Psychodynamic Aspects of Oral Contraception: A Review

Emotional response to use of oral contraceptives results from numerous factors, basic among them are the attitudes of patient and husband towards (1) contraception, (2) pregnancy, and (3) sexuality. Concerns over potential side effects, subsequent fertility, and use of any medication are significant, as well as information received from the patient's physician, peers, and news media. The estrogenic and progestogenic components of oral contraceptives have been implicated in emotional alterations. Varied cyclic changes occurring throughout the menstrual cycle depend greatly upon metabolic effects and fluctuating levels of estrogens and progesterone. Therapeutic value has been attributed to oral contraceptives in management of psychiatric conditions, although depression has also been described in association with their use. Libido does not appear to be affected by these drugs.