There have been several studies and research conducted over the years on the topic of whether depression and taking a birth control pill is related. A very recent study was published this year on the topic, and is making headlines, as some of you may already know. But before discussing some of its findings, it is important to first understand how the pill works, and discuss its efficacy, side effects, and potential risks on your mental and physical wellbeing.
Birth control pills are the most commonly prescribed form of contraception to young females in North America. They contain a variety of different active and inactive ingredients. Among the more common ones are progestin, synthetic progesterone, and estrogen. The pills can contain a combination of these hormones in various dosages, or just consist of a single hormone. Ingesting synthetic hormones alters your body’s natural hormonal balance, levels, and production, ultimately preventing ovulation and subsequent ability to conceive.
The estimated probability of pregnancy during the first year of perfect use of the pill is 0.3% if taken at the exact same time every day, and a dose is never missed. However, actual rates of pregnancy with oral contraceptive are more like 9-11% in their first year of use . Furthermore, an estimate 51% of unintended pregnancies happen while using a birth control pill , suggesting failure rate is high.
Furthermore, as a result of this natural hormone imbalance, it also affects responses within the brain, which causes altered psychological and physical responses. For instance, some of the more common side effects that have been reported from women taking oral contraceptives include:
The University of Copenhagen Study on Depression and Birth Control
This recent study contained a large sample population, consisting of 1,061,997 female subjects, who were aged 15 to 34. In addition, none of these women had experienced any form of depression or other psychiatric/psychological problems prior to starting birth control. To help determine the effects of taking oral contraceptives, the researchers monitored whether subjects were diagnoses with depression or started a new antidepressant prescription throughout the study.
The study sample was also divided into two groups, where one set of women would take some form of birth control including:
The other group of women would not use female birth control during the study. At the conclusion of the study, researchers compared the number of women who developed depression during the study period in both groups. The findings were as follows :
Relative risks for first time use of antidepressants were as follows:
Based upon these findings, the study concluded there was evidence that birth control use and depression were related. However, future studies conducted at other research facilities have resulted varying findings. For instance, a 2007 study also found an increase in depression from subjects taking birth control, while another one in 2012 did not find a correlation between the two.
Natural Alternatives for Birth Control
If you are worried about potential risks and side effects of oral contraceptives, there are several natural alternatives available. Forms of hormone free birth control method include:
A conversation I often have with my patients is the use of a hormone free intrauterine device made from copper. While the study did not assess the use of a hormone free intrauterine device, if you have a history of depression, or have previously experienced low moods on a birth control pill, this may be an effective alternative for you. Of course, it comes with its own risks and side effects, so always have a full discussion with your Medical Doctor or Naturopath to find an option that is right for you.
For more information about these and other natural alternatives, please feel free to contact Dr. Courtney Holmberg ND at 647.351.7282 or access the online schedule HERE today to arrange a consultation appointment at her naturopathic clinic in Toronto.
In recent years, interest surrounding food sensitivities and their role in day-to-day wellbeing has increased. From gluten and dairy to soy and nuts, all one has to do is read the back of food labels or the finer details on restaurant’s menus to see a wide range of potential food sensitivities. What seems most difficult for individuals suffering from suspected sensitivities is the identification of the attributing food, as reactions are often delayed and inconsistent.
Part of the reason for the increase in food sensitivities may be contributed to the larger number of processed foods people consume today. In addition, many types of processed foods lack the nutrients the body needs for energy production and what little the body does get, is often used by the immune system to repair the damage and heal. As such, the body is not able to digest processed foods as effectively and efficiency. This can lead to a loss in energy, as well as other gastro-intestinal problems.
Symptoms of Food Sensitivities
There are several signs you might have a food sensitivity including:
• Feeling Lethargic
• Problems Concentrating on Tasks
• Aches and Pains in the Muscles and Joints
• Unexplained Rashes, Dermatitis, or Acne
• Stomach and Intestinal Cramping and Pain
• Excessive Gas
• A Bloated Feeling
Unlike food allergies, which present themselves almost immediately, food sensitivities can take much longer before exhibiting symptoms. In some cases, symptoms may not appear until a few days later, making it harder to narrow down the actual cause of the sensitivity, considering the amount of food a person consumes in a 48-hour period.
Triggers for Food Sensitivities
There are several common foods and food ingredients that have been associated with food sensitivities. These “trigger” foods can and do vary from one person to the next, but generally speaking, these foods are all inflammatory in nature, compromising the integrity of the gut lining and its ability to decipher between foods, chemicals, pathogens, and so on.
• Preservatives Added to Processed Foods (Nitrates, MSG, Artificial Colours, Sulfites)
• Certain Nuts
Identifying and Treating Food Sensitivities
One of the more effective methods used to help identify food sensitivities is making changes to your diet. This begins by keeping a journal of the foods you are eating, energy levels, and other symptoms you experience afterwards. During this time, the more common food “triggers” are typically eliminated from the diet. After about a month, the common foods are reintroduced, one at a time over a short period of time.
If a noticeable change in energy levels or other symptoms reemerge, then the food is most likely the cause. While the process can seem time consuming, the primary benefit of taking this approach is to help people restore their energy and eliminate related symptoms.
An alternative to this approach is food sensitivity testing. The results identify levels of inflammation to each individual food, helping to eliminate the guesswork in which foods may be provoking inflammation, and ultimately, your symptoms. Its important to recognize that while food sensitivity testing is very accurate, it is simply assessing inflammation resulting from individual foods, and results must be put into clinical context to evaluate if they are in fact attributing to your reported symptoms.
It is also important to stress that there could be other factors at work beyond food sensitivities, so it is vital to ensure a qualified Naturopathic Doctor performs a full workup to rule out other potential causes.
If you believe you have sensitivities to certain foods, book an appointment for a full health assessment with Dr. Courtney Holmberg, ND at her naturopathic clinic in Toronto by calling 647.351.7282 today!