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What the pill is actually doing to your hormones?

Birth control, hormonal health, ovulation, progesterone, contraception

Written by Melanie Nolan

6 min-read
16citations
What the pill is actually doing to your hormones?

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The Pill and Your Hormones: What’s Really Happening?

Let's discuss what the pill is actually doing to your hormones. It is shutting them down entirely, so the pathway between your ovaries and hypothalamic gland is shut down. It’s chemical menopause.


The Pill Does Not Balance Hormones—It Switches Them Off

Pill bleeds are not periods. We do not cycle when we’re on the pill. When we don’t cycle, we don’t ovulate. When we don’t ovulate, we don’t produce progesterone. Women not having progesterone is like men not having testosterone.

As Lara Briden put it:

“We will switch off your testosterone,” we would tell them, “And replace it with a synthetic pseudo-testosterone. It's going to cause weight gain, depression, and loss of libido—but don't worry! All the other boys take it.”

Can you imagine a world where we shut down men’s testosterone?

Why isn’t the same value being placed on our progesterone?


The Role of Progesterone in the Body

Progesterone naturally:

🌸 Improves cardiovascular health

🌸 Stimulates hair growth

🌸 Has anti-testosterone properties – think jawline acne and facial hair growth

🌸 Calms mood and improves sleep

🌸 Reduces the risk of breast cancer

🌸 Reduces inflammation

🌸 Regulates immune function

🌸 Supports healthy bones

According to endocrinology professor Jerilynn Prior:

“Women benefit from 35 to 40 years of ovulatory cycles, not just for fertility but also to prevent osteoporosis, stroke, dementia, heart disease, and breast cancer.”

Ovulation and a normal menstrual cycle are like a monthly contribution to long-term health.

And we make no progesterone when we are on the pill.


The Difference Between Progestin and Progesterone

Progestin, the synthetic replacement of progesterone, is NOT progesterone and does not have the same benefits.

The only way to make progesterone is to ovulate.


Why Ovulation Matters Beyond Fertility

Ovulation is important for women, and not just to make a baby.

And the pill doesn’t allow you to ovulate.

There are other forms of contraception/birth control that do allow you to ovulate, and I will talk about this next time.

If you’re thinking about coming off the pill and are worried about what might happen to your periods and skin, we have lots of solutions and can help you in an appointment.



If you are thinking you are wanting to come off the pill, and are worried about what might happen to your periods and skin after, we have lots up our sleeve for this and can help you in an appointment.

* Here is an interesting article Hormonal Contraceptives and Risk for Depression and Suicide