Hormonal contraception and sexual desire: A questionnaire-based study of young Swedish women

Malmborg, Agota; Persson, Elin; Brynhildsen, Jan; Hammar, Mats

doi:10.3109/13625187.2015.1079609

Cited by 26 publications

(30 citation statements)

References 25 publications

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“…The estrogen and progestin of the COC do not influence the decline of total and free testosterone, but both affect SHBG [22]. The sexual cycle starts with the desire phase, which is modulated in the brain by a balance of the dopamine and serotonin centers [19], and testosterone responds to changes in these centers [3]. Studies have shown that all the conditions that reduce the level of androgens, such as aging, oophorectomy, chemotherapy or radiation to the pelvis, reduce sexual desire and libido [23].…”

Section: Discussionmentioning

confidence: 99%

“…In the present study, sexual arousal was different among the oral combined contraceptive users and withdrawal users. Malmborg et al, in a study on young women, reported women using hormonal contraception were more likely to experience reduced sexual desire compared to women using hormone-free contraception [19,20]. The use of OCP is associated with a decrease in androgen ovarian synthesis and an increase in the production of sex hormonebinding globulin (SHBG) [4,11].…”

Section: Strengths and Weaknesses Of The Studymentioning

confidence: 99%

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Female sexual function in users of combined oral and traditional contraceptive methods

Tadayon¹,

Mousavi²,

Abbaspoor³

2019

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Background. Combined oral contraceptive pills containing ethinyl estradiol and levonorgestrel are the most common contraceptives that are used by women of the reproductive age. Moreover, sexual function is linked to sexual hormones. Objectives. The aim of this study was to evaluate the sexual function of hormonal contraceptive (OCP) and non-hormonal contraceptive (traditional or withdrawal) methods in Iranian reproductive-age women referred to healthcare centers. Material and methods. This was a cross-sectional study on 206 married women of the reproductive age (18-45). Ninety-six women used OCP to prevent pregnancy, and 110 women did not use any contraceptives, instead using a traditional (withdrawal) method for at least 6 months before the study. Data on sexual function was collected via the Female Sexual Function Index (FSFI) questionnaire. The independent t-test was used for statistical purposes. Results. The results showed that there were no significant differences in all domains of sexual function in the two groups, except in the area of sexual arousal (3.87 in OCP users and 4.14 in withdrawal user methods) (p < 0.05). There was an association between the arousal domain and oral contraceptive use, but there was no relation between OCP and other domains of sexual function. Conclusions. The combined oral and withdrawal contraceptive methods have no impact on sexual function, except in the area of sexual arousal.

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Section: Discussionmentioning

confidence: 99%

Section: Strengths and Weaknesses Of The Studymentioning

confidence: 99%

Female sexual function in users of combined oral and traditional contraceptive methods

Tadayon¹,

Mousavi²,

Abbaspoor³

2019

fmpcr

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“…The selection of the informants was done in two steps. A few years ago, our research group designed and published a descriptive study of contraceptive use among Swedish women [12]. After the participants in that study had completed a questionnaire, we asked if any of the women were interested in being a part of the current study involving in-depth interviews.…”

Section: Informant/participant Selectionmentioning

confidence: 99%

“…Despite these uncertainties, many women may attribute impaired sexual function to their hormonal contraceptives, leading to difficulties finding a suitable method [8]. Negative experiences regarding mood and sexual function are reported as major causes of discontinuation and/or change of contraceptive method in observational studies [9][10][11][12]. The need to understand women's experiences of mental health side effects is in qualitative research pointed out as important to reduce the barriers of an optimal contraceptive use [13,14].…”

Section: Introductionmentioning

confidence: 99%

Sexual function changes attributed to hormonal contraception use – a qualitative study of women experiencing negative effects

Malmborg

Brynte

Falk

et al. 2020

The European Journal of Contraception & Reproductive Health

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Objective: To increase the understanding of women who experience negative effects on sexual function when using hormonal contraception. Methods: We performed 24 in-depth interviews with women who had previously experienced negative sexual function effects while using hormonal contraceptives. The thematic analysis method was used. Results: 'After experience comes insight', 'Lubrication and desire go hand in hand', 'Mental wellbeing comes before desire' and 'The contraceptive counsellor potentially facilitates insight and decision-making' were the main themes found in the study. Conclusions: This selected group of women described lubrication difficulties and decreased sexual desire associated with both contraceptive use and the menstrual cycle. Contraceptive use became easier with age and with better understanding. The contraceptive counsellor could facilitate the process. Further choice between hormonal or non-hormonal contraceptive methods depended primarily on experienced adverse effects on mood, and secondarily on sexual function, weighed against the advantages or disadvantages experienced during the person's own menstrual cycle.

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“…In the present study, significant decreases are observed in self-ratings of sexual arousability, desire and desire for sex with a partner with both OCs relative to baseline (no OC). These aspects of sexual function are considered to be androgen dependent [2][3][4][5][6] and have been found to decrease by the use of OCs in several other studies too [7,[35][36][37][38][39]. Non-androgen-dependent sexual behavior variables and genital and subjective responses to sexual stimuli in a laboratory setting are not affected.…”

Section: Discussionmentioning

confidence: 99%

Maintaining physiologic testosterone levels during combined oral contraceptives by adding dehydroepiandrosterone: II. Effects on sexual function. A phase II randomized, double-blind, placebo-controlled study

et al. 2018

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Hormonal contraception and sexual desire: A questionnaire-based study of young Swedish women

Cited by 26 publications

References 25 publications

Female sexual function in users of combined oral and traditional contraceptive methods

Female sexual function in users of combined oral and traditional contraceptive methods

Sexual function changes attributed to hormonal contraception use – a qualitative study of women experiencing negative effects

Maintaining physiologic testosterone levels during combined oral contraceptives by adding dehydroepiandrosterone: II. Effects on sexual function. A phase II randomized, double-blind, placebo-controlled study

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