AI Article Synopsis
- The review examines the relationship between mental health conditions and reproductive health in individuals of reproductive age, highlighting the impact of hormonal contraceptives on psychiatric outcomes.
- There is variability in contraceptive behaviors among those with mental health issues, influencing reproductive and perinatal outcomes, but hormonal contraceptives are generally safe for these individuals.
- Healthcare providers are encouraged to address misconceptions about hormonal contraceptives and improve their counseling skills to enhance health outcomes for patients with mental health concerns.
Article Abstract
Purpose Of Review: This review presents the epidemiology of mental health conditions among reproductive aged people, common adverse reproductive outcomes, the hormonal profile of contraception and its relationship with psychiatric outcomes, and updated information for clinicians providing contraceptive counselling for this population.
Recent Findings: There is variability among contraceptive behaviours and patterns across those who have mental health conditions, impacting reproductive, psychiatric, and perinatal outcomes. The endocrinology of hormonal contraceptives is well understood, however, the impacts of steroidal hormones on mental health outcomes continue to be less understood. Overall, hormonal contraceptives are safe to use among those with mental health conditions, and among those using selective serotonin reuptake inhibitors and serotonin norepinephrine reuptake inhibitors. Additional considerations are needed when prescribing contraception among people who may be at risk of poor adherence, who use certain classes of antidepressants, antipsychotics, antiepileptics, and who are <6 weeks postpartum.
Summary: Barriers to effective contraceptive use should be addressed and myths on negative psychiatric impacts of hormonal contraceptives should be dispelled. Healthcare clinicians should seek out opportunities to become proficient in contraception counselling to improve health outcomes among people with mental health conditions.
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| http://dx.doi.org/10.1097/GCO.0000000000000936 | DOI Listing |
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