The pill and… sexual orientation?

by | May 13, 2020 | General Wellness, Relationships, The Pill | 3 comments

So, I have been contacted by a handful of readers now who have told me that going on or off the pill seems to have impacted their sexual preferences. And it’s not just in a “my pill seems to have impacted the qualities I desire in my male partners” kind of way. It’s in a “I identified as a lesbian for a decade while I was on the pill, but now that I am off it, I am no longer attracted to women, but attracted to men.” And I have also heard the opposite. In these cases, the emails read something along the lines of “I identified as a lesbian until I went on the pill, but after going on it, I developed attraction to men”.

My mind is blown. Yet, it probably shouldn’t be. [Yet, it still f***ing is!].

I say that my mind shouldn’t be blown because…well, it shouldn’t be. Decades of research has found that women’s sex hormones impact their attraction to specific members of one sex. Why shouldn’t it also impact their attraction between the sexes? Which seems really wild, but maybe it isn’t. And if we are to take seriously the idea that gender isn’t as binary as biological sex, it really isn’t wild at all. It just goes to demonstrate that sex hormones are intimately involved in attraction and – for some women – the hormonal changes initiated by the birth control pill can nudge their preferences in ways that are more noticeable than they are for others.

The other thing that this got me thinking about was the phenomenon of mid-life sexual orientation changes. This is the thing where women who were previously only involved in relationships with men (or women), once they are in their 40s or thereabouts, start getting involved in relationships with women (or men). In other words, the gender of their preferred partners changes. I think that there is a tendency to assume that this sort of thing happens mostly in response to cultural pressures. For example, if we know a woman who was previously only involved with men who started dating women later in life, there is a tendency to assume that she was probably interested in dating women all along, but didn’t feel safe coming out as a lesbian until she was older. And there is good reason to believe that, for a lot of women, this is exactly what goes on. People who fall outside the cisgendered, heterosexual mold are still routinely discriminated against and, for many, coming out can be scary and even dangerous. But given that the hormonal changes initiated by the pill may have the ability to nudge some women’s sexual preferences this way and that, it also seems possible that mid-life changes in women’s partner choices might also occur because of mid-life changes in sexual preferences. That is, it seems pretty plausible that the mid-life hormonal changes that women experience as fertility begins to decline could nudge women’s partner preferences in ways that – for some women – produce changes in the sex of their preferred partners.

All of this is utterly fascinating to me. It raises so many interesting questions about women’s sexual psychology, attraction, and even the whole notion of the self. A person’s self – which is our perceptions about who we are – is believed to be relatively stable. But given that hormonal changes may change our self in important ways, this view of the self could actually be a totally gendered assumption that applies less to women than it does to men. That is, the idea that each of us is a relatively fixed person (and that to be otherwise is pathological or deviant in some way) may be an assumption that was created based only on the experiences of men, whose hormones change less across the lifespan. For women, it may be the norm for the self to constantly evolve. We may have many different selves instead of just one self.

I would love to hear your own thoughts on any of this. Do you know anyone who has experienced changes in sexual preferences on the pill? Has your notion of self changed in response to hormonal changes? Are our views about the self male-centric?

Xoxo. Stay healthy and be well.


  1. I am currently reading your book on How The Pill Changes Everything. It absolutely blows my mind how many things birth control effects!! Two weeks ago, I came off my birth control pill (after 8 years!) and so this book is enlightening me on what changes might be coming, to my sense of self.
    I do have an inquiry regarding this post, however. I was told by my doctor that after 5ish years on the pill, I might see changes in how it effects me. This isn’t because of the pill, but because the body reacts differently to the pill over time. Kind of like building up a tolerance so it’s effects might be altered because the tolerance is, higher?
    I noticed quite a few changes after the 5/6 year mark of being on birth control. Although this can be chalked up to an abundance of other things like, especially because I’m only in my mid 20s (and my brain wasn’t fully developed). But the biggest observation I had after 6 years on the pill…. Is that I started having feelings for a female (while I’ve identified as being straight my entire life… or so I thought). Can this be because of the waning effects from birth control, or something else?
    It seems, now that I’m off the pill, I have a lot to learn and process about who I am, and what I like, in almost everything in my life.. But your book has definitely opened my eyes to accept that changes might be coming. It’s hard to compare who I was before the pill to during, as going on the pill at 18 has clouded my notion of who I “am” as I matured and developed mentally into an adult.
    Nevertheless, your research is absolutely fundamental and key for the future of women. Thank you for the continuing unhindered insight!!

  2. I am currently waiting for your book to arrive. I have been searching for biological answers recently and I am fascinated by what I have heard about your book so far and your research. I have been in a relationship for 17 years and I am in my mid thirties. Since having my third child I have struggled with depression/anxiety/stress which I think is made worse by my hormones. I currently find PMS very challenging ( I never remember experiencing PMS before as I spent 8 or 9 years on the pill then had pregnancy and lactation until now- my husband had a vasectomy which I did not really want). So I am artificial hormone free but I am struggling and so considering taking hormonal contraception to balance out my head. I have low attraction to my husband and wonder if I am someone who has experienced this change in attraction.
    I also have just read your post and feel like I have changed significantly since having my children and I frequently say that I feel like a completely different person and that I do not recognise who I use to be. Fascinating subject. I do hope you keep up this very important research. I don’t believe we give enough credit or importance to our hormonal changes.

    • My Sincerest apologies for just now responding to this. Believe it or not, I am just now seeing this… I am still figuring out word press…. Oh, technology.

      Anyway, i am sorry to hear about your struggles. These sorts of mid-30s changes are so common and almost never talked about. It’s criminal. PMS and PMDD can be effectively treated by the pill. There is a lot of research that supports the idea that the pill is often therapeutic for women with pre-menstrual dysphoria. If you want to go hormone-free, you may consider naturopathic treatments for boosting GABAergic activity in your brain (this is the current beloved mechanism behind PMS). I have some ideas about how to do this in my blog post “All hail progesterone”. Best of luck to you! Be well <3


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