Showing posts with label birth control gist. Show all posts
Showing posts with label birth control gist. Show all posts

Thursday, August 16, 2012

Birth Control Pills Affect Memory

"What's most exciting about this study is that it shows the use of hormonal contraception alters memory," UCI graduate researcher Shawn Nielsen said. "There are only a handful of studies examining the cognitive effects of the pill, and more than 100 million women use it worldwide." She stressed that the medications did not damage memory.

 "It's a change in the type of information they remember, not a deficit." The change makes sense, said Nielsen, who works with neurobiologist Larry Cahill, because contraceptives suppress s*x hormones such as estrogen and progesterone to prevent pregnancy. Those hormones were previously linked to women's strong "left brain" memory by Cahill's research group.

 "This new finding may be surprising to some, but it's a natural outgrowth of the research we've been doing on s*x differences for 10 years," Cahill said. A neurobiologist not involved in the latest work agreed it was a logical and intriguing next step in the examination of memory differences between the sexes. Like any research, she added, it would be important to validate it further. 

"Larry Cahill is already well known for his phenomenal research linking s*x to memory," said Pauline Maki, professor of psychiatry and psychology at the University of Illinois at Chicago, who specializes in memory and brain functioning. "The fact that women on oral contraceptives remembered different elements of a story tells us that estrogen has an influence on how women remember emotional events."

 In the study, groups of women either on the contraceptive or experiencing natural hormonal cycles were shown photographs of a mother, her son, and a car accident. The audio narrative differed; some in each group were told the car had hit a curb, while others were told the car had hit the boy and critically injured him. One week later, all were given surprise tests about what they recalled.

 Women using hormonal contraceptives for as little as one month remembered more clearly the main steps in the traumatic event -- that there had been an accident, that the boy had been rushed to the hospital, that doctors worked to save his life and successfully reattached both his feet, for instance. Women not using them remembered more details, such as a fire hydrant next to the car. 

Nielsen and fellow researcher Nicole Ertman agreed the findings could help lead to fuller answers about why women experience post traumatic stress syndrome more frequently than men, and how men remember differently than women. Men typically rely more on right-hemisphere brain activity to encode memory. 

They retain the gist of things better than details. Women on the pill, who have lower levels of hormones associated with female reproduction, may remember emotional events similarly to men. Nielsen plans to do her doctoral thesis on whether hormones affect the retention of details.

Wednesday, March 14, 2012

Crazy birth control side effects.




Hormone-based birth control often comes with side effects that can range from slightly annoying to bad enough to make you switch.



You may not know what you can tolerate until you've given a couple of them a try. But here are some solutions for the most common problems.



Headache, dizziness, br*ast tenderness
Be patient.



"These side effects seem to go away after you've been taking the Pill for a while," says Hilda Hutcherson, MD, an ob-gyn professor at Columbia University, in New York. If they don't, switching brands may help.



Nausea
This reaction will probably go away in a couple of months. If it doesn't and you're using oral contraceptives, try taking them with food. If you're using the ring or the patch, you might need to switch methods.



Breakthrough bleeding



"I think this is the side effect that drives women crazier than any other side effect," says Dr. Hutcherson, because it's so unpredictable. Taking the Pill at precisely the same time every day may help. The bleeding occurs specially with shots, the mini-Pill, and the implant—the progestin-only methods—as the lining of the uterus is so thin that it sometimes sloughs off a little bit. (On the upside, this also makes your periods lighter and sometimes causes them to disappear entirely.)



Talk to your doctor if you're concerned about spotting. "You can sometimes add an anti-inflammatory such as ibuprofen, or occasionally you can add a little estrogen," says Anne Foster-Rosales, MD, chief medical officer for Planned Parenthood Golden Gate.



Decreased libido
Try a different formulation if you experience this side effect. "For some women, if you change the Pill to one that's more androgenic (testosterone-like), the libido comes back," says Dr. Hutcherson. If this too doesn't work, find another method altogether.



Mood swings



If it's really the birth control and not some other factor that's bringing you down, you may need to find a nonhormonal method.



"In my experience, if a woman has depression with one pill, switching (formulations) usually doesn't help," says Dr. Hutcherson.



All hormonal methods are likely to cause the same problem. For some patients who really want to stay on the Pill, Dr. Hutcherson sometimes prescribes an antidepressant as well, with good success.

 
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