From the Research
Most birth control pills are unlikely to cause significant weight gain, but if this is a concern, consider low-dose combination pills containing drospirenone, such as Yaz or Yasmin, as they have been shown to have a diuretic effect, potentially reducing fluid retention 1.
Key Considerations
- Weight gain on hormonal contraceptives is typically modest (less than 5 pounds) and often due to fluid retention rather than fat gain.
- Individual responses vary, and what works best depends on your overall health profile.
- If weight gain becomes problematic, discuss with your healthcare provider about switching formulations or considering non-hormonal alternatives like copper IUDs, which have no hormonal effects on weight.
Alternative Options
- Pills with norgestimate (like Ortho-Cyclen) or desogestrel (like Marvelon) have minimal androgenic effects and may be a good alternative.
- A new contraceptive pill containing 17β-estradiol and nomegestrol acetate has also been shown to have less influence on hemostasis, fibrinolysis markers, lipids, and carbohydrate metabolism compared to other combined oral contraceptives 2.
Important Notes
- The choice of progesterone is important, as it can affect the risk of weight gain and other side effects.
- Drospirenone has antiandrogenic and antimineralcorticoid activity, which may help reduce the risk of weight gain and other side effects 1.
- It's essential to discuss your individual needs and health profile with your healthcare provider to determine the best birth control option for you.