loves sharing well-being…

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