From the Guidelines
Yes, birth control can cause flushing as a side effect, particularly hormonal contraceptives that contain estrogen, and alternatives such as progestin-only methods or non-hormonal options like copper IUDs should be considered to reduce this side effect. This occurs because estrogen can dilate blood vessels, increasing blood flow to the skin. If you're experiencing flushing from birth control, you have several alternatives to consider. Non-hormonal options include copper IUDs (ParaGard), which can provide up to 10 years of protection without hormones; barrier methods like condoms, diaphragms, or cervical caps; and fertility awareness methods that track ovulation cycles.
Alternatives to Estrogen-Containing Contraceptives
Hormonal alternatives that might reduce flushing include progestin-only methods such as the mini-pill (norethindrone 0.35mg daily) 1, hormonal IUDs like Mirena or Kyleena (effective for 3-7 years depending on the brand), or the progestin implant Nexplanon (effective for up to 5 years). These progestin-only methods avoid estrogen, which is typically responsible for the flushing side effect.
Considerations for Specific Patient Groups
For patients with certain medical conditions, such as antiphospholipid antibody-positive patients, estrogen-containing contraceptives are contraindicated due to the increased risk of thrombosis, and progestin-only methods or copper IUDs are recommended instead 1.
Importance of Healthcare Provider Consultation
Before switching methods, it is essential to consult with your healthcare provider to discuss which option best suits your health needs, lifestyle, and family planning goals, as each method has different effectiveness rates and potential side effects. Your healthcare provider can help you weigh the benefits and risks of each option and make an informed decision.
From the Research
Birth Control and Flushing
- Birth control can cause various side effects, but there is limited information on flushing as a specific side effect in the provided studies 2, 3, 4, 5, 6.
- However, hormonal contraceptives can affect the body in different ways, and some women may experience flushing or other symptoms due to hormonal changes.
Alternatives to Hormonal Contraceptives
- Non-hormonal methods, such as condoms, are available for women who experience adverse effects from hormonal contraceptives 2, 5.
- Fertility awareness-based methods (FABMs) are also a valid alternative for women who cannot or do not want to use hormone therapy, although they may have a high failure rate if not used appropriately 5.
- Intrauterine devices (IUDs) and subdermal implants are highly effective and have lower risks compared to hormonal contraceptives 2, 3.
Considerations for Contraceptive Selection
- Optimal contraceptive selection requires patient and clinician discussion of the patient's tolerance for risk of pregnancy, menstrual bleeding changes, other risks, and personal values and preferences 2.
- Women should be counseled about the potential for abnormal bleeding at initiation of the contraceptive method, and treatment options should be discussed 3.
- The choice of contraceptive method depends on various factors, including the woman's medical history, preferences, and lifestyle 4, 5, 6.