Experiencing Mood Swings and Low Libido on First Use of Birth Control

The first time taking the contraceptive pill Qlaira, I started experiencing symptoms of low mood and decreased libido?

Hello doctor, I have been taking the contraceptive pill Qlaira for two weeks now, and I have recently noticed that my mood is very low.
I have also started to develop one or two pimples and my libido has significantly decreased.
For a day or two, I experienced some nausea but it wasn't severe.
Are these symptoms still within the range of normal side effects? Will continuing to take the pill lead to improvement in my condition?

Liu Xiaojie, 30~39 year old female. Ask Date: 2022/09/10

Dr. Chen Zhiyu reply Obstetrics and Gynecology

Hello Ms.
Liu, common side effects of taking contraceptive pills include nausea, vomiting, diarrhea, gastrointestinal discomfort, and breast tenderness.
There is also a possibility of developing acne.
If you have any concerns, please discuss them further with your primary care physician.
Thank you.

Reply Date: 2022/09/10

More Info

It's not uncommon to experience mood swings, low libido, and other side effects when starting a new birth control method, such as the pill you mentioned, which is likely a combination of estrogen and progestin. These hormonal contraceptives can affect individuals differently, and the symptoms you're describing can indeed be part of the normal side effects associated with starting hormonal birth control.

When you first begin taking birth control pills, your body undergoes hormonal changes as it adjusts to the new levels of hormones introduced. Common side effects during this adjustment period can include mood changes, acne flare-ups, nausea, and changes in libido. These effects are typically temporary and may subside after a few months as your body acclimates to the hormones.

Mood swings can be particularly concerning. Hormonal fluctuations can influence neurotransmitters in the brain, such as serotonin, which plays a significant role in mood regulation. If you find that your mood swings are severe or persistent, it's essential to discuss this with your healthcare provider. They may suggest monitoring your symptoms for a few more weeks or consider switching to a different formulation of birth control that might be better suited for you.

Regarding libido, it's also common for some individuals to experience a decrease in sexual desire when starting hormonal contraceptives. This can be due to hormonal changes, psychological factors, or even physical side effects like nausea or discomfort. If this low libido continues and affects your quality of life or relationships, it's crucial to bring this up with your doctor. They can help determine if this is a temporary side effect or if a different contraceptive method might be more appropriate for you.

The nausea you're experiencing, while not uncommon, is something to keep an eye on. If it becomes severe or is accompanied by other concerning symptoms, you should consult your healthcare provider. They may recommend taking the pill with food or at a different time of day to help mitigate this side effect.

In summary, while the symptoms you're experiencing can be normal side effects of starting birth control, it's essential to maintain open communication with your healthcare provider. They can help you assess whether these side effects are manageable or if a change in your contraceptive method is warranted. It's also important to remember that every individual's response to hormonal birth control is unique, and what works for one person may not work for another. Monitoring your symptoms and discussing them with your doctor will help ensure that you find the best option for your health and well-being.

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