Does the pill make u gain weight

Weight Gain And The Contraceptive Pill

Does using the pill affect your weight?

Weight Gain And The Contraceptive Pill

Does using the pill affect your weight?

There’s no conclusive evidence that using any type of birth control pill will make you gain (or lose) a significant amount of weight. A 2014 review looked at 49 different studies of combined pills and found no evidence that the contraceptive pill causes significant weight gain. A review of 16 studies of the minipill also did not suggest it was a cause of weight gain.

Why do many people think that the pill causes weight gain?

The first contraceptive pills were developed back in the 1960s and they contained much higher dosages of the hormones oestrogen and progesterone than modern contraceptive pills. 

It’s now known that high doses of oestrogen can lead to water retention and progesterone can lead to an increase in appetite in some women, both of which can lead to weight gain. The combined contraceptive pills available in the 21st century contain much lower doses of both hormones, making such side effects much less likely.

What are the possible causes of weight gain on the pill?

Any fat gain is unlikely to be related to the pill, although there may be a few women who gain weight when they start taking it. 

One of the reasons you might appear to gain a little weight when you start taking the contraceptive pill is that you could retain more water at certain times of your menstrual cycle than you’re used to, but this shouldn’t be a significant amount of weight, and it’s not permanent. 

Like some of the other potential side effects of the contraceptive pill, this slight weight gain is a temporary inconvenience and should only last a few months.

Are you more likely to gain weight if you take the progestogen-only pill?

A review carried out  in 2013 looked at 16 different studies into whether different types of progesterone only contraception caused weight gain and found there was not any strong evidence that the progesterone only pill caused weight gain. 

Women who used the contraceptive injection gained more weight over a period of one, two and three years compared to a group of women using a non‐hormonal intrauterine device (IUD/Contraceptive coil). 

Two studies showed changes of weight in women who used the contraceptive implant, but the quality of the evidence was not reliable.

Despite these findings, there was very little evidence of weight gain in women who used progestogen only contraceptives, and where women did put on weight, the average amount they gained was less than 2 kg over the course of a year.  

Do some women lose weight taking oral contraceptives?

If they do, it’s more likely to be a result of another lifestyle change, rather than simply taking the pill. 

There were stories in the media about the combined oral contraceptive pill Yasmin when it first became available in 2001, because some women noticed weight loss after starting to take it. The reality was that the weight loss they experienced was most likely water weight, which may have been reduced after switching pills. The progesterone in Yasmin is a different type of synthetic hormone that’s thought to work with your body chemistry and affect any excess sodium and water.

Yasmin may have a minor diuretic effect and help to reduce hormonal bloating but it won’t be fat that’s lost, just water.

What should you do if you notice weight changes

If you’re feeling uncomfortable about gaining weight and you think it might be because of taking the pill, you can try another type of pill and see if that reverses the weight gain. Speak to your doctor if you would like to switch to a different pill. You doctor will be able to recommend a suitable pill and will make sure there are no other causes for your weight gain. If you think you have not taken your pill properly you should take a pregnancy test to make sure this is not the cause of any new weight gain.

Sources

If you’ve spent some time looking into your contraceptive options (good on you), you’ll have probably come across some bad reviews of the pill.

While there are many benefits of using the pill, one of the main points of worry about the contraceptive pill is that it can make you gain weight.

Taking hormonal birth control is an effective and easy way to prevent pregnancy. Of the approximately 70% of Australian women that use some form of birth control, 27-34% of those used oral contraception [1]. That's a large chunk of people who favour the birth control pill!

So, are all of these people experiencing weight gain as a result of their birth control pills? That's what we're going to find out. Let's get started!

While this is a big question, the most simple answer is no — the pill can't "make you" gain weight.

Studies have shown that gaining weight on the pill is unlikely and although some women do put on weight while taking the pill, the reverse is also true for others [2]. In some cases, women actually lose weight when taking hormonal birth control pills.

There isn't a known link between hormonal birth control and weight gain, despite many people feeling that it does impact the number on the scales [3].

Does the pill change your body composition?

Another interesting pill rumour is that it changes your body composition. This actually is backed by science and may explain why body weight gain is still the most commonly reported side effect of the pill [4].

In research conducted in 2009, a physiologist discovered that women on the pill will gain, on average, 40% less muscle than women who aren't [5].

The result? Even if you’re working out more, you might not see the benefits as quickly if you’re on the pill. This might also be why you're feeling a little 'fluffy' around the edges whilst on this type of birth control.

Which contraceptive causes weight gain?

If the pill isn't right for you, there are other contraceptive options you might want to consider. But, it's also worth noting that when it comes to the contraceptive shot, implant and IUD, study findings don't rule out the possibility that some people might gain extra weight from using these forms of contraception [6].

On average, women using these contraceptive options did gain some weight — but it was not significantly more than women who were not using a hormonal contraceptive.

It should also be noted that the evidence is still conflicting, as any weight gain during use can be affected by other lifestyle factors such as age, diet and exercise. It’s hard to scientifically place all the blame on contraception without further research.

Does the pill make you hungry?

Now here’s the catch: although the pill can’t technically make you gain weight, it is known that birth control affects your appetite and can make you feel hungrier. This may cause you to eat more and in turn, can cause weight gain.

In the same way that PMS can make you crave ice cream and chocolate at random times of the day thanks to altered estrogen and progesterone levels, the pill can do the same.

This isn’t always the case, and some women report having absolutely no changes in their appetite, but it is something to be aware of if you’re considering going on the pill.

Why have I put on weight just after starting the pill?

Any weight gain that occurs in the first few weeks or months after beginning contraception is typically due to fluid retention. It could also be caused by the higher levels of estrogen you're receiving from the pill.

Plus, higher levels of progesterone within the body may increase your appetite [7]. But, changes in hormonal birth control and advances in combination forms of the pill have largely addressed this issue.

If you're worried about gaining weight, or you're not sure if your contraceptive method is right for you, we recommend having a chat with a doctor, so you can find another solution.

That said, you shouldn’t let the fear of weight gain stop you from choosing a contraceptive option that ticks all of the other boxes for you. And, remember that every person's body reacts differently.

Can the pill make you bloated?

If you're still wondering why you might feel heavier while taking hormonal birth control, it could be because of bloating.

When you go on the contraceptive pill, your hormone levels change, and this can affect your gastrointestinal tract.

Annoyingly, this can cause bloating and constipation in the early stages of starting the pill, however, it usually settles down after a couple of weeks. If you don’t see an improvement, it could be worth contacting your doctor to assess your current situation.

My friend experienced weight gain on the pill — will that happen to me?

All of our bodies are different. What your friend experienced with a specific form of contraception could be a totally different experience for you and studies do confirm that.

Weight change can vary widely between women who are using the same method of contraception. It's worth noting that women of a certain reproductive age tend to gain weight over time regardless of what contraceptive method they use.

Is the contraceptive pill right for me?

When it comes to choosing the right contraception for you, it’s important to consider your overall health and well-being. Like most things, there are pros and cons for each form of contraception and that includes the pill.

If you're new to the pill and want to know more about it, you may want to consider Kin's pill subscription — this handy service connects you with an Australian GP, where you undergo a text-based consult.

Our doctors can answer any and all of your contraceptive pill questions and if the pill is right for you, they'll be able to create a prescription plan for you.

And, your pill will be shipped to your door on time so you'll never have to worry about running out or heading to the doctor's office for another prescription. You'll also have assess to unlimited doctor consults for anything you need when it comes to contraception — all day, any day.

If you do feel like you're gaining weight on the pill, or experiencing uncomfortable gastrointestinal effects, be sure to discuss it with your doctor and assess your options.

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