Birth control and depression

What if you already have depression?

The U.S. Center for Disease Control (CDC) and the World Health Organization (WHO) guidelines put no restrictions on the use of any type of birth control for people who have depression. The use of combined hormonal birth control, the hormonal IUD, implant, and the shot is not associated with worsening of symptoms among people with depression or bipolar disorder. One study actually showed less depressive symptoms among combined hormonal birth control users compared to people not using hormonal methods. 

There aren’t believed to be any interactions between selective serotonin reuptake inhibitors (SSRIs), which are commonly prescribed for depression, and hormonal contraception. The CDC puts no restriction on the use of any hormonal birth control for people who are taking SSRIs. 

Other supplements and medications used for depression, such as tricyclic antidepressants, bupropion, and St. John’s Wort may interact with hormonal contraception.

It’s important to speak with your healthcare provider about what supplements and medications you are taking and whether there are possible interactions with hormonal birth control.

Choosing a method

Whether you are thinking about starting birth control or are already using a method, talk to your healthcare provider about any concerns you have about your mental health. Your healthcare provider can help you decide on the best birth control for you, or whether trying a new method might help.

Be sure to educate yourself by reading and researching yourself and always be aware of your emotions and mood. Write them down including methods you’ve found that help like exercise, dancing or simply relaxing.

Source

But…

Despite its popularity, hormonal birth control has some undesirable side effects and risks. It's associated with a higher incidence of breast cancer, blood clots, and stroke. Hormonal birth control with estrogen is also off-limits during breastfeeding. 

People also report changes to mood, possible decreased libido, and increased risk of sexual pain problems when using the pill, though studies don't agree as to whether the pill increases these issues. These side effects have prompted some people to look for hormone-free alternatives. - Clue