Are there documented cases of Ethinylestradiol (EE)/Cyproterone acetate causing depersonalization disorder?

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Last updated: May 13, 2025View editorial policy

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From the Guidelines

There are no documented cases of Ethinylestradiol/Cyproterone causing depersonalization in the provided evidence. Depersonalization is a dissociative symptom where a person feels detached from their own thoughts, feelings, and identity. The provided studies do not mention depersonalization as a side effect of Ethinylestradiol/Cyproterone acetate [ 1 ]. The studies focus on the use of hormonal contraceptives for acne treatment and their potential risks, such as venous thromboembolic events and cardiovascular risks [ 1 ]. However, they do not discuss the specific combination of Ethinylestradiol/Cyproterone acetate in relation to depersonalization.

Some key points to consider:

  • The studies provided do not support a link between Ethinylestradiol/Cyproterone acetate and depersonalization [ 1 ].
  • Ethinylestradiol is a synthetic estrogen, and cyproterone acetate is an anti-androgen, which can create substantial hormonal shifts [ 1 ].
  • Patients who experience any unusual symptoms while taking this medication combination should consult their healthcare provider immediately [ 1 ].
  • The symptoms of depersonalization, if they were to occur, would likely resolve after discontinuation of the medication, though the timeline varies between individuals.

It is essential to note that the absence of evidence does not necessarily mean that Ethinylestradiol/Cyproterone acetate cannot cause depersonalization in some individuals. However, based on the provided studies, there is no documented evidence to support this claim [ 1 ].

From the Research

Documented Cases of Ethinylestradiol/Cyproterone Causing Depersonalization

  • There are no documented cases of Ethinylestradiol/Cyproterone causing depersonalization in the provided studies 2, 3, 4, 5, 6.
  • The studies primarily focus on the effectiveness of the combination in treating hirsutism, acne, and other conditions, as well as its contraceptive properties.
  • Side effects mentioned in the studies include those related to hormonal changes, such as changes in androgen levels and lipid profiles, but do not include depersonalization 4, 6.
  • The lack of mention of depersonalization as a side effect or consequence of Ethinylestradiol/Cyproterone treatment suggests that it may not be a well-documented or commonly reported effect of this combination 2, 3, 5.

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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