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The Truth About the Pill

The pill is the most widely used form of contraception in France. But are we truly well informed about this medication? In this article, we reveal what you may never have been told about the pill. 

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The pill is the most widely used form of contraception in France. But are we truly well informed about this medication? In this article, we reveal what you may never have been told about the pill.
Did you know?

The pill does not regulate hormones — it blocks their production. As a result, it only masks the symptoms without addressing the root cause. This explains why, when stopping the pill, the symptoms that were present before taking it return. 

How does the female menstrual cycle work?

To understand how the pill works, let us first recall how the menstrual cycle functions.


The female menstrual cycle unfolds in two phases, before and after ovulation.

Before ovulation comes the follicular phase: the brain produces FSH, a hormone that stimulates oestrogen production by the ovaries. Oestrogen causes the follicles to mature and the endometrium to grow. Around the middle of the cycle, as oestrogen accumulates, it stimulates the production of "sperm-friendly" cervical mucus essential for fertility, and the brain eventually produces the LH hormone that triggers ovulation: an egg is released from one of the two ovaries.

After ovulation comes the luteal phase: the egg produces the hormone progesterone. If the egg is fertilised, progesterone supports the implantation of the embryo in the lining of the uterus to begin the pregnancy, and inhibits the production of "sperm-friendly" cervical mucus. Progesterone will remain elevated until birth. If there is no fertilisation, the egg will disappear, progesterone will drop, and this triggers menstruation.

The brain plays a central role in the menstrual cycle: it is the brain that decides when to produce oestrogen and when to trigger ovulation, by continuously measuring the levels of hormones present in the blood. 

Why this product?

The pill depletes certain nutrient stores, particularly B vitamins. Pink Balance contains a blend of plant extracts, 100% organic and natural, that is rich in B vitamins (such as B1, B2, B5, B6, B8, B12), which helps to compensate for the losses caused by taking the pill.

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How do the different pills work?

Take care mama

The pill is not the only form of contraception, nor are hormonal devices. There are copper coils, and also natural methods such as the symptothermal method. 

Combined pills (also known as combined oestrogen-progestogen pills) deliver a high dose of synthetic oestrogen and progesterone into the bloodstream.

The brain is then tricked into believing these are natural oestrogen and/or progesterone. Thinking there is already sufficient oestrogen and progesterone in the blood, the brain no longer instructs the ovaries to produce them.

As a result, the ovaries no longer receive the signal to produce oestrogen or to ovulate, and progesterone is no longer secreted. On the pill, we can therefore say that the brain–ovary communication is cut off. The ovaries go into a kind of "standby" mode and sex hormones are suppressed. The result: ovulation does not occur, we are no longer fertile and cannot become pregnant.

Progestogen-only pills contain only a synthetic progestogen. They do not necessarily inhibit ovulation, but in any case act by thinning the endometrium and suppressing the sperm-friendly cervical mucus required for fertility.

What are the other forms of hormonal contraception?

The contraceptive implant is a small rod inserted into the arm that releases the same hormones as the pill directly into the bloodstream, and therefore has the same effects.

The Mirena hormonal coil is inserted into the uterus. It does not systematically inhibit ovulation but also thins the endometrium and reduces cervical mucus.

It would therefore be wrong to say that the pill and other hormonal contraceptives regulate our hormones. On the contrary, they inhibit the production of natural hormones.

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Who is the pill prescribed to?

In 2013, 41% of women aged 15 to 49 were using the pill[1]. And even though its use declined following the pill crisis that year, it remained the most widely used form of contraception in France in 2016[2]. However, this decline did not apply to 15–19 year-olds.


The pill is prescribed for contraceptive purposes in approximately half of cases. In the other half, it is prescribed for hormonal issues: painful, absent, or irregular periods, acne or other skin problems, endometriosis, or other symptoms such as premenstrual syndrome, depression, irritability, mood swings... However, natural, hormone-free alternatives do exist, including taking a food supplement premenstrual syndrome and/or a food supplement for painful periods.
 

The pill does not regulate hormones — it merely masks symptoms without addressing the root cause. It therefore cannot be considered a treatment for these hormonal imbalances.

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The Truth About the Pill

What is the effect of the pill beyond the reproductive system?

By inhibiting the natural production of oestrogen and progesterone and introducing a significant dose of synthetic hormones into our body, the pill disrupts our body's delicate hormonal ecosystem. As a knock-on effect, the production of other hormones is also impacted. 

Thyroid hormones


Produced by the thyroid, thyroid hormones affect every cell in our body and regulate metabolism in the broadest sense (hair and nail growth, energy, mood, weight…). However, the pill can weaken thyroid activity and contribute to the following symptoms: hair loss, weight gain, irritability, fatigue…


Androgen hormones
 

These are male hormones (testosterone and its derivatives) that regulate ovulation, libido and desire[3], muscle mass and bone health in women. Produced in part by the ovaries, androgen hormones are inhibited by the pill. Hence the following side effects: low libido, difficulty reaching orgasm, reduced attraction to your partner…


Blood sugar regulatory hormones
 

Blood sugar is the level of sugar in the blood. Every time we eat, blood sugar rises as the sugars (carbohydrates) from our food pass into the bloodstream. The hormone insulin is then secreted to bring blood sugar back down to a normal level by moving sugar from the blood into the cells. However, the pill can disrupt this mechanism and contribute to the following symptoms: fatigue, irritability, PCOS (polycystic ovary syndrome), sugar cravings, increased risk of developing type 2 diabetes…


Its effects go beyond hormones and disrupt our overall health

Effects on the liver

The liver is responsible for regulating our hormones by setting aside those that have been used or are present in excess. The significant dose of synthetic hormones delivered daily by the pill therefore places a considerable additional workload on it.

Effects on nutritional status

The pill depletes certain nutrient stores, in particular B vitamins, magnesium and zinc, for example[4] — nutrients that are also essential for hormonal regulation, as well as immunity, fertility, cellular energy production, hair health, the nervous system… [5] Taking a women's food supplement including B vitamins, is worth considering. Our women's multivitamin is particularly rich in B vitamins. 

To stock up on magnesium, our magnesium food supplement is made for you. 


Pink Balance, our hormonal balance food supplement, in a red berry powder format. It contains maca, shatavari, beetroot and is naturally rich in B vitamins! 

Disruption of the gut microbiome

The pill contributes to reducing the population of beneficial bacteria within the gut microbiome. This microbiome regulates many aspects of our health, including immunity, hormones, digestion, mood and weight… If the gut microbiome is imbalanced, these functions can be negatively affected[6].

The pill, like any medication, is therefore not without consequence and has effects on the whole of our body.

What happens when you stop taking the pill?

When stopping the pill, the communication between the brain and the ovaries is expected to re-establish itself: the ovaries resume their function, produce oestrogen, ovulate, and the follicles produce progesterone.


Nevertheless, this communication can take time to re-establish, and some women take several months to return to their natural cycle [7] [8] [9]. Furthermore, the hormonal ecosystem does not necessarily recover from the effects of the pill without support, and the same applies to other functions affected by the pill (liver, gut microbiome, nutrient stores, etc.).
 

Finally, thestopping the pill can, in some people, cause a "rebound effect" following the hormonal imbalance. In other words, the natural production of hormones, which was suppressed during the time the pill was taken, can start up again with a little too much enthusiasm. This is often the case with androgens, which can surge after stopping the pill, causing hair loss or acne, for example [10].  

Thoughts on the pill

Historically, the pill has allowed women to gain independence, and today it suits many people. That said, very few women take the pill with a genuine understanding of what it involves – with real "informed consent" – meaning they are fully aware of the benefits, the risks, and the full range of side effects, and so on.


Many women also start taking the pill very early on, just a few years or even a few months after their first period. This is particularly the case for young women experiencing symptoms such as acne, painful or irregular periods, PCOS or endometriosis. These young women, now adults, often stop taking the pill when they decide they want a child. However, the imbalances that were present before starting the pill tend to resurface most of the time, potentially making conception more difficult – especially if they stop the pill later in life, at an age when fertility naturally declines.
 

Taking the pill is therefore a decision that deserves careful thought.

In conclusion

Whilst the pill has its rightful place in the range of medical contraceptive options, women who are prescribed it should be better informed about the risks and about the fact that it does not provide a solution to hormonal imbalances. It is also worth knowing that other contraceptive methods exist and deserve consideration, including male contraception options such as thermal contraception, which works by testicular elevation, is 100% natural and reversible. And when you think about it, women are only fertile for a few days each month whereas men are fertile 24 hours a day — so why should contraception not also be their responsibility?

[1] Haut Conseil de l'Egalité, Repères Statistiques

[2] Santé Publique France, Baromètre Santé 2016 Contraception

[3] Davis, Susan. « Testosterone and sexual desire in women. » Journal of Sex Education and Therapy 25, no. 1 (2000): 25-32

[4] Shere, Mahvash, Priya Bapat, Cheri Nickel, et al. « Association between use of oral contraceptives and folate status: a systematic review and meta-analysis. » Journal of Obstetrics and Gynecology Canada 37, no. 5 (2015): 430-438

[5] Palmer, M., A. Saraceno, A. Vaiarelli, and G. Carlomagno. « Oral contraceptives and changes in nutritional requirements. » European Review for Medical and Pharmacological Sciences 17, no. 13 (2013): 1808-1810

[6] Khalili, H. et al. « Oral Contraceptives, Reproductive Factors and Risk of Inflammatory Bowel Disease » Gut 62, no. 8 (2013):1153-59 10.1136/gutjnl-2012-302362

[7] Goth, Christian, P. Frank-Hermann, A. Schmoll, E. Oderhart, and G. Freundl. « Cycle characteristics after discontinuation of oral contraceptives. » Gynecological Endocrinology 16, no. 4 (2002): 311-313

[8] Jacobs, H.S., U.A. Knuth, M.G. Hull, and S. Franks. « 'Post-pill' amenorrhoea - cause or coincidence? » The BMJ 2, no. 6092 (1977): 940-942 10.1136/bmj.2.6092.940

[9] Steele, S.J., Bridgett Mason, and Ann Brett. « Amenorrhoea after discontinuing combined estrogen-progestogen oral contraceptives. » The BMJ 4, no. 5888 (1973): 343 10.1136/bmj.4.5888.343

[10] Panzer Claudia, Sarah Wise, Gemma Fantini et al. « Impact of oral contraceptives on sex hormone-binding globulin and androgen levels: a retrospective study in women with sexual dysfunction. » The Journal of Sexual Medicine 3, no. A (2006): 104-113 10.1111/j.1743-6109.2005.00198.x

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Adaptogenic plants (maca, shatavari)

Beneficial for fertility and reproductive health

100% organic and natural

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