Qualitative exploration of using hormonal contraception on mental health and wellbeing: Diverse experiences and a call for more support.

INTRODUCTION

Quantitative research examining hormonal contraception and its relationship with health, particularly mental health and wellbeing, has been inconclusive with mixed evidence regarding the magnitude and direction of associations. Qualitative approaches that focus on women's perspectives and lived experiences may offer valuable insights into the inconsistent results reported. In the present study we take a qualitative approach to exploring the lived experiences of mental health and wellbeing among young women when using hormonal contraception.

METHODOLOGY: Data were collected as part of the Twins Early Development Study (TEDS) when participants were aged 26. A total of 5594 women completed a questionnaire assessing mental and physical health. At the end of a section of a series of closed questions about menstruation and hormonal contraception, 626 respondents answered an open-ended question in which they were invited to share their thoughts on their related experiences. Of these responses, 272 specifically addressed links between mental health, wellbeing, and hormonal contraception and were included in the final analysis. Responses were analysed using thematic analysis.

RESULTS

Our analysis generated five themes representing positive, neutral, uncertain, and negative experiences of health and wellbeing whilst using hormonal contraception. The importance of choice and autonomy was emphasised. Many respondents reported feeling a lack of adequate care and support from healthcare professionals.

CONCLUSION

Women report a range of experiences whilst using hormonal contraception that have positive and negative consequences on health and wellbeing. Healthcare providers should offer clear, detailed information and tailored support to women regarding the range of options available for hormonal contraception, and possible outcomes.