Can birth control pills cause vaginal dryness?
Yes, birth control pills can cause vaginal dryness in some women due to their effect on oestrogen and other hormone levels. This is more common with pills that have lower oestrogen doses or contain certain progestins.
Detailed Medical Explanation
Some oral contraceptives suppress oestrogen more than others, leading to thinning and dryness of the vaginal tissues. Pills with higher androgenic progestins (e.g. levonorgestrel) or very low oestrogen content may be more likely to cause dryness. If you notice this side effect, speak with your doctor about alternative contraceptives or ways to manage symptoms. NHS: The Pill.
Clinical Context
We regularly review contraceptive side effects and can recommend pill changes or symptom management if dryness occurs. Never stop your pill suddenly; consult a healthcare provider first.
Evidence-Based Approaches
Guidelines recommend switching pill type or adding a vaginal moisturiser if dryness is troublesome. Persistent dryness should be assessed for other causes. RCOG: Contraceptive Side Effects.