抑郁症是女性停止服用避孕药的最常见原因之一。尽管如此，研究仍无法解释联系。如果您在服用避孕药时遭受抑郁症，应该停止服用药丸吗？这是关于这个有争议的话题的更多信息。
Birth control pills contain hormones. These hormones change how your reproductive organs work in order to prevent pregnancy. Combination pills contain man-made versions of the female hormones estrogen and progesterone. These hormones prevent the release of an egg from the ovary, or ovulation. They also thicken your cervical mucus, which makes it hard for sperm to travel to your uterus and fertilize an egg.
Low-dose progesterone birth control pills, known as minipills, also change cervical mucus. Minipills take prevention one step further by thinning the lining of the uterus. This makes it difficult for implantation to occur.
The side effects of birth control are generally mild. These may include:
- 发现或不规则出血
- 乳房酸痛
- nausea
- a headache
- changes in libido
Many women also report weight gain and depression or mood swings.
Depression is more than a temporary case of the blues. It’s a mood disorder characterized by long-term feelings of sadness and disinterest. Depression can interfere with daily life. The symptoms range in severity and may include:
- persistent sadness
- persistent anxiety
- feelings of hopelessness or pessimism
- 易怒
- 疲劳
- decreased energy
- 困难集中
- 失去对爱好的兴趣
- 减少性欲
- 食欲增加或减少
- suicidal thoughts
- 自杀企图
- 疼痛
- 痛苦
- 消化问题
很难知道为什么会发生抑郁症。以下通常被认为是原因：
- 生物学
- psychology
- genetics
- the environment
在某些情况下，抑郁症可能与创伤事件有关。在许多情况下，没有明显的原因。
抑郁和情绪波动是避孕药的通常报道的副作用。研究人员无法证明或反驳链接。这项研究通常是冲突的。
一个飞行员学习表明抑郁是女性停止使用避孕药的最常见原因。它还发现，使用联合避孕药的女性“比服用药丸的类似妇女“更加沮丧”。
By contrast, a more recent study published in theArchives of Gynecology and Obstetrics (AGO)concluded that depression isn’t a common side effect of birth control pills. This study maintained that the link between the two is unclear.
Despite the lack of a definite link, many women report feeling depressed while taking birth control pills. According to the AGO study, this may be due to “the inconsistent use of the word depression.” This could also be due to variance in pill formulations
感知到的联系也可能是由于大量患有抑郁症的女性。大约1200万美国妇女每年都会出现临床抑郁症。尽管无法确切的数字无法确认，但其中许多妇女可能服用避孕药。在某些情况下，抑郁的时机可能是一个巧合。
一学习显示出避孕药可以改善情绪波动。该研究使用了来自6,654名非妊娠，性活跃的女性25至34岁的数据。这些妇女的抑郁症状较少，并且与使用较不效果或无避孕药的妇女相比，举报自杀企图的可能性较小。
Even though the evidence is contradictory, many drug manufacturers list depression on birth control package inserts as a possible side effect. For example, thephysician’s insertfor the combination pills Ortho Tri-Cyclen and Ortho-Cyclen lists mental depression as a side effect likely to be caused by the drug.
抑郁是严重的，不应该轻易服用。如果您经历了抑郁症的症状，请向医生转诊至心理健康专业人员。通过治疗或抗抑郁药可以缓解您的症状。
如果您处于抑郁危机或自杀的危机中，请致电911，去当地的急诊室，或致电1-800-273-Talk（8255）致电国家自杀预防生命线（8255）。
迄今为止，研究尚未证明避孕药和抑郁症之间的不可否认的联系。尽管如此，轶事证据还是很强大的。您比任何人都更了解自己的身体。如果您首次服用避孕药并首次经历抑郁症状，请致电您的医生。如果以前的抑郁症状恶化，您也应该致电医生。您的医生可以帮助您确定是否应该留在目前的药丸上，尝试另一种配方，或使用其他不含激素的避孕形式。