Women Health Expert: Birth Control Changes Who You Are & How You Feel About Your Partner!

Women Health Expert: Birth Control Changes Who You Are & How You Feel About Your Partner!

The Diary of a CEONov 25, 20241h 52m

Steven Bartlett (host), Dr Sarah Hill (guest)

Psychological and physiological effects of hormonal birth control on womenEvolutionary psychology of attraction, hypergamy, and mate preferencesTestosterone, risk-taking, status, and male versus female mating strategiesHow the pill alters sexual desire, partner choice, and long‑term relationshipsSex ratios, education trends, and the emerging “mating crisis”Mental health, stress, and developmental risks of adolescent pill useNon-hormonal contraceptive alternatives and the need for new solutions

In this episode of The Diary of a CEO, featuring Steven Bartlett and Dr Sarah Hill, Women Health Expert: Birth Control Changes Who You Are & How You Feel About Your Partner! explores how Birth Control Quietly Rewires Women, Relationships, Sex, And Society Dr. Sarah Hill, an evolutionary psychologist, explains how hormonal birth control fundamentally alters women’s brains, emotions, attraction patterns, stress responses, and even partner choice, far beyond just preventing pregnancy.

How Birth Control Quietly Rewires Women, Relationships, Sex, And Society

Dr. Sarah Hill, an evolutionary psychologist, explains how hormonal birth control fundamentally alters women’s brains, emotions, attraction patterns, stress responses, and even partner choice, far beyond just preventing pregnancy.

She argues that while the pill is the single biggest enabler of women’s economic and political independence, its psychological and physiological costs are under-communicated and often dismissed by doctors.

The discussion ranges from hypergamy, sex declines, and mating “crises” to testosterone, risk-taking, entrepreneurship, polygyny, and how male and female mating psychologies evolved under very different reproductive pressures.

Hill calls for truly informed consent, better contraceptive options (including non-hormonal ones), and a broader cultural understanding of hormones so both men and women can relate to each other with more empathy and realism.

Key Takeaways

Hormonal birth control changes who a woman is by altering her brain’s hormonal environment.

The pill suppresses ovulation by shutting down the brain–ovary communication and replacing a woman’s natural cyclic hormones with a flat, synthetic progestin (and sometimes low-dose estrogen). ...

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The pill can blunt sexual desire and shift what kind of men women find attractive.

By flattening estrogen’s mid-cycle surge and sharply reducing free testosterone (via increased sex hormone binding globulin), many women experience lower libido and less variation in desire. ...

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Hormonal contraceptives are linked to elevated risks of depression, anxiety, and suicidality—especially in teens.

Hill cites large Danish data showing women on the pill were ~50% more likely to be diagnosed with depression within six months, and about twice as likely to have attempted suicide as naturally cycling women. ...

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Sex hormones shape stress responses; pill users show a PTSD-like blunting of cortisol reactivity.

Naturally, short, sharp spikes of cortisol to acute stress are adaptive; they help regulate emotion, immunity, and recovery. ...

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Female hypergamy and rising female education are fueling a mating bottleneck and more single, childless women.

Women across cultures tend to prefer and marry men who are older, higher status, and better resourced—“mating up” in education and income. ...

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Men’s and women’s mating psychologies differ because potential reproductive payoffs are asymmetric.

Men’s reproductive success historically could scale with additional partners (Bateman principle), so male psychology evolved more risk-taking, status-seeking, and resource accumulation—behaviors that can increase mating opportunities (e. ...

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There are meaningful non-hormonal contraceptive options, but they’re underused and under-discussed.

Hill singles out the copper IUD (non-hormonal coil) as a strong option, especially for teens: it provides highly effective, long-lasting pregnancy prevention without shutting down natural hormone production. ...

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Notable Quotes

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

Dr. Sarah Hill

The birth control pill is going to change you. It changes the version of yourself that your brain creates.

Dr. Sarah Hill

By changing women, we change the world.

Dr. Sarah Hill

Women who were partnered with less attractive partners became less attracted to their partners and reported being less sexually satisfied.

Dr. Sarah Hill

We are very cavalier in just giving it to people… but it has huge costs.

Dr. Sarah Hill

Questions Answered in This Episode

If a woman met her partner while on the pill and is considering coming off it, what practical steps or conversations do you recommend they have together to navigate any potential shifts in attraction or libido?

Dr. ...

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Given the Danish data on depression and suicide risk, what screening protocols or follow-up schedules should doctors be using when they start teenage girls on hormonal birth control?

She argues that while the pill is the single biggest enabler of women’s economic and political independence, its psychological and physiological costs are under-communicated and often dismissed by doctors.

Get the full analysis with uListen AI

You describe female hypergamy as evolutionarily rooted, but do you see cultural or policy interventions that could realistically soften its impact and reduce the current “mating crisis” for educated women and low‑status men?

The discussion ranges from hypergamy, sex declines, and mating “crises” to testosterone, risk-taking, entrepreneurship, polygyny, and how male and female mating psychologies evolved under very different reproductive pressures.

Get the full analysis with uListen AI

How would you design an ideal, next-generation contraceptive method that avoids hormone suppression entirely—for either sex—and what biological mechanisms look most promising today?

Hill calls for truly informed consent, better contraceptive options (including non-hormonal ones), and a broader cultural understanding of hormones so both men and women can relate to each other with more empathy and realism.

Get the full analysis with uListen AI

In light of your findings on blunted cortisol responses in pill users, should women in high-stress, high-responsibility roles (e.g., surgeons, founders, military) be especially cautious about hormonal contraception, and how might they weigh those trade-offs differently?

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Transcript Preview

Steven Bartlett

Are you saying that you'd recommend that a woman looking for a partner gets off the birth control pill until they find one?

Dr Sarah Hill

Yeah. I mean, researchers found when women who were partnered to attractive men went off hormonal birth control, they were more attracted to their partner. But for women who were partnered with less attractive partners, they became less attracted to their partners and reported being less sexually satisfied.

Steven Bartlett

It's quite frightening.

Dr Sarah Hill

Dr. Sarah Hill is a leading research psychologist and professor.

Steven Bartlett

Uncovering the shocking effects the contraceptive pill has had on women, relationships, and society... ... and what we can do about it.

Dr Sarah Hill

There's been nothing more instrumental to women's ability to be able to achieve independence than the birth control pill, and so we're very cavalier in just giving it to people. "Oh, well, you should go on it for this, and you should go on it for that." But it has huge costs, and when I started to dig into the research, I found there's at least five different things the birth control pill does to change who we are. And these risk factors, they're swept under the rug by their doctors who are prescribing it. First, it changes our emotional states with increased risk for developing anxiety and depression. And then it influences our ability to put on muscle mass, and it can also affect our sexual function because it turns off that estrogen surge that makes us feel sexier and makes us wanna have sex. And there's more, but we also know that it affects men in two different ways, and this has implications for society around us, and I'll tell you why. So-

Steven Bartlett

So what are the alternatives for women?

Dr Sarah Hill

Let's dive down into that. First...

Steven Bartlett

This has always blown my mind a little bit, 53% of you that listen to this show regularly haven't yet subscribed to the show. So could I ask you for a favor before we start? If you like this show, and you like what we do here, and you wanna support us, the free simple way that you can do just that is by hitting the subscribe button. And my commitment to you is if you do that, then I'll do everything in my power, me and my team, to make sure that this show is better for you every single week. We'll listen to your feedback, we'll find the guests that you want me to speak to, and we'll continue to do what we do. Thank you so much. Dr. Sarah Hill. What is the mission that you're on? If you had to sort of encapsulate it into a couple of sentences, all of the work you're doing into a couple of sentences, and the impact it has on people like me, but also my partners, my mother, and my sisters, um, who read and understand your work, what is that mission?

Dr Sarah Hill

Um, it's to help women understand themselves, and I think that, you know, part of that is doing the science that helps to uncover the insights that help women understand themselves and then also being able to communicate that to women. Um, I think that, you know, for a very long time, because of the way that medicine has been set up, um, the fu- the focus has been primarily on men. Um, and most of the things that we think that we know about health and functioning in the human body and brain is based on research conducted in men. And so it's taking that back and helping women actually understand themselves as themselves.

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