The Pill and Weight Gain
Do birth control pills make you gain weight?
Many women report weight gain when they use an oral
contraceptive. A woman can expect to gain 5 to 10 pounds when
she starts using the pill, but this side effect has been highly
dramatized in our overly weight conscious culture. Fear of weight
gain has been found to be one of the reasons for why some
women stop taking the pill, even though the pill offers many
benefits, (including lowered rates of ovarian and endometrial
cancer, as well as of benign breast disease and ovarian cysts),
carries few risks, (mostly smokers, and women with a history of
heart disease) and is a highly reliable form of contraception when
taken correctly.
Current forms of the pill have much lower doses of the hormones
that may cause weight gain, making older reports of this side
effect largely useless. If a woman fears any weight gain that may
accompany the pill, she should let her doctor know that this is of
importance to her and work with her/him to choose a pill that works
best.
A woman can control some of the weight gain related to water
retention by reducing her salt intake and making sure she drinks
enough water. It may also be the case that some women gain a
few extra pounds when they go on the pill because they expect that
weight gain, and thereby don't watch their weight as closely.
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