Can contraception affect my mood?

Hormonal contraception contains hormones that prevent pregnancy. Methods include contraceptive pills, vaginal rings, patches, implants, hormonal IUDs and injections. They contain different hormones or combinations and may have different side effects. Condoms and copper IUDs do not contain hormones.

Some observational studies have found more recorded depression among users of hormonal contraception. Such studies alone cannot show that contraception caused the depression. Randomised trials have also not provided a clear answer for every group, and evidence about adolescents is more limited.

An average research finding does not tell you how you will respond. Experiences beginning after starting a method deserve attention, while other possible explanations should also be considered. Good follow-up concerns both your contraceptive choice and any support you need with your mood now.

Think about when your mood began to change and whether this happened after you started or switched contraception. You can write down what you notice, how often it happens and how it affects sleep, school, friends or daily life. This may be useful when talking with a healthcare professional, but you do not need to track anything before asking for help.

Yes. If you experience problems, you can discuss trying another method with a school nurse, midwife or doctor. They can also help assess whether there are other explanations for how you feel. If you want to stop or change contraception, ask how you can remain protected against pregnancy.

Talk to a school nurse or doctor if you become noticeably low, lose interest in activities you usually enjoy or find that your mood makes daily life difficult. You can seek help early, even when you are unsure whether contraception is involved.

If you are thinking about harming yourself or ending your life, tell a trusted adult or healthcare professional immediately. In Norway, call 113 if there is an immediate risk of suicide. Call the out-of-hours medical service on 116 117 when help cannot wait. Ask someone to stay with you while you get help.