3 natural ways to reduce side effects on the contraceptive pill


3 ways to stay healthy on the contraceptive pill_London hormone expert_You Need A Nutritionist

Photograph taken by Simone Van Der Koelen.

A couple of months ago I wrote a 101 guide to choosing hormone-free contraceptives. Why? Well it’s the number one request in my clinic. Without a doubt there’s an anti-pill "buzz" going around social media and it’s got many of you worried. Finally, we’re paying attention to the fact that our sex hormones impact the health and wellbeing of our entire body – not just reproduction. And so, blocking important biochemical processes like ovulation long term, might just have negative effects elsewhere in our body.

It’s a message I’ve been committed to getting out there for the best part of three years now; I’ve given talks in large businesses like Net-a-Porter, I’ve hosted workshops up and down the country and I’ve given countless interviews in national papers and magazines on the subject. It’s not surprising then, that I’m over the moon this message has gained momentum. And some of the feedback I’ve received shows me we’ve truly helped change women’s lives for the better (cue my happy dance).

Happy dance for the success in gaining awareness that our sex hormones are more than reproductive hormones

But what if the contraceptive pill (or any other hormonal method) is the only choice you’ve got? For some women, the hormone-free alternatives just aren’t an option. I hear you, and let me reassure you, your options aren’t as narrow as you might think.

The truth is, there are many women that use the contraceptive pill and go on to lead very happy and fruitful lives. It’s important we keep that in context. Not everyone experiences the depression, gastrointestinal problems, hair loss, missing periods, low energy and all the other deleterious side effects we’re concerned about. Don’t get me wrong these risk factors are very real. But if you feel that your options are limited there are a number of dietary and lifestyle measures you can take to help lower them. Here are my top 3 recommendations:

1. Eat a wholefood diet rich in key nutrients

Wholesome diet for hormone balance_London Nutritionist Kay Ali

Photograph taken by Edgar Castrejon.

The World Health Organization recognises the clinical relevance of nutrient deficiencies driven by long term use of the contraceptive pill. At the top of the list? The research shows that vitamin E, B9, B12, B6, B2 and C; as well as selenium, zinc and magnesium are depleted with long term use. We use these nutrients across various systems in our body, not just reproduction. From our immune system to our cardiovascular system to our central nervous system, there isn’t any corner in the body that these nutrients aren’t needed. That’s why it’s important to ensure you’re eating sufficient amounts of them. You get them from:

  • B vitamins: free-range eggs, dark green leafy vegetables like kale, spinach, rocket and swiss chard, organic grass-feed meat (organs like liver and kidneys are particularly high) and seafood

  • Vitamin E: a variety of nuts and seeds – sunflower seeds are the highest ( be sure to go raw and organic as they’re much more dense), avocados, spinach and swiss chard

  • Vitamin C: All varieties of bell peppers raw, berries, kiwi, citrus fruits and raw leafy greens

  • Zinc: oysters, other seafood (I recommend sardines with the bones as it’s more concentrated) nuts and seeds, beans (if tolerated)

  • Selenium: Brazil nuts, fish, beef, turkey, chicken

  • Magnesium: spinach, kale and other leafy greens, beans (especially black eyed beans), nuts and seeds (especially almonds), salmon and mackerel

It’s worth considering a really good multivitamin to help establish a baseline of nutrients while you’re on the pill. But it’s important you don’t rely on just this. Nutrition is best absorbed from your diet!

Kay Ali Hormonal Harmony Checklist

2. Give your gut some extra TLC

It’s well established that the contraceptive pill disturbs the balance of bacteria in your gut. There’s research that suggests it can drive gastrointestinal inflammation and intestinal hyperpermeability (a.k.a leaky gut resulting in food intolerances) too. And as you’re probably aware, your gut bugs affect a lot. From impacting your weight, immunity, heart, brain and hormones, they’re more influential than Kanye West on a Twitter rant.

Kayne West

My gut go-to’s are vitamin A (found in red and orange fruits and veggies), zinc, Omega 3 EPA from oily fish and vitamin D. A diet high in fibre, more specifically, prebiotics are a must. But if you suffer from chronic bloating, you’ll need to ease into these gently. Leeks, Jerusalem artichokes, garlic, tomatoes and onions are some of your best sources. The fibre helps to nourish and grow your good bacteria. And then of course, there’s the fermented foods rich in bacteria to help your gut bugs thrive even more. I love sauerkraut, sashimi, kimchi and if you don’t have problems with dairy, kefir too.

I often find that probiotics can be helpful as well. However, it’s worth working with a practitioner here as there are so many strains that act very differently from one another. Unless you opt for a general formula that’s well tolerated by most, the strains you go for depend entirely on the landscape of your gut bugs which is unique to you. A practitioner can test your microbiome and make the most effective recommendations.

3. Back up your liver

Herbal support for liver cleanse to help balance hormones_Hormone specialist Kay Ali