Clinical Edge

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Sexual Desire and Hormonal Contraception

Which methods reduce sex drive?

A lack of sexual desire was more often reported by women using depot medroxyprogesterone acetate, the contraceptive ring, and implant compared to copper IUD users. This according to a cross-sectional analysis of 1,938 of the 9,256 participants enrolled in the Contraceptive CHOICE Project. Researchers found:

• More than 1 in 5 participants (23.9%) reported lacking interest in sex at 6 months after initiating a new contraceptive method.

• 18.3% of copper IUD users reported lacking interest in sex. This outcome was more prevalent in young women (<18 years; aOR=2.04), black (aOR=1.78), and married or living with a partner (aOR=1.82).

• Compared with copper IUD users, participants using depot medroxyprogesterone (aOR=2.61), the vaginal ring (aOR=2.53), and the implant (aOR=1.60) more commonly reported lack of interest in sex.

• No association was found between use of the hormonal IUD, oral contraceptive pill, and patch and lack of interest in sex.

Citation: Boozalis A, Tutlam NT, Robbins CC, Peipert JF. Sexual desire and hormonal contraception. [Published online ahead of print February 4, 2016]. Obstet Gynecol. doi: 10.1097/AOG 0000000000001286.