Mini-pill and Depression?

Updated on August 26, 2008
S.S. asks from Oklahoma City, OK
4 answers

Has anyone else experienced depression after starting on the mini pill? I have been on it for 3 weeks now and the very first day I took it I was so on edge by the end of the day that I just cried and cried in bed at night and couldn't fall asleep for hours. My thoughts were racing over everything that I needed to do but didn't seem to have time to do (that's life with a 3 month old, I guess, especially after moving to a new state and buying our first house when he was just 6 weeks old...I so desperately want all the boxes to be unpacked and life to get organized again, but it's taking awhile!), and I just felt overwhelmed, helpless, and hopeless in the face of all the stresses. I wondered if it was postpartum depression (it may be), but the fact that it started at the same time that I started the mini pill seems awfully coincidental. These feelings have come and gone over the past 3 weeks. I feel guilty for having them, since I don't have a "bad life" at all. I love my husband, love my baby boy, love my house. I just hate feeling overwhelmed and tearing up and becoming irritable at silly things. I also find it ironic that since starting on the mini-pill I have had zero sex drive...the whole reason for starting it was because neither of us were enjoying using condoms while I'm breastfeeding, and I thought being on a pill would help with that department...maybe not so much (poor dh!)! If it is the mini pill that is causing all of this then I would rather just stop taking it and find another form of birth control rather than go on an anti-depressant, so I wanted to see what others had experienced. I did not have a similar experience when I was on the regular pill. I was trying to "wait it out" and see how long it lasted before talking with my doctor, but since it's been going on off and on now for 3 weeks, it's time to make a change. Thanks in advance for any wisdom you can share...I feel like I'm going nuts!!!

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J.H.

answers from Oklahoma City on

Eeek, you're not on the pill while you're breastfeeding are you? If the docs told you its okay then they're full of it. Everything you consume goes into your breastmilk, and a single dose of hormones for you gets magnified by up to 20 times for your baby - and that could set him up for hormone and cancer issues later in life.
As for your emotional rollercoaster, it sounds like it could be your pill as well. After having a baby, your hormone levels are still going crazy, and adding more to that could send you over the edge - and once again, increase your chances of developing hormone positive cancer as well. Sorry, I'm not trying to freak you out, but I am a breast cancer survivor (dx'ed at 32) thats done a ton of research on the links between hormones, active cell growth, poor diet, and cancers. There are 3 times in a woman's life when those cells are most active - puberty, pregnancy and breastfeeding. And its during those times that mutant (possibly cancerous) cells can develop. If these mutant cells aren't destroyed by the body (as most are, we create cancer cells everyday, but if we're healthy they dont survive), the extra estrogen and progesterone can actually feed them and cause them to grow extremely quick and aggresive. That's how my cancer was caused, I took phytoestrogens shortly after breastfeeding.
I know that severly limits your contraceptive options, but I wanted to make you aware. Docs these days are slaying me the way they play with hormone meds regardless of the recipient. The biggest problem is that complications dont develop for years, so its never traced back. And anymore, the docs are getting more $ from the pharm. companies than they are from the patients, and its a very unhealthy incentive.

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B.L.

answers from Oklahoma City on

Even good changes are stressful. Your post basically says "Everything in my life has completely changed in the past 3 months and I find myself teary and overwhelmed." You should feel a little overwhelmed - you have been through ALOT. Be kind to yourself and relax your expectations for awhile. But if these feelings are interfering with your ability to function (and it sounds like they may be) there is nothing wrong with getting some assistance through a rough patch. Please call the OB that prescribed your pills and discuss your depression with him/her. They will have a better idea whether it is related to the minipill or just related to life. Either way it sounds temporary. Much better to deal with it now than to slide deeper into depression and have further to climb out.

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K.B.

answers from Oklahoma City on

Hi S.,

I don't know if I have real advice, but wanted to confirm that the mini-pill is the one that is progestin-only, right? If so, it's safe for breast-feeding. I also started taking it recently (a couple weeks ago) and wondered if it was affecting my mood, because although I had a really rough emotional stretch right around the time of our baby's birth (first baby, a boy born in June, I was hospitalized before, he was hospitalized after, etc), things were starting to get a lot better and then I felt like it was a step back. Not quite as bad as you are describing but still noticeable. So you are probably right to suspect it even though you have all kinds of understandable reasons for being distressed. Any time we play with hormones, mood changes are possible, I guess. If there are other birth control options that would work for you, probably worth considering.

And I've been there with moving from out of state for husband's job, buying first house, lacking a real support system, etc. I've been here two years but now that the baby has come, I realize I haven't been so great at developing that network! Anyway, good luck to you and hang in there -- sounds like you have a great family and will bounce back in time. (I should take my own advice when things are driving me crazy...) And if you do switch b/c methods, I'd be interested to know if it makes a difference for you.

K.

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R.U.

answers from Oklahoma City on

That sounds exactly like me after my first baby! I did feel better after stopping the birth control pills, but I still needed to go on antidepressants. You definitely should call your doctor!! If you go off the bcp or start ad and don't see a signficant change in two weeks, you need to try something else. There are lots of options out there that can really help. GL!

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