Menu Menu
[gtranslate]

Is Gen Z’s attitude towards hormonal contraception changing?

Influenced by a recent TikTok trend warning against the mental and physical health implications of artificial birth control, an increasing number of young women are ditching the pill in favour of more ‘natural’ options.

Recent studies show that the intake of the pill is decreasing. Early this year, the UK government reported that the rate of ‘short-acting combined oral contraceptives’ remains 30 per cent below the pre-pandemic level when prescribed from primary care, and 50 per cent below the pre-pandemic level when prescribed from Sexual and Reproductive Health (SRH) services.

Meanwhile, over on TikTok, a slew of users have recently begun recounting how birth control has negatively affected them, from causing low sex drives and drastic weight gain to triggering mood swings and depressive episodes.

With research to back this up, showing a correlation between the pill and these ramifications, as well as higher rates of suicide and stress reactions similar to PTSD survivors, Gen Z’s attitude towards hormonal contraception is changing.

Now, I was sixteen when I went on the pill, not even a year after I started menstruating. It was prescribed to me by a doctor as a remedy for the excruciating cramps I was gritting my teeth through once a month – likely the result of a later-than-average first period.

As they told me, levonorgestrel (a progesterone-only option due to my mild oestrogen allergy) would reduce the severe pain (dysmenorrhea) and heavy bleeding (menorrhagia). What they didn’t tell me, however, was that it would wreak havoc on my mental health, a side effect you’ll only see hinted at in the multi-page pamphlet if you squint.

@broganperry Being a lass isn’t easy 🫠 #fyp #contraception #thepill ♬ Originalton – eda bozkurt

I won’t go into too much detail, but it took almost a decade for me to realise that the tiny dose of artificial hormones I was ingesting without question on a daily basis was significantly impacting how I thought and felt.

And while this doesn’t apply to everyone – most people have no issues whatsoever with this form of contraception – I’m relieved it’s come to light that an increasing number of young women have experienced the same thing and that its opened the floor to raising more awareness about this generally underdiscussed challenge that many of us face.

So much so, in fact, that oral contraceptive use is declining among Gen Z and ‘natural’ approaches are becoming more popular.

‘I have noticed that many patients prefer non-hormonal birth control,’ says gynaecologist Dr Taraneh Shirazian.

‘Many are keen on limiting their body’s exposure to outside hormones so that they can feel more natural and like themselves. We are moving, culturally, towards a place where we’re recognising that putting a bunch of chemicals in our body isn’t necessarily a great idea.’

@rylielanefitness Coming off the pill was the best decision for me 💜 the difference it has made in my life ahead been massive and I am so happy I have made this change! #birthcontrol #hormonalbirthcontrol #thepill ♬ original sound – Rylie ❤️‍🔥 health & mind

What Shirazian refers to, is the new movement promoting non-hormonal alternatives that environmentally- and wellbeing-conscious Gen Zers are at the forefront of.

‘This generation of women is demanding they get information about what’s going into their body,’ she explains.

‘A younger generation of women are saying, “hey, wait a minute, you can’t just tell me what to put in my body and expect me to blindly obey”.’

The demographical shift additionally comes amid revelations that women who went on the pill before being sexually active may be shouldering unintended consequences.

This is because going through adolescence with such heightened hormone levels has been associated with measurable density differences in the parts of the brain involved with memory and emotion.

@amanda_pac my experience getting off the pill #ditchthepill #birthcontrolproblems #offbirthcontrol #birthcontrolcortisol #highcortisol #naturalcycle #cycletracking ♬ original sound – Amanda

The pill also been linked with a tripled risk of suicide by a Danish study, which states as well that girls who take the pill early on are disproportionately likely to be prescribed antidepressants and diagnosed with depression in adulthood.

These findings are not only alarming, but largely underreported despite how many young women are still being recommended the pill with little to no warning – just as I was.

Yet this is not to discredit the flexibility and independence that hormonal birth control has afforded women.

Nor that Gen Z cares deeply about contraception access, particularly in the wake of Roe V Wade being overturned.

Simply that as Gen Zers work to improve their understanding of what’s best for their bodies, there should continue to exist more discourse on the repercussions of birth control and an understanding that there’s no one size fits all answer for anything when it comes to something as complex as contraception.

Accessibility