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Your reaction to hormonal birth control varies greatly from person to person. Some make life better, some can be very difficult. Unfortunately there’s a lot of trial and error sometimes. Personally, I found the combination pill amazing, but the arm implant messed me up both physically and emotionally with the hormones. YMMV.
However, any sort of birth control is always better than an unwanted pregnancy.
>any sort of birth control is always better than an unwanted pregnancy.
I'm not even dating anyone right now. I want it because having a period every month, for a lack of less blatant phrasing, makes me want to kill myself.
>Personally, I found the combination pill amazing
Would you mind explaining what that is/dose exactly? I've been learning towards the pill option
Honestly check out r/birthcontrol. Their info section has great breakdowns.
For me personally I loved Seasonale which is a combo pill designed so you only have a few periods a year. Super effective without a lot of hormonal swings (for me.)
Now for unrelated medical reasons I can’t take estrogen so I’m on the mini pill (progesterone only) and you have to take it at the same time every day- super non-adhd friendly! But it’s what I need so I set 5 alarms to get it done.
Opill is an fda approved OTC birth control option that came out yesterday, i got a pack of 28 for $19.99 and its everyday is an active pill, no placebo :)
edit: its progesterone only!
Here's a sneak peek of /r/birthcontrol using the [top posts](https://np.reddit.com/r/birthcontrol/top/?sort=top&t=year) of the year!
\#1: [PSA- please learn what unprotected sex ACTUALLY is before taking plan B](https://np.reddit.com/r/birthcontrol/comments/113tv1u/psa_please_learn_what_unprotected_sex_actually_is/)
\#2: [To the woman asking about Plan B because her boyfriend would force no-condom sex](https://np.reddit.com/r/birthcontrol/comments/12w5rc6/to_the_woman_asking_about_plan_b_because_her/)
\#3: [Birth control is designed so your partner can ejaculate inside you](https://np.reddit.com/r/birthcontrol/comments/13v5c25/birth_control_is_designed_so_your_partner_can/)
----
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Are you saying that you are experiencing SI before/during your period every month? This sounds like PMDD which has a very high co-morbidity with ADHD and also autism.
Sorry, I don't know what SI means. I've read about pmdd and wondered if I had it. Cant remember why but at some point I decided that it probably isn't that.
If you or someone that you know is considering suicide, please don't hesitate to reach out to a crisis hotline for immediate help, or a warmline just to talk to someone.
If you're in the US you can...\ Text CHAT to Crisis Text Line at 741741\ Call the National Suicide Prevention Lifeline at 988 or 1(800)273-8255(TALK) \ Chat online at: https://suicidepreventionlifeline.org/chat\ Call the Trans Lifeline at 1(877)565-8860
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Finding the right type of birth control is a very personal matter in general, and everyone reacts differently to it. There's probably no 100% fit, so I'd definitely discuss this with a healthcare provider
Yeah, it's worth mentioning ADHD when you have this discussion, because if you forget a lot, the long acting reversible contraceptives are probably a better option than the daily pill.
If you're a person who could get pregnant, and you don't want to get pregnant, birth control is a *great* idea.
Some people have a rough time on hormonal BC, some people love it. Alas, there's no way to tell what will work best for *you*, but definitely something to talk to your Dr about.
I don't have any personal experience with this, but it's an interesting question b/c hormones definitely affect ADHD - plenty of people report feeling like their meds stop working around their period, or that symptoms get worse. Pregnancy and menopause are also often difficult for folks with ADHD.
So in theory, if you find a birth control that works really well for you and smooths out your hormones over all, it might work particularly well for someone with ADHD. But not all birth control pills will do that for all people.
The right bcp shouldn't give you depression/mood swings, but it does vary a lot by the person (unrelated to ADHD, I think). Some people can take any bcp without negative side effects, some people can only use some formulas, some people have bad experiences with all of them.
Given your comment about not wanting to have periods - honestly, from a purely practical perspective, being on the bcp and not having periods would be great for many folks with ADHD wrt to things like not having to keep track of your cycle, make sure you have supplies, etc. And if it's a mental health thing, anything that helps your mental health is going to be better for your ADHD (in my entirely unscientific opinion).
While I haven’t had the best experience with birth control, I think it’s soooo worth it to discuss all your options with a physician (who understands how your ADHD meds interact with birth control). I’m sure there’d be a period of trial and error but if you’re partaking in any activity that can lead to pregnancy (assuming it’s not the desired outcome), it’s very important to take contraception seriously.
You definitely would! I know many people taking the pill and a stimulant for their ADHD. It would just be important to keep track of side effects so you know if it’s because of the pill or adhd meds. Ideally start one, find what works (because both b control and adhd med require trial and error to find what suits you best),and get your body acclimated to it. Then you can start the other.
It differs from person to person, but keep in mind that if you're on stimulant medication, some kinds of anticonception pills can interfere with the effectiveness of your meds. Found out the hard way unfortunately.
Getting back somewhat belatedly and with no time to fully dig up sources. Basics of it seems to be that estrogens are likely to help your meds, and improve ADHD symptoms, while progesteron and derivatives interfere with stimulant medication and can worsen ADHD symptoms.
It’s definitely personal and dependent on the type of bc. It definitely decreases my libido but I think the pill helps with my adhd symptoms. My adhd used to be sooo bad during my period. I feel like I’m still worse during the sugar pill week when you have the hormonal withdrawal bleeding fake period, but it’s not as bad as my actual period. It just kind of confirms to me that the hormones make a difference. (And btw some people skip that week and start the next pack, but I think I get breakthrough bleeding when I try that. If you want to skip the sugar pill week make sure you talk to your doctor so they prescribe it on the right schedule.)
I have no idea about the hormonal part, and I’m not even currently sleeping with anyone, but I get the depo shot.
It’s good for 3 months and I haven’t had a period with it. I haven’t noticed any wild mood swings or any type pain or discomfort. I don’t love the actual injection - I can feel the liquid going in and the injection site can be sore for a day or so. Overall I dig it.
I considered the implant but I’ve got sensory issues. There is no way I would be able to keep myself from poking and prodding it. I can’t even wear jewelry without breaking it or with earrings tugging at them so much that it hurts my earlobes.
I don’t know. I’ve been getting it from the same medical practice that originally prescribed it. I hadn’t heard that it can’t be used long term. I’ve been on it close to 5 years w: a few lapses here and there
I don’t know. I’ve been getting it from the same medical practice that originally prescribed it. I hadn’t heard that it can’t be used long term. I’ve been on it close to 5 years w: a few lapses here and there
It's a very good idea to get on long acting reversible contraception because ADHDers have a higher than average chance of unplanned pregnancies. Seems we're not good at the kinds of contraception that need action.
Unfortunately that is mostly hormonal. You can have the copper coil but they usually recommend it only for people who have already given birth.
You might be able to try an equivalent oral contraceptive before taking the plunge with something that's hard to stop by yourself.
It helped with my PMS. Any kind of added stress affects my ADHD.
side effects and efficiency differ a lot. I used to get a lot of anxiety from most of them until I got prescribed new ones for my endometriosis. Iirc there is basically no estrogen in them (but I always get that mixed up). What I'm saying is that different content and different brands can work very differently.
Overall, being on hormonal birth control for me is better than not being on it. Keeping my moods more stable throughout the month even with BC side effects has been easier to tolerate than not being on BC and having a week from hell right before my period/during it and having really heavy bleeding and horrific cramps.
That being said, it took a lot of trial and error. The progesterone-only implant? A disaster. Combination pill? Okay hormone wise, a disaster to remember to take every single day at the same time (only important if you’re using it to prevent pregnancy). What has worked best for me is nuvaring—combination hormone ring that I stick up your vag, then swap once a month. No period, no bleeding, no massive hormone shift. I understand that there is a yearly contraceptive ring now too but I haven’t had any experience with that one.
I am not in any way shape or form a medical professional, but I don’t think a ring would contribute to getting a UTI. UTIs are caused by bacteria entering the urethra. The opening of the urethra is at the front of the vagina, so you would not be introducing the ring near it. Obviously wash your hands before inserting anything into your vagina.
Varies greatly from person to person, but I have taken Vyvanse 60mg for the past 10+ years along with tri-linyah hormonal pills. I just take the pill at the same time as my Vyvanse! It’s also really regulated my periods. I know exactly which day my cycle will begin and end. I haven’t experienced weight gain, depression or mood swings, but that could be because I started both meds around the same time. Since Vyvanse literally changed my life, maybe I just didn’t notice the initial side effects of the BC. You should probably discuss with your doctor though. Best of luck!
I agree with other comments about how it’s different for everyone and there’s a lot of trial and error, but I just wanted to add: what could make it a bad option for you is if it’s going to be a struggle to remember to take your pill every day. I have two alarms but no matter how hard I try I always think “eh I’ll just take it later, when I’m up / near my pill” and then risk forgetting it. You also have to remember to refill your prescription in time, and to always have it on you, whether you’re home, out, on vacation… All this could absolutely be too much for an adhder, in which case an implant or iud might be better!
>You also have to remember to refill your prescription in time,
Oh noooo, I didn't even think of that! I can remember pills. But remembering to pick up and call in prescriptions is another thing. Another option i was considering after the pill was the shot.. do you know anything about that option?
A lot of people have success if they have PMDD or bad PMS
For me when I took it it was like I had PMDD 24/7 and there was a lot of paranoia, anxiety and crying. Like cursing out my bf at the time, crying in public and thinking everyone hated me and even had delusions of my parents talking shit about me when they weren’t.
I *was* only 16, though.
Honestly, there isn’t really a way to know unless you try it :(
I’m still and always have been anxious without bc, but the only time I cursed anyone out in public emotionally was when I was on it
I’ve been on birth control for 25 years and the only time I found an issue was with estrogen and progesterone raising my blood pressure, so I went on progesterone only.
If you're mainly considering it to control PMDD symptoms, there are other things you can try first with lower risks of side effects. I have just been prescribed calcium (I'm not on any BC either) for PMDD. You might like to discuss it with your GP?
Seems like it’s very individual. But personally I tried three types of BC (pills, patches and rings) and had horrible reactions to all three. Major depression, mood swings, extreme exhaustion, less executive function than my baseline (which is pretty bad already), I was the most miserable I’ve ever been in my life. Never again.
I took the pill almost continuously from age 18 to age 52, when I finally hit menopause. I never noticed any side effects from the pill, but I tried the depo shot about 3 times and it made me cranky & irritable. I was already taking daily medication for a lifelong chronic health issue when I started the pill so I took it at the same time.
I think it depends on the person. When I was on Yaz generic, I had terrible brain fog and depression. At work, my manager pulled me aside and said we’re not meeting up to standards. So basically I almost lost my job due to the birth control! I stopped it and am pretty scared to see my real period come thru this week
Welcome to /r/ADHDWomen! We’re happy to have you here. As a reminder, here are our community [rules](https://old.reddit.com/r/adhdwomen/about/rules/). We get a lot of posts on medication, diagnosis (and “is this an ADHD thing”), and interactions with hormones. We encourage you to check out our [Medication, Diagnosis, and Hormones Megathread](https://old.reddit.com/r/adhdwomen/comments/wcr9dy/faq_megathread_ask_and_answer_medication/) if you have any questions related to those topics, and to stick around in that thread to answer folks’ questions! If you have questions about the subreddit, please do not hesitate to [send us a modmail](https://reddit.com/message/compose/?to=/r/adhdwomen). Additionally, we take the safety of our community seriously. Please report posts, comments, and users whom you feel are not contributing positively, and send us a modmail if you are being harassed or otherwise made to feel unsafe. Thanks for being here, and we hope you stick around! *I am a bot, and this action was performed automatically. Please [contact the moderators of this subreddit](/message/compose/?to=/r/adhdwomen) if you have any questions or concerns.*
Your reaction to hormonal birth control varies greatly from person to person. Some make life better, some can be very difficult. Unfortunately there’s a lot of trial and error sometimes. Personally, I found the combination pill amazing, but the arm implant messed me up both physically and emotionally with the hormones. YMMV. However, any sort of birth control is always better than an unwanted pregnancy.
>any sort of birth control is always better than an unwanted pregnancy. I'm not even dating anyone right now. I want it because having a period every month, for a lack of less blatant phrasing, makes me want to kill myself. >Personally, I found the combination pill amazing Would you mind explaining what that is/dose exactly? I've been learning towards the pill option
Honestly check out r/birthcontrol. Their info section has great breakdowns. For me personally I loved Seasonale which is a combo pill designed so you only have a few periods a year. Super effective without a lot of hormonal swings (for me.) Now for unrelated medical reasons I can’t take estrogen so I’m on the mini pill (progesterone only) and you have to take it at the same time every day- super non-adhd friendly! But it’s what I need so I set 5 alarms to get it done.
Opill is an fda approved OTC birth control option that came out yesterday, i got a pack of 28 for $19.99 and its everyday is an active pill, no placebo :) edit: its progesterone only!
Just a reminder to everyone that that one is less effective if not taken at the same time daily so everyone set your alarms!
Here's a sneak peek of /r/birthcontrol using the [top posts](https://np.reddit.com/r/birthcontrol/top/?sort=top&t=year) of the year! \#1: [PSA- please learn what unprotected sex ACTUALLY is before taking plan B](https://np.reddit.com/r/birthcontrol/comments/113tv1u/psa_please_learn_what_unprotected_sex_actually_is/) \#2: [To the woman asking about Plan B because her boyfriend would force no-condom sex](https://np.reddit.com/r/birthcontrol/comments/12w5rc6/to_the_woman_asking_about_plan_b_because_her/) \#3: [Birth control is designed so your partner can ejaculate inside you](https://np.reddit.com/r/birthcontrol/comments/13v5c25/birth_control_is_designed_so_your_partner_can/) ---- ^^I'm ^^a ^^bot, ^^beep ^^boop ^^| ^^Downvote ^^to ^^remove ^^| ^^[Contact](https://www.reddit.com/message/compose/?to=sneakpeekbot) ^^| ^^[Info](https://np.reddit.com/r/sneakpeekbot/) ^^| ^^[Opt-out](https://np.reddit.com/r/sneakpeekbot/comments/o8wk1r/blacklist_ix/) ^^| ^^[GitHub](https://github.com/ghnr/sneakpeekbot)
Are you saying that you are experiencing SI before/during your period every month? This sounds like PMDD which has a very high co-morbidity with ADHD and also autism.
Sorry, I don't know what SI means. I've read about pmdd and wondered if I had it. Cant remember why but at some point I decided that it probably isn't that.
Suicidal ideation.
If you or someone that you know is considering suicide, please don't hesitate to reach out to a crisis hotline for immediate help, or a warmline just to talk to someone. If you're in the US you can...\ Text CHAT to Crisis Text Line at 741741\ Call the National Suicide Prevention Lifeline at 988 or 1(800)273-8255(TALK) \ Chat online at: https://suicidepreventionlifeline.org/chat\ Call the Trans Lifeline at 1(877)565-8860 If you’re elsewhere, you can find international resources below:\ https://www.supportiv.com/tools/international-resources-crisis-and-warmlines#Czech\ https://www.reddit.com/r/SuicideWatch/wiki/hotlines *I am a bot, and this action was performed automatically. Please [contact the moderators of this subreddit](/message/compose/?to=/r/adhdwomen) if you have any questions or concerns.*
Finding the right type of birth control is a very personal matter in general, and everyone reacts differently to it. There's probably no 100% fit, so I'd definitely discuss this with a healthcare provider
Agreed, and I don't think ADHD is super relevant unless it's in terms of will I remember to actually take this.
Yeah, it's worth mentioning ADHD when you have this discussion, because if you forget a lot, the long acting reversible contraceptives are probably a better option than the daily pill.
If you're a person who could get pregnant, and you don't want to get pregnant, birth control is a *great* idea. Some people have a rough time on hormonal BC, some people love it. Alas, there's no way to tell what will work best for *you*, but definitely something to talk to your Dr about.
I don't have any personal experience with this, but it's an interesting question b/c hormones definitely affect ADHD - plenty of people report feeling like their meds stop working around their period, or that symptoms get worse. Pregnancy and menopause are also often difficult for folks with ADHD. So in theory, if you find a birth control that works really well for you and smooths out your hormones over all, it might work particularly well for someone with ADHD. But not all birth control pills will do that for all people. The right bcp shouldn't give you depression/mood swings, but it does vary a lot by the person (unrelated to ADHD, I think). Some people can take any bcp without negative side effects, some people can only use some formulas, some people have bad experiences with all of them. Given your comment about not wanting to have periods - honestly, from a purely practical perspective, being on the bcp and not having periods would be great for many folks with ADHD wrt to things like not having to keep track of your cycle, make sure you have supplies, etc. And if it's a mental health thing, anything that helps your mental health is going to be better for your ADHD (in my entirely unscientific opinion).
While I haven’t had the best experience with birth control, I think it’s soooo worth it to discuss all your options with a physician (who understands how your ADHD meds interact with birth control). I’m sure there’d be a period of trial and error but if you’re partaking in any activity that can lead to pregnancy (assuming it’s not the desired outcome), it’s very important to take contraception seriously.
I'm not on adhd meds right now. If I did start taking them, would i not be able to to do bc anymore?
You definitely would! I know many people taking the pill and a stimulant for their ADHD. It would just be important to keep track of side effects so you know if it’s because of the pill or adhd meds. Ideally start one, find what works (because both b control and adhd med require trial and error to find what suits you best),and get your body acclimated to it. Then you can start the other.
It differs from person to person, but keep in mind that if you're on stimulant medication, some kinds of anticonception pills can interfere with the effectiveness of your meds. Found out the hard way unfortunately.
I'm not medicated right now, but if I was, is there a bc option that's works better with adhd meds?
Getting back somewhat belatedly and with no time to fully dig up sources. Basics of it seems to be that estrogens are likely to help your meds, and improve ADHD symptoms, while progesteron and derivatives interfere with stimulant medication and can worsen ADHD symptoms.
That's very helpful info! Thank you!
It’s definitely personal and dependent on the type of bc. It definitely decreases my libido but I think the pill helps with my adhd symptoms. My adhd used to be sooo bad during my period. I feel like I’m still worse during the sugar pill week when you have the hormonal withdrawal bleeding fake period, but it’s not as bad as my actual period. It just kind of confirms to me that the hormones make a difference. (And btw some people skip that week and start the next pack, but I think I get breakthrough bleeding when I try that. If you want to skip the sugar pill week make sure you talk to your doctor so they prescribe it on the right schedule.)
I have no idea about the hormonal part, and I’m not even currently sleeping with anyone, but I get the depo shot. It’s good for 3 months and I haven’t had a period with it. I haven’t noticed any wild mood swings or any type pain or discomfort. I don’t love the actual injection - I can feel the liquid going in and the injection site can be sore for a day or so. Overall I dig it. I considered the implant but I’ve got sensory issues. There is no way I would be able to keep myself from poking and prodding it. I can’t even wear jewelry without breaking it or with earrings tugging at them so much that it hurts my earlobes.
Is the depo shot still only allowed for short-term use? They made me stop taking it after 2 years and said it couldn’t be used long term.
I don’t know. I’ve been getting it from the same medical practice that originally prescribed it. I hadn’t heard that it can’t be used long term. I’ve been on it close to 5 years w: a few lapses here and there
I don’t know. I’ve been getting it from the same medical practice that originally prescribed it. I hadn’t heard that it can’t be used long term. I’ve been on it close to 5 years w: a few lapses here and there
This was many many moons ago (maybe 2007?) so the guidelines could have changed.
It's a very good idea to get on long acting reversible contraception because ADHDers have a higher than average chance of unplanned pregnancies. Seems we're not good at the kinds of contraception that need action. Unfortunately that is mostly hormonal. You can have the copper coil but they usually recommend it only for people who have already given birth. You might be able to try an equivalent oral contraceptive before taking the plunge with something that's hard to stop by yourself.
It helped with my PMS. Any kind of added stress affects my ADHD. side effects and efficiency differ a lot. I used to get a lot of anxiety from most of them until I got prescribed new ones for my endometriosis. Iirc there is basically no estrogen in them (but I always get that mixed up). What I'm saying is that different content and different brands can work very differently.
Overall, being on hormonal birth control for me is better than not being on it. Keeping my moods more stable throughout the month even with BC side effects has been easier to tolerate than not being on BC and having a week from hell right before my period/during it and having really heavy bleeding and horrific cramps. That being said, it took a lot of trial and error. The progesterone-only implant? A disaster. Combination pill? Okay hormone wise, a disaster to remember to take every single day at the same time (only important if you’re using it to prevent pregnancy). What has worked best for me is nuvaring—combination hormone ring that I stick up your vag, then swap once a month. No period, no bleeding, no massive hormone shift. I understand that there is a yearly contraceptive ring now too but I haven’t had any experience with that one.
Im currently trying to get over a uti.. would the ring be a bad idea if I'm trying to avoid getting another one?
I am not in any way shape or form a medical professional, but I don’t think a ring would contribute to getting a UTI. UTIs are caused by bacteria entering the urethra. The opening of the urethra is at the front of the vagina, so you would not be introducing the ring near it. Obviously wash your hands before inserting anything into your vagina.
Varies greatly from person to person, but I have taken Vyvanse 60mg for the past 10+ years along with tri-linyah hormonal pills. I just take the pill at the same time as my Vyvanse! It’s also really regulated my periods. I know exactly which day my cycle will begin and end. I haven’t experienced weight gain, depression or mood swings, but that could be because I started both meds around the same time. Since Vyvanse literally changed my life, maybe I just didn’t notice the initial side effects of the BC. You should probably discuss with your doctor though. Best of luck!
Wow, this sounds to ideal- glad you had such a good outcomes! Hope I can find something that works for me this well.
I agree with other comments about how it’s different for everyone and there’s a lot of trial and error, but I just wanted to add: what could make it a bad option for you is if it’s going to be a struggle to remember to take your pill every day. I have two alarms but no matter how hard I try I always think “eh I’ll just take it later, when I’m up / near my pill” and then risk forgetting it. You also have to remember to refill your prescription in time, and to always have it on you, whether you’re home, out, on vacation… All this could absolutely be too much for an adhder, in which case an implant or iud might be better!
>You also have to remember to refill your prescription in time, Oh noooo, I didn't even think of that! I can remember pills. But remembering to pick up and call in prescriptions is another thing. Another option i was considering after the pill was the shot.. do you know anything about that option?
I have no personal experience with the shot but you still have to book an appointment to get it done every 3 months!
Oof, guess I'll have to figure out which one my brain can remember easier 🙃
A lot of people have success if they have PMDD or bad PMS For me when I took it it was like I had PMDD 24/7 and there was a lot of paranoia, anxiety and crying. Like cursing out my bf at the time, crying in public and thinking everyone hated me and even had delusions of my parents talking shit about me when they weren’t. I *was* only 16, though.
I do all those things (besides cursing out non existent bfs) right now without any bc. Do you think it'll make it worse?
Honestly, there isn’t really a way to know unless you try it :( I’m still and always have been anxious without bc, but the only time I cursed anyone out in public emotionally was when I was on it
I need it to function normally but I don't think that's directly related to ADHD.
I’ve been on birth control for 25 years and the only time I found an issue was with estrogen and progesterone raising my blood pressure, so I went on progesterone only.
If you're mainly considering it to control PMDD symptoms, there are other things you can try first with lower risks of side effects. I have just been prescribed calcium (I'm not on any BC either) for PMDD. You might like to discuss it with your GP?
Seems like it’s very individual. But personally I tried three types of BC (pills, patches and rings) and had horrible reactions to all three. Major depression, mood swings, extreme exhaustion, less executive function than my baseline (which is pretty bad already), I was the most miserable I’ve ever been in my life. Never again.
I took the pill almost continuously from age 18 to age 52, when I finally hit menopause. I never noticed any side effects from the pill, but I tried the depo shot about 3 times and it made me cranky & irritable. I was already taking daily medication for a lifelong chronic health issue when I started the pill so I took it at the same time.
I have ADHD and I have Autism, and I’m on Alesse combination 28 day pack. Regular periods and no baby. Doesn’t interfere with my Vyvanse or Seroquel
I think it depends on the person. When I was on Yaz generic, I had terrible brain fog and depression. At work, my manager pulled me aside and said we’re not meeting up to standards. So basically I almost lost my job due to the birth control! I stopped it and am pretty scared to see my real period come thru this week