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Contraceptive Pill


Contraceptive Pill ("The Pill") and IBD: Implications for Ulcerative Colitis and Crohn's Disease

People with Crohn's disease in an active flare have a higher risk of blood clots. Taking certain contraceptive pills also increases the risk. Women with Crohn's disease should consult their doctor as to whether the pill is suitable for them, particularly if there are other risk factors present (such as smoking, and being aged over 35).

Also, disease location can affect the absorption of the pill, which can make it less effective. Chronic diarrhea can prevent the pill from being absorbed which makes it less effective. Antibiotics also decrease the effectiveness of the pill.

Benefits from using a contraceptive pill include but are not limited to: Decreased pain during your period, shorter periods, regulates your period etc.

Estrogen Contained in Birth Control (BC) or Hormone Replacement Therapy (HRT) Increases Risk of Inflammatory Bowel Diseases (IBD)

New research shows that certain hormones in the Contraceptive "Pill" or in Post-Menopausal Hormone Replacement Therapy (HRT) can increase rates of Inflammatory Bowel Disease (IBD). Dr. Hamed Khalili, from Massachusetts General Hospital (Boston, MA) reported his findings during Digestive Disease Week Meeting in San Diego, California May 2012.[1][2][3]
Increased Risk of Crohn's Disease in Women Taking Estrogen in Oral Contraceptives / Birth Control Pill
Dr. Khalili states there is almost a 3 fold increase in risk of Crohn's Disease (CD) in women that have taken the Birth Control Pill (Oral Contraceptive Pill) for more than 5 years. This study investigated 233,000 women from the Nurses Health Study between 1976 through 2008.[1][2][3]
Increased Risk of Ulcerative Colitis in Women Taking Estrogen in Hormone Replacement Therapy (HRT)
Dr. Khalili also states that women on Hormone Replacement Therapy for Menopausal symptoms have a 1.7 times increased risk of Ulcerative Colitis (UC). This study investigated 109,000 post - menopausal women from the Nurses Health Study between 1976 through 2008.[1][2][3]

What Crohn's Disease has to say about "the Pill", your Period and Menopause

See What Crohn's Disease has to say about "the Pill", your Period and Menopause For More Information on Female Hormones and IBD.


1. Doheny K. Birth Control Pills, HRT Tied to Digestive Ills: Researchers found apparent connections between estrogen treatments and Crohn's Disease, colitis. HealthDay. May 2012; Accessed May 2012.

2. DDW: Estrogens Tied to Risk of Inflammatory Bowel Diseases. HealthDay News. May 2012; Accessed May 2012.

3. Walsh N. Estrogen a Culprit in Inflammatory Bowel Disease: Positive relationship discovered between hormone replacement therapy, ulcerative colitis, and Crohn's disease. MedPage Today. Medical Review Jasmer R. MD. May 2012; Accessed May 2012.

Popular Threads Discussing Contraceptive Pill

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09-08-2010, 03:36 PM   #1
Senior Member
Join Date: Nov 2006
Also, depending on disease location, the absorption of the birth control pill can be affected rendering it ineffective. This is why some choose the ring or patch.
04-08-2011, 06:00 AM   #2
New Member
tricia's Avatar
Join Date: Feb 2011
i learned that one the hard way so be careful girls!
04-09-2011, 11:28 PM   #3
musicislife52's Avatar
Join Date: Apr 2011
Location: New Hampshire
I never would have thought about that... Thanks for the heads up!!
Crohn's Disease - Significant Narrowing in Ileum - 25 years old - Diagnosed '07
Lactose/Gluten Intolerance
Myofascial Pain Syndrome

Currently taking:
Whole foods multivitamin
Probiotics (including homemade sauerkraut and kombucha)
Digestive Enzymes
Sublingual B-12 spray
Tumeric Curcumin

Have taken:
Entocort - summer 2011/2013
Pentasta (up to 4g) - until 04/12/2011
04-11-2011, 04:41 AM   #4
StarGirrrrl's Avatar
Join Date: Sep 2010
I'm on it for periods not contraception, but will take on board the advice!

I take mine in the evening when I am least likely to have a D attack (mornings are the worst), so may be worth tinkering with the time you take it if you can to minimise the risks a little.
2006. Tummy issues (more IBD than IBS).
2009 joint pain/worsening tummy issues.
CRP 20-36 2006-now. C3/C4 inflammation markers huge,
2014 IDA & low B12.

June 2014 admitted to Hospital 3 nights as emergency transfused 2 units of blood. Dangerous case of anaemia.
Caught by pure chance!
Cause currently unknown but suspected CD.

Waiting on blood & stool results from January.

Hoping to stop anaemia treatment soon & lower B12 daily dose!
04-15-2011, 03:29 PM   #5
Lee's Avatar
Join Date: Feb 2011
An IUD should be okay as well.
Here's my blog:
03-25-2012, 02:14 PM   #6
Jennifer's Avatar
Join Date: Jan 2010
Location: California
I've seen more women on this forum and outside it posting horror stories about IUDs than any other form used yet there are many who have no issue with it. Whatever you choose, make sure your decision is an informed one and make sure your doctor and partner are aware of your condition and understand the risks with all forms of birth control. If you are using the pill as birth control be aware that if you are on antibiotics or have chronic diarrhea, it may be best to use a second method of birth control during that period of time.
Diagnosis: Crohn's in 1991 at age 9
Surgeries: 1 Small Bowel Resection in 1999; Central IV in 1991-92
Meds for CD: 6MP 75mg
Things I take: Tenormin 25mg (PVCs and Tachycardia), Junel (endometriosis), Tylenol 3 (Osteoarthritis), Zantac 150mg 2/day (acid reflux), Klonopin 1mg (Panic Disorder), Imitrex 25mg (migraines), Zofran 8mg (nausea)
Currently in: REMISSION Thought it was a flare but it's just scar tissue from my resection. Dealing with a stricture. Remission from my resection, 19 years and counting.
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