Does Birth Control Cause Weight Gain?

birth control weight gain

Can hormonal birth control cause weight gain or impair metabolic health? If so, which types are more likely to do so?

The first thing to understand is that the ovarian hormones estradiol and progesterone tend to promote subcutaneous fat but reduce visceral fat, which is good because visceral fat is the bad fat tied to insulin resistance or metabolic dysfunction. The second thing is that hormonal birth control mostly switches off estradiol and progesterone.

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Do Women Need Periods?

do women need periods

With the 2019 news that women don’t need pill bleeds came the assurance that “women don’t need periods.” But is that accurate?

It’s true that women don’t need monthly pill withdrawal bleeds because they’re not periods, but women do need (or at least benefit from) monthly natural menstrual cycles because natural ovulatory cycles are how women make the hormones estradiol and progesterone.

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Pill Bleeds Are Not Periods

Pill bleeds are not periods.

The pill is commonly prescribed to “regulate periods,” but it can’t actually do that because withdrawal bleeds from contraceptive drugs are not real menstrual cycles.

In episode one of my podcast/YouTube video, I discuss real periods versus pill bleeds and why there’s no medical reason to bleed monthly on the pill.

I also look at the difference between contraceptive drugs and real hormones.

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