Endocronologist (Pediatric) Questions Birth Control

My daughter's on estarylla. Can this affect her mood?

My daughter is on birth control, and her OBGYN has her on estarylla. I've noticed that she's been having these strange mood swings. One minute-she's fine, the next- she's not. Can the hormones have this effect on her?

3 Answers

The answer is yes since each person can have individual response and/or side effects. You should have your daughter speak to her prescribing physician and review these symptoms as well as ask if there are other alternatives (usually possible) that may be considered with different hormone doses that would work better for her. Best of luck. Stuart Brink, MD Senior Endocrinologist, New England Diabetes & Endocrinology Center (NEDEC) c/o NEDEC, 196 Pleasant Street, Newton Centre MA 02459-1815, USA phone 1-781-572-4533, e-mail: stuartbrink@gmail.com
Estarylla is a birth control which is a combination of progesterone and estrogen. Generally, birth controls have multiple side effects including nausea, vomiting, change in appetite, constipation, weight gain, etc. If your daughter have mood swings it could be the side effect of the medication. If she is still having the mood swings and she really needs the birth control pills for what ever reason it was prescribed, then it needs to be changed to a different one. There are multiple birth control pills. Each medication is not for every body. Every one responds differently. Also, consider a birth control patch.
Talk to your GYN doctor and discuss it with him/her for a different brand.
Good luck
The following are the adverse effects documented of oral contraceptives:

*Increased risk or evidence of association with use:*

Cardiovascular: Arterial thromboembolism, cerebral thrombosis, hypertension, local thrombophlebitis, mesenteric thrombosis, myocardial infarction, pulmonary embolism, retinal thrombosis, venous thrombosis (with or without embolism)

Central nervous system: Cerebral hemorrhage

Gastrointestinal: Gallbladder disease

Hepatic: Hepatic adenoma, hepatic neoplasm (benign)

*Adverse reactions considered drug related:*

Cardiovascular: Edema, worsening of varicose veins

Central nervous system: Depression, exacerbation of tics, migraine, *mood changes*

Dermatologic: Allergic skin rash, chloasma (may persist)

Endocrine & metabolic: Amenorrhea, breast changes (breast hypertrophy, breast secretion, breast tenderness, mastalgia), decreased serum folate level, exacerbation of porphyria, fluid retention, menstrual disease (menstrual flow changes), weight changes

Gastrointestinal: Abdominal cramps, abdominal pain, bloating, breakthrough bleeding, change in appetite, nausea, vomiting

Genitourinary: Cervical ectropion, change in cervical secretions, decreased lactation (with use immediately postpartum), infertility (temporary after discontinuation of treatment), spotting, vaginitis, vulvovaginal candidiasis

Hepatic: Cholestatic jaundice

Hypersensitivity: Anaphylaxis/Anaphylactoid reaction (including angioedema, circulatory shock, respiratory collapse, urticaria)

Neuromuscular & skeletal: Exacerbation of systemic lupus erythematosus

Ophthalmic: Contact lens intolerance, change in corneal curvature (steepening)