Oestrogen Expert: Birth Control Changes Who You Are...Would You Still Love Them If You Came Off It?! Oestrogen Makes You More Attractive!

Nov 25, 2024
Overview

Dr. Sarah Hill, a research psychologist, discusses the profound and often overlooked effects of the contraceptive pill on women's emotional states, sexual desire, attraction, and physical health. She highlights the pill's societal impact and explores evolutionary psychology, offering insights for both men and women on relationships and personal well-being.

At a Glance
11 Insights
1h 55m Duration
18 Topics
7 Concepts

Deep Dive Analysis

Dr. Sarah Hill's Mission and Focus on Women's Health

Mating Crisis: Women's Resource Preference and Dating Challenges

Decline in Sexual Activity and its Societal Causes

Evolutionary Roots of Gender Differences in Mating Psychology

Risk-Taking and Entrepreneurship: Men vs. Women

Monogamy, Parental Investment, and Mate Value

How Women's Partner Preferences Change Across the Menstrual Cycle

Testosterone's Role in Male Attractiveness and Fatherhood

The Idiosyncratic and Universal Aspects of Attraction

Intersexual Competition and the Role of Gay Male Friends

Dr. Hill's Personal Journey and Motivation for Writing About the Pill

Unacknowledged Effects of Hormonal Birth Control on Women

How the Pill Changes Sexual Desire and Partner Attraction

Impact of Coming Off the Pill on Relationship Attraction

Potential Link Between Partner's Pill Use and Male Testosterone

Mental Health Risks of Hormonal Birth Control, especially for Teens

Navigating Birth Control Choices for Teenagers: Options and Tradeoffs

Hypothetical Male Birth Control and Societal Implications

Hypergamous

This term describes women's tendency to prefer partners who are 'up' in terms of achievement, educational attainment, and resources. This preference can lead to challenges for highly educated women in finding suitable partners.

Bateman Principle

This evolutionary biology principle states that men's reproductive fitness can increase with each additional partner they have access to. In contrast, for women, reproductive fitness tends to plateau after one partner due to biological limitations.

Reproductive Value

This concept refers to the number of potential children an individual can have in the future. For men, increasing status and resources can historically translate into more mating opportunities and thus higher reproductive value.

Immunosuppressive (Testosterone)

Testosterone is known to suppress the immune system. Therefore, men with naturally high testosterone levels signal that their bodies are in such good physical condition and their immune systems are robust enough to handle this suppression, indicating high genetic quality.

Sex Hormone Binding Globulin (SHBG)

This is a protein released by the liver that binds to free testosterone in the body, rendering it inactive. Women on hormonal birth control often experience increased SHBG, leading to significantly lower levels of active testosterone.

Cortisol Response to Stress

Cortisol is a stress hormone crucial for managing and coping with stress. Women on hormonal birth control often exhibit a blunted or absent cortisol response to stress, which can lead to dysregulated emotional responses and increased risk of anxiety and depression.

Daddy Issues

This term refers to the phenomenon where women whose fathers are not invested or are absent during childhood tend to experience earlier and more unrestricted sexual development and behavior compared to women raised with investing fathers.

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Is this conversation only for women?

No, this conversation is for women, their partners, and anyone who loves women, as understanding women's health and evolutionary psychology provides valuable insights for everyone.

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Is there a problem in dating when women have more resources?

Yes, as women become increasingly educated and gain more resources, their preference for partners with equal or more resources creates a narrower pool of suitable mates, leading many women to choose to stay single.

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Why don't women date broke men?

Women have an inherited mating psychology from their ancestors who were heavily dependent on men for provisioning, resource access, and protection, which continues to influence their preference for partners with resources.

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Do nice guys get laid?

Yes, nice guys can form relationships and get laid, especially if they are willing to invest in a woman for a long-term relationship, though they might have fewer casual sexual partners than men with higher testosterone.

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What makes us attracted to someone?

Attraction is both idiosyncratic and person-specific, but also involves shared dimensions. Men generally prioritize physical attractiveness linked to fertility, while women prioritize cues related to wisdom, status, and resource acquisition, which often come with age.

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Are men less attracted to successful women?

Research suggests men do not prioritize a woman's success as much as women prioritize a man's, and they find successful women equally physically attractive. However, men may be less likely to choose them as long-term mates due to potential power dynamics.

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Why do women have gay best friends?

Women often form friendships with gay men because they can provide unbiased mating market information, free from intersexual competition or the fear of sexual advances, fostering a unique sense of trust.

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What does Dr. Sarah Hill wish she was told about the pill?

She wishes she was told that changing hormones fundamentally changes who you are, impacting sexual desire, attraction, emotional states, stress management, and even the ability to build muscle mass.

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If my partner is on the pill, will she like me if she comes off?

It's a real possibility that attraction can change; women partnered with attractive men may become more attracted, while those with less attractive partners may become less attracted, though these are often subtle nudges rather than drastic shifts.

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Would a man's attraction change if a woman is off the pill?

Yes, men's brains are wired to pick up on estrogen cues, so a man's attraction to his partner is likely to increase, especially during her high fertility window, if she stops using hormonal birth control.

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Will my testosterone be lower if my partner is on birth control?

There is no definitive research answer yet, but it's a fascinating question because men's testosterone levels are known to increase in response to the scent of fertile women, suggesting a potential link with the overall decline in male testosterone.

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What is a good man in the modern world?

A good man in the modern world has room for masculinity, understands the importance of consent, is willing to invest in a woman, and channels his efforts towards caring for his children and partner.

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What impact does the birth control pill have on stress?

Women on hormonal birth control exhibit a blunted or absent cortisol response to stress, which is usually an adaptive mechanism for coping. This blunted response can lead to dysregulated emotional responses, increasing the risk of anxiety and depression.

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How did Dr. Hill feel about her daughter's decision on birth control?

She prioritizes preventing pregnancy and would prefer non-hormonal options like the copper IUD for her sexually active daughter to avoid synthetic hormones impacting brain development, though she acknowledges hormonal birth control is better than teenage pregnancy.

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What if men had to take the pill?

Dr. Hill believes most men would not take a hormonal birth control pill that alters their hormones, largely because women disproportionately bear the costs and risks associated with pregnancy.

1. Evaluate Pill’s Attraction Shift

If a woman is partnered and on hormonal birth control, be aware that discontinuing it may significantly alter her attraction to her partner, potentially increasing it for attractive partners or decreasing it for less attractive ones.

2. Prioritize Non-Hormonal Contraception

Consider non-hormonal birth control methods, such as the copper IUD, to prevent pregnancy without introducing synthetic hormones that can impact brain development, mood, and attraction, especially for teenagers.

3. Understand Pill’s Mental Health Risks

Recognize that hormonal birth control can increase the risk of anxiety and depression, and may blunt the body’s natural cortisol response to stress, affecting emotional regulation.

4. Pill’s Impact on Libido & Muscle

Be aware that hormonal birth control can suppress natural estrogen surges and free testosterone, potentially leading to decreased libido, impaired sexual function, and reduced ability to build muscle mass.

5. Men: Emphasize Commitment & Investment

To enhance attractiveness as a long-term partner, men should highlight their willingness to commit, invest resources, and express interest in having children, as these qualities are highly valued by women.

6. Men: Build Muscle for Confidence

Engage in strength training to build muscle mass, which can naturally increase testosterone levels and foster confidence, thereby reducing anxiety and improving overall well-being.

7. Women: Cycle-Dependent Partner Preferences

Understand that women’s preferences for masculine traits and genetic quality in partners can fluctuate throughout the menstrual cycle, peaking when estrogen levels are high around ovulation.

8. Men: Embrace Caregiving Roles

Recognize that men’s testosterone levels naturally decrease in long-term relationships and with active childcare, which is an adaptive shift that channels effort towards investing in family.

9. Women: Leverage Gay Male Friendships

Utilize friendships with gay men for objective advice on appearance and mating dynamics, as these relationships are free from intersexual competition and sexual agendas.

10. Adults: Libido Recovery Post-Pill

If experiencing reduced sexual desire as an adult on hormonal birth control, be aware that discontinuing the pill can lead to the recovery of natural libido and sexual attraction.

11. Men: Strive for Resources & Status

Focus on education and career advancement to gain resources and status, as these factors significantly enhance a man’s success in the mating market.

Your hormones make you who you are. And when you change your hormones, you change who you are.

Dr. Sarah Hill

Without women, all the power and money in the world would be completely meaningless.

Aristotle Onassis

Estrogen loves testosterone.

Dr. Sarah Hill

The pill changes everything, right? By changing women, we change the world.

Dr. Sarah Hill

Teenage pregnancy is one of the biggest predictors of a woman ending up in poverty.

Dr. Sarah Hill

The best birth control is birth control that you don't have to think about.

Dr. Sarah Hill

I want to make the world a place where women understand themselves and that women are understood as themselves and not as being some sort of a malfunctioning male.

Dr. Sarah Hill

Advice for Young Men Struggling to Attract Women

Dr. Sarah Hill
  1. Go to the gym to naturally increase testosterone levels and build muscle, which can reduce anxiety and increase confidence.
  2. Be a 'nice guy' by demonstrating a willingness to invest in a woman and commit to a long-term relationship.
  3. Study and work hard to gain access to resources and status, as these qualities tend to be attractive to women.

Birth Control Choice for Sexually Active Teenagers

Dr. Sarah Hill
  1. Consider a copper IUD (intrauterine device) as a primary option, as it prevents pregnancy without introducing synthetic hormones or impacting brain development.
  2. Avoid hormonal birth control if possible, especially during the teenage years when the brain is still developing.
  3. If non-hormonal options are not tolerated or feasible, hormonal birth control is preferable to the risks associated with teenage pregnancy.
60%
Female ratio on many college campuses Women outnumber men, contributing to mating challenges.
Day 9
Start of estrogen surge in menstrual cycle Estrogen levels begin rising sharply around this day.
Day 14
Estrogen peak and ovulation Estrogen peaks and ovulation typically occurs around this day of the menstrual cycle.
Day 9 to Day 15
Typical fertile window in menstrual cycle This period is when pregnancy is most possible from sex.
Almost 80%
Men agreeing to have sex with an attractive stranger (campus study) Percentage of men who agreed in a classic social psychology study.
0%
Women agreeing to have sex with an attractive stranger (campus study) Percentage of women who agreed in a classic social psychology study.
60% lower
Reduction in free testosterone levels for women on hormonal birth control Compared to naturally cycling peers, due to increased sex hormone binding globulin.
50% more likely
Increased likelihood of depression diagnosis for women on the pill Within six months of starting the pill, compared to naturally cycling women (Denmark study).
2 times as likely
Increased likelihood of suicide attempt for women on the pill Compared to naturally cycling women (research cited).
5 years
Duration a copper IUD can remain in place Without needing replacement, offering long-term non-hormonal contraception.