Common Side Effects of Taking Birth Control Pills

Common Side Effects of Taking Birth Control Pills
Illustration of birth control pills. Credit: Freepik

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Birth control pills are one of the most popular and reliable methods of contraception. They work by regulating the body's reproductive hormones, primarily estrogen and progesterone, to prevent ovulation and ensure that pregnancy does not occur.

While birth control pills are highly effective when taken consistently and correctly, they may come with certain side effects. Most of these side effects are usually temporary and subside over time. However, it's important to be aware of these potential effects before choosing birth control pills as your contraceptive method.

 

What Are Birth Control Pills?

Birth control pills are among the most commonly used hormonal contraceptive methods in Indonesia to prevent pregnancy. These pills contain synthetic hormones designed to regulate the menstrual cycle and prevent ovulation.

In addition to preventing ovulation, birth control pills also work by thickening the mucus in the cervix, making it more difficult for sperm to reach the egg. They also alter the lining of the uterus to prevent implantation, thus effectively preventing pregnancy.

In Indonesia, there are two main types of birth control pills available:

  • Combination birth control pills that contain both estrogen and progestin hormones.

  • Mini-pills that contain only the progestin hormone.

For maximum effectiveness and to minimize side effects, it's essential to take birth control pills at the same time every day.

 

Side Effects of Taking Birth Control Pills

Nausea and Vomitting

For those new to birth control pills, nausea and vomiting are common side effects, often caused by changes in hormone levels. This nausea is usually most noticeable in the morning or right after taking the pill.

Breast Pain

Another common side effect, particularly with combination pills containing estrogen and progestin, is breast tenderness or pain. In some cases, fluid retention may cause the breasts to feel swollen or enlarged.

Headaches or Migraines

Hormonal fluctuations, especially involving estrogen, can lead to headaches or migraines. This symptom tends to be more prevalent in women who have a history of headaches.

Spotting or Bleeding Between Periods

Spotting, or bleeding outside of the regular menstrual cycle, is a frequent side effect when starting birth control pills. This typically occurs within the first three months of use as the body adjusts to the hormonal changes. Over time, this spotting usually stops.

Weight Gain

Although not definitively proven, many women report weight gain while taking birth control pills. This may be linked to fluid retention or an increased appetite caused by hormonal changes.

Mood Swings

The hormones in birth control pills can affect the chemical balance in the brain, which can result in mood changes. You might experience feelings of irritability, anxiety, sadness, or even mild depression.

Reduced Sexual Desire

Some users of birth control pills notice a decrease in sexual desire. This is usually linked to the changes in synthetic estrogen and progestin levels, which can affect sexual response, vaginal lubrication, and sensitivity.

Changes in Menstrual Cycle

Using birth control pills can lead to lighter, shorter periods or even cause menstruation to stop temporarily. This is particularly common with combination pills or progestin-only pills.

 

Understanding these side effects is important for making an informed decision about using birth control pills. If you experience any unusual or concerning symptoms, it’s advisable to consult with a doctor for appropriate guidance.

You can also take advantage of the consultation feature on the Ai Care app, which can be downloaded from the App Store or Play Store.

 

Looking for more information about pregnancy, breastfeeding, women's and children's health? Click here!

 

Writer : Agatha Writer
Editor :
  • dr Hanifa Rahma
Last Updated : Friday, 30 May 2025 | 14:10

Alexandra Benisek (2025). Birth Control Pills. Available from: https://www.webmd.com/sex/birth-control/birth-control-pills 

Cleveland Clinic (2023). Birth Control Pills. Available from: https://my.clevelandclinic.org/health/treatments/3977-birth-control-the-pill 

Planned Parenthood. Birth Control Pill. Available from: https://www.plannedparenthood.org/learn/birth-control/birth-control-pill 

Lori Smith, MSN, BSN, WHNP-BC and Mandy French (2024). 10 most common birth control pill side effects. Available from: https://www.medicalnewstoday.com/articles/290196