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Sex Q&A: Does birth control affect your sex drive?

Q.

Does birth control really affect your sex drive? I'm fine on my “week off” and then I feel horrible when I'm on the pills.

A.

The Nest Q&AHow much birth control pills influence sex drive and desire varies tremendously from woman to woman. Some see absolutely no effect, and others experience strong side effects that completely ambush their desire for sex. Go to your healthcare provider and discuss trying another type of pill. You may find a brand or combination that doesn’t make your libido lag.

In the meantime, let your husband know that you’re concerned about what the pill has been doing to your desire. You don’t want to keep him in the dark about this. Men (and women!) often blame themselves for their partners being turned off sex when there may be another cause -- as in your case, the pill.

Nestpert Dr. Pam Spurr, author of Make Love All Night & Talk to Him in the Morning and Naughty Tricks and Sexy Tips: A Couple's Guide to Uninhibited Sexual Pleasure

The 50 Sex Questions You Were Afraid to Ask.

Jul 31, 2009

See More: Sex Q&A

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I have been on many different forms of the pill since I was 15. I have tried Ortho TriCyclen, Ortho TriCyclen Low, Seasonique and Yaz. It didn't matter which one I was on- I had no libido with all. Seasonique was the worst- it made me not only not want sex ever, but made me feel completely depressed and numb mentally. I was like a zombie. In my experience, sometimes your body just doesn't want to do certain things- like take the pill. I tried for so long to ignore my body's signs and take it anyway, but it eventually got to me. I would bleed in the middle of a cycle, feel like I was the most unattractive person ever, had no sex drive at all, got cranky and was tired all the time. I went off it as an experiment for about 6 months and felt like a whole new person- then I went back on for my weding and honeymoon so my husband and I could be "spontaneous" wherever we wanted to be. But I immediately felt all the same symptoms. I've been off the pill for 2 months now and I feel like a new person again. I actually ask for sex at times! Just listen to your body- it'll very bluntly tell you when it doesn't like something. And keep your spouse in the loop too! It made things so much easier for him to know it wasn't him. And it helped me too- because he was so supportive!

by posercali on Dec 30, 2008

I did a little research on this and thought some people might be interested by the results of a study reported on this website. http://www.epigee.org/guide/pill_sex.html

by stiggycaz on Feb 15, 2009

posercali - This is good to know. Like you, I have been on the pill since high school and on different ones to boot. Every now and again I have the "urge to perform" but most of the time, I don't want anything at all. My poor husband! I think we will practice other methods of birth control so that I can get off the pill and maybe boost our sex life. Thank you so much for your input, posercali!

by tastey on Mar 02, 2009

I have been on and off birth control all through my 20s and at 31, I finally had to kick it to the curb. It made me feel like a zombie, especially sexually. The first few months of being off of it last year resulted in: 1. Feeling mentally and physically alive again 2. I could definitely tell when I was ovulating 3. When I was ovulating, my libido was going CRAZY and ANY MAN who walked by me made my nether regions throb - I was basically a 24-hour sex-crazed girl while ovulating. This balanced out over about 3 months and that doesn't happen anymore, but I will never go back to hormonal birth control. It had many other undesirable effects on my body, mind, and system that I never want to deal with again. And watch out ladies, estrogen dominance, caused frequently by birth control, is the leading cause of breast cancer. You'd be better off taking your temperature every day.

by simsjulie on Jul 29, 2009

I had a pill that cut down my sexual appetite. I hated it. So I just make sure he always wears a condom and when he does that he goes ahead and pulls out anyway. On top of that, I don't have sex the week I ovulate. So I'm using three methods instead of one. It's a little tiring but it's better than mood swings, weight gain and a non-existent sex drive.

by nmorera on Jul 31, 2009

I feel that birth control plays a tremendous part in my sex drive. I'm on the nuvaring and have been on different birth control since I was 16. Only when I remove the nuvaring to begin my cycle is the only time I actually want sex. My poor husband think that it's something with him but not at all. Its the synthetic hormones that make me feel sexual inadequate at times.

by lmccain on Aug 25, 2009

does mirena affect sex drive?

by zabkam on Nov 11, 2009

I would just like to represent women that do not have any problems with the pill. I have been taking Ortho Novum generic (Necon) since I turned 20 and I love it; my fiance has to keep up with my libido! I don't experience any symptoms such as weight gain, acne, or moodiness either. Maybe I got lucky and found the best birth control for me the first time. My mother is and has been on the same pill for 30 years. I honestly think the article is right; every woman's body is different and it doesn't pay to be superstitious; find the right birth control for you. (and if your mom took the pill, find out what she took; your biology may be similar!)

by k-nem on Nov 18, 2009

I had been on the pill since high school and didn't realize until I went off it for a couple months that it was killing my desire. I was a whole new person off the pill. So when my hubby and I got married I switched to Paragard IUD. I'm 23, I've had no children, but my doctor said it was ok anyway. I had it inserted and what a difference! No hormones and TONS of desire! Love my IUD!

by aeg2p on Dec 17, 2009

Its so great to hear so many other women that had the same issues as I did with b/c. I was on Allese, Ortho-Trycyclin-Lo, and the NuvaRing. All of which made my libido non-existent. Not until several months ago did I talk to a friend who said his g/f used to have the same problem. I've been off b/c control ever since and it has been amazing. I had been on it for 7 years and never knew what was wrong with me. I wish the companies that make these drugs would stop trying to make all their side effects sound "minimal."

by KaliAnna on Dec 20, 2009

Also, remember to check on what your birth control is interactive with. I didn't think much of it until I got really sick for 2 months and had to go see a specialist (because they couldn't figure out what was wrong with me- I was having shaking spells everyday!). It turned out my birth control, Kariva, was interactive with absobic acid- vitamin C! All I had been doing was taking large quantities of vitamin C (supplements and vitamin c drops) every day along with the pill, and it caused me to be pretty much out of commission for 2 months! Not something I would have ever expected to happen.

by Rachels7days on Dec 21, 2009

I am 23 years old and was just married two months ago. My husband and I have been together for eight years. We are children free due to birth control but then again you have to have sex to get pregnant. I've taken every prescription from the patch to the pill to the ring and all have killed my libido. My doctor recomended that we go to a spermicide when we've accepted the statstics of getting pregnant. I've been off my b/c for two months now and I feel like I am alive again! I never knew how muted I was by all the hormones I was taking now I feel such joy and more interest in my husband than I have ever had. I am so happy about our choice and he says if we happen to get pregnant it was all worth it to have the life that we have now.

by tabatha777 on Dec 27, 2009

I am 23 years old and was just married two months ago. My husband and I have been together for eight years. We are children free due to birth control but then again you have to have sex to get pregnant. I've taken every prescription from the patch to the pill to the ring and all have killed my libido. My doctor recomended that we go to a spermicide when we've accepted the statstics of getting pregnant. I've been off my b/c for two months now and I feel like I am alive again! I never knew how muted I was by all the hormones I was taking now I feel such joy and more interest in my husband than I have ever had. I am so happy about our choice and he says if we happen to get pregnant it was all worth it to have the life that we have now.

by tabatha777 on Dec 27, 2009

I am 23 years old and was just married two months ago. My husband and I have been together for eight years. We are children free due to birth control but then again you have to have sex to get pregnant. I've taken every prescription from the patch to the pill to the ring and all have killed my libido. My doctor recomended that we go to a spermicide when we've accepted the statstics of getting pregnant. I've been off my b/c for two months now and I feel like I am alive again! I never knew how muted I was by all the hormones I was taking now I feel such joy and more interest in my husband than I have ever had. I am so happy about our choice and he says if we happen to get pregnant it was all worth it to have the life that we have now.

by tabatha777 on Dec 27, 2009

I am 23 years old and was just married two months ago. My husband and I have been together for eight years. We are children free due to birth control but then again you have to have sex to get pregnant. I've taken every prescription from the patch to the pill to the ring and all have killed my libido. My doctor recomended that we go to a spermicide when we've accepted the statstics of getting pregnant. I've been off my b/c for two months now and I feel like I am alive again! I never knew how muted I was by all the hormones I was taking now I feel such joy and more interest in my husband than I have ever had. I am so happy about our choice and he says if we happen to get pregnant it was all worth it to have the life that we have now.

by tabatha777 on Dec 27, 2009

I was on many different brands of the pill and always had side effects, physical and emotional. I don't recommend artificial hormones as a birth control method. I got a copper T IUD a few years ago, no hormones, no side effects and I don't have to think about it! You can get one inserted by your OBGYN. I went to family planning and my IUD is by far the best method I've used.

by amyhuebner on Jan 18, 2010

I'm 27 and have been on birth control since I was 16 1/2 with practically no break - a month here and there. Since I've been on YAZ, I feel like my sex drive has diminshed. Of course, that can't be completely related to birth control - but I did go off it for like 3 months (about 2 years ago) and after being off it for a month I felt a noticeable difference in my sex drive (was much stronger!). Honestly, I feel like the only reason why I stay on birth control right now is because it makes my skin look great (and of course, for birth control). Seriously considering getting off it though.

by Babyseita on Feb 11, 2010

POSERCALI -- thankkk youuuu (: your insert really helped me. I honestly thought i was going crazy, and i finally got to this point today i couldn't stand my own attitude. I was hoping it wasn't something wrong with me! thank you so much NO ONE NEEDS TO TAKE SEASONIQUE -- it may be easier to keep up with but it sucks the life right out of you!

by sammtaylor13008 on Mar 05, 2010

Birth control leads to cancer and if cancer is untreated, eventually leads to death.

by tttan83 on Mar 05, 2010

I was on the NuvaRing for about 6 months. At first, it was okay, but gradually got worse.. I started getting depressed and didn't even want to be touched by my husband. I just ended up completely depressed and didn't even want to get out of bed in the morning. I'm on Loestrin now which seems to be ok, but I still feel sluggish and not as interested in sex as I used to be before birth control. I've told my husband about how birth control affects my mood and sex drive, but it's still hard trying to get into mood.

by gajohnson on Jun 03, 2010

I've been on birthcontrol since i was 14 & now im 17 1/2. My doctor put me on it because my periods are unbarable. I've been on ortho tricyclen low, orthro tricyclen, and with those i had no affect on my sex drive, however i had to be switched off because they did nothing to help my periods. About a year ago my doctor swictched me to yaz & i've been on it ever since & my periods are non-existent which is wonderful. My boyfriend & i however i have been together for 2 years now & when i was on both ortho's i was sex crazy; but when i was swicthed to yaz, my sex drive has been steadily decreasing. Now my boyfriend is constantly upset with me because i NEVER want to have sex with him & i feel absoluetly horrible because i don't want to. It makes me feel so much better that other women are having the same issue i am having because at least i know i'm not alone. The thing is though, i can't go off my method because of my periods so i'm going to have to find some way to enhance my libido :/

by floridagurl on Jun 15, 2010

I, too, have been on the pill since I was 15. I literally have not enjoyed sex for 11 years because I had ZERO sex drive. I came off the pill 4 months ago to prepare to conceive and I have a libido again! Amazing! I am also much more in tune with my body now that I'm not on the pill. I like this new me...

by thepurv on Jun 21, 2010

Synthetic hormones also greatly affected my libido. I had absolutely no desire for the 7 years I was on different birth control methods. I tried different pills, the patch, and the ring, and nothing worked for me. After getting married, I chose to try a copper IUD, Paragard. It was hormone free and worth a shot. I LOVE MY IUD! I wouldn't change my decision for the world. It has so many benefits, number 1 being NO HORMONES, which means I have a sex drive again! Also, I never have to think about it, it's always there so my husband and I can be spontaneous. I would highly recommend Paragard.

by hwilde2 on Jun 23, 2010

Floridagirl, I am having the same problem. I am 22 and I have been on b/c since I was about 15 because of horrible periods. I really need to stay on it to prevent from being in unbearable pain for a week out of every month. But I feel horrible for my husband because I am NEVER in the mood. I just don't know what to do.

by sjksak88 on Jul 10, 2010

I used Loestrin FE and never experienced many side effects most women experience on BC pills. I lost 5 pounds as well as had an increase in sexual appetite. I really have no idea why though, because most people experience less sexual desires, but in my case it was the opposite.

by kaegurl85 on Aug 06, 2010

Low sex-drive and mood swings are very very common side effects of birth control.... i've read many articles and forum posts about it, when I started feeling these symptoms myself. It turns out vitamin depletion caused by birth control is mainly responsible for lower serotonin production, and thus, mood swings/ depressed mood in general. The increase in estrogen and decrease in testosterone (yes in women!) is responsible for changing the levels of a hormone responsibly for sex drive in women. Another reason your sex drive may be lowered is that birth control decreases general circulation in the body... blood flow to certain areas can really increase your libido. I tried a multi vitamin specifically for these two symptoms called The Pill Pill that helped relax my mood and also increase libido... I find myself thinking about sex much more which is good for my relationship :) You could also look into other vitamins that increases circulation in general and b-vitamins for your mood. I wish birth control companies or at least doctors would warn more people about these thing before starting a serious drug you take everyday!

by annajones25 on Aug 12, 2010

I've been on about three different ones in the last 5 years. Recently I ran out of my prescription and switched to Orthoevera, bad decision! It messed with me so bad. I was crabby, emotional, and had absolutely no sexual desire. I'm now back on my old prescription (Yasmin...NOT Yaz)and it works wonders--keeps the hormones and sexual desire right where I want them to be. :)

by nikki_nea on Sep 15, 2010

I started taking the pill about 6 or 7 months before I got married. In those few months I switched pills 4 different times. There were the awful phisical side effects(one of those being having my period for 2 1/2 weeks!) and the mental side effects. I was depressed a lot and didn't ever feel like having sex with my new husband AND the rare times that we did, I couldn't climax. It was so frustrating that I decided to try to go off the pill for a while. I've been off for around 2 months and have no plans to ever go back. Now I'm the one asking for sex! We've just been using condoms... They aren't quite as convenient as the pill and I've heard guys say it doesn't feel as good (though my hubby hasn't complained). But it's better than not having ANY sex at all!

by meg0291 on Sep 16, 2010

totally agree - I was on BC for the first 2+ years of my marriage and it completely messed with my sex drive! To top it, I was on basically the first pill ever made - extra estrogen! due to a medication that I was on (I needed the extra estrogen because the medication kicked out the low amount in the new ones). Let me to tell you tho, when I came off of the pill I noticed a world of a difference. I actually wanted to have sex a lot! I always wanted sex for the connection but now I want it for the stimulation as well - which of course makes it so much better! I know that in some cases we have to be on BC, as I did, but I talked to my husband about it and he knew why I didn't have a strong sex drive and that helped as well!

by tricialind516 on Oct 05, 2010

I got married December 2009. I started birth control pills august of 2009. My doctor put me on loestrin24FE. I loved this pill until March 2010. I started having break through bleeding, so my doctor bumped me up to a higher dose. I was then on Lo-Ovral. After I started taking Lo-Ovral,my whole world changed. No sex drive, severely depressed, angry, and I slept 14 hours or more each day. I hated everyone and everything around me, including my husband. I went back to the doctor after 3 months, and she started me on a higher dose of Loestrin. I took it for a month, and still felt the exact same way. So, in August 2010, we went to using condoms only. I also do the ovulation calendar, and we don't have intercourse when I am "fertile". So far, so good. I feel like a new woman, and felt like that after 2 weeks of being off of the pill. I don't have to worry about medicines messing with birth control any more and I don't have to go to the pharmacy every month.

by saralisabeth89 on Oct 18, 2010

I actually had the absolute opposite effect! i had been on the pill for about 9 years and always had quite the sexual appetite. I went off the pill when my hubby and I were TTC and besides making my emotions run crazy, my sex drive went out the window! i wish i could go back on the pill but we are TTC! shoot!

by abby08 on Mar 25, 2011

i am in a similar situation. been on all the low dose pills since i was 16 and sex drive was killed. i would go off of it when i was single and felt great! i just switched to the nuva ring (it's been 2 months now) and it def has been a change for the better. its a local type of hormone so for me it hasnt affected my libido. i think it may be worth a try for anyone wanting off the pill! goodluck

by KH 2012 on Apr 03, 2011

I wish I had put this all together sooner. I also started going through a depression when I started the pill. I didn't even think that this could be related. I've been on antidepressants for several years. Now, I can't wait to go off the pill and see how I feel both with my depression/anxiety and sexually.

by shaniscrabby on Apr 28, 2011

I have been thinking about getting off birth control for a long time because I have recently switched to seasonex and it is AWFUL! I never know when I am going to be on my period! My husband and I recently got married and don't want to get pregnant but I am tired of taking the pill..and these blogs have really help me make my decision to get off easier!

by cljordan86 on May 01, 2011

What about when you have to be on the pill?? I don't use it for a contraceptive. We would have no problem using condoms. I have to take the pill to control my cramps and bleeding. But because I'm on the pill, I have no sex drive and find sex painful as my pill makes me dry. I've tried all kinds of different pills, but because of my cramps and bleeding, I can't take certain kinds. What should I do?

by Black1022 on May 12, 2011

Like many women, I have been on the pill or using Nuva Ring on and off since I was 14. I have heavy periods, horrible acne and other symptoms if I do not take it. I also have PCOS and am taking medications on top of the BC to lower testosterone (spironolactone). My husband and were married last April and then separated due to his deployment overseas. Before he came back, I started on Nuva Ring, along with the spironolactone since I was not menstruating on my own and suffering from acne and other issues. I was hoping my libido would be the same after he came back, but unfortunately it was not. I feel so guilty that I have no interest in sex. When I have a few drinks it helps, but that shouldn't be a pre-requisite. My skin is clear and I have a period, but our sex life is suffering. It's a hard decision, but I think getting off these meds is the best call.

by ljheflin on May 18, 2011

Like many women, I have been on the pill or using Nuva Ring on and off since I was 14. I have heavy periods, horrible acne and other symptoms if I do not take it. I also have PCOS and am taking medications on top of the BC to lower testosterone (spironolactone). My husband and were married last April and then separated due to his deployment overseas. Before he came back, I started on Nuva Ring, along with the spironolactone since I was not menstruating on my own and suffering from acne and other issues. I was hoping my libido would be the same after he came back, but unfortunately it was not. I feel so guilty that I have no interest in sex. When I have a few drinks it helps, but that shouldn't be a pre-requisite. My skin is clear and I have a period, but our sex life is suffering. It's a hard decision, but I think getting off these meds is the best call.

by ljheflin on May 18, 2011

Like many women, I have been on the pill or using Nuva Ring on and off since I was 14. I have heavy periods, horrible acne and other symptoms if I do not take it. I also have PCOS and am taking medications on top of the BC to lower testosterone (spironolactone). My husband and were married last April and then separated due to his deployment overseas. Before he came back, I started on Nuva Ring, along with the spironolactone since I was not menstruating on my own and suffering from acne and other issues. I was hoping my libido would be the same after he came back, but unfortunately it was not. I feel so guilty that I have no interest in sex. When I have a few drinks it helps, but that shouldn't be a pre-requisite. My skin is clear and I have a period, but our sex life is suffering. It's a hard decision, but I think getting off these meds is the best call.

by ljheflin on May 18, 2011

I have used b/c since I was 14 I have been on tons of different kindas including a variety of pills, rings, patchs and now the shot (Depo Prevera) and I love it... aside from the fact I have NO sex drive we could even not see eachother for months and I still dont get excited about it. My husband and I have been together for 5 years and always had a great sex life but as much as I love having no to a very very light period, plus not having to think about it but 4 times a year I find it to hard not to be insync with my body at all I have gone of b/c a few times and its so freeing over all i think after children I am gunna beg for a hystorectomy. :0

by mjohns9 on May 25, 2011

I posted on here about a month and a half ago. I stopped the b/c and my antidepressants almost a month ago. So far, so good. I think my sex drive has increased a little. It would probably go up more if I wasn't worried about getting pregnant. Hopefully, my sex drive will continue to increase.

by shaniscrabby on Jun 10, 2011

Ive been on loestrin fe for a couple of months now and its been horrible! i get moody (angry,sad,irratable)and my sex drive has declined big time! not to mention super tender breats and some weight gain. only good thing about it has been the short painless periods and it dissolved my painful right hemmoragic ovarian cyst. Thankfully i'm done with the pills since DH and i are finally TTC. otherwise i don't really recomment BC, it can be a pain!

by K.Isabella on Jun 13, 2011

I am having issues with it killing my sex drive but I am scared to get off of the pill because I have a hormonal imbalance and it treats it.I am not sure about what other options I have.

by candinmp on Jun 22, 2011

Im on the depo shot and I have vaginal dryness so I never feel like doing anyhting and I just got married a month ago

by leladanielle on Jun 24, 2011

I had never before thought to connect my lack of a sex drive with my birth control. Duh! I have been on the Depo shot for about a year and a half. The past couple months I haven't felt like having sex at all and it's painful when we do. We are a young married couple and we'd really like to hold off on having children until after I finish college and we're better off financially. I'm just having a hard time deciding which form of birth control to switch to.

by cleighk on Jul 03, 2011

My husband and I practice Natural Family Planning. It is just as affective as the pill, it has NO nasty side effects, it is cheap(free), it makes a husband and wife both responsible for preventing childbirth, it forces a husband and wife to communicate because every month we have to re-evaluate our motive for wanting to wait to concieve. Plus, there is much research to show that a good way to spice up one's sex life is to periodically abstain from sex. It makes the sex after the waiting period very hot and spicy :)

by dancingbean on Jul 27, 2011

I was on mirena since January 2010 and over a 6 month time frame, i look back and i see now, that my sex drive was on a downward spiral to non existent. It took me another 6 months to start to accept that this was definitely not normal, esp since i had just come out of a highly sexual relationship before starting this form of birth control. I never had problems on the pill other then remembering to take it, mirena was nice and easy, and then it became painful and a pest. I recently decided that i had to get it taken out and since then, i am already feeling better, the cramping has gone away and i dont have to worry about him pushing it the wrong way any more. He has been so sweet to me and sticking with me through this whole mirena phase.

by katie7532 on Sep 02, 2011

couple to couple league's NFP definitely. it's the way to go!!!

by Danamarie.c11 on Sep 20, 2011

For those who have been diagnosed with cancer or to those who are undergoing treatment, they may try to continue doing the usual things that they normally do - and that includes making love to their spouses. We are lucky to have many avenues of information sources so that we can learn more about cancer and various affecting one who has been diagnosed with this disease. With blogs, campaigns,cancer research fundraisers as well as stories of those who have survived it - we get to understand even a bit of how this disease affect and change lives.

by dianneselink on Oct 18, 2011

I have had this problem for 2 years now on birthcontrol. The best solution is to get off of it and use condoms. If your thinking its NOT your BC is most definitly is!

by mel31639 on Nov 09, 2011

I stopped taking the pill for the same reason talk to your doctor about a copper IUD it's a hormone free uterine insert! I teach health and its one of the options we cover because some like paragaurd are inserted once, can last for 1-10 years and don't have hormones. 99% effective.

by sgjerde1022 on Dec 13, 2011

I think that maybe those pills you are taking are not for you.Maybe you should try to talk do a doctor and see what kind of pills he will prescribe for you.I have a friend who work as London escorts and she had the same problem.After she went to a doctor she started to take different pills and everything was great.

by Lokololo on Jan 07, 2012

We're getting married in 6 months and then no more pill. He always nags me that I never start things and for the most part I dont... I feel like I have zero sex drive and when it does come, he either is at work or not in the mood. haha I can't win. Let the countdown begin! :-)

by bregan2012 on Jan 11, 2012