Do Birth Control Pills Cause a Yeast Infection?
- Duly Care
- Apr 4
- 6 min read
Birth control pills are a widely used contraceptive method that helps prevent pregnancy by regulating hormone levels in the body. These pills are effective and convenient, but they may also influence other aspects of reproductive health, including vaginal infections.
Yeast infection, a common vaginal health issue, is often linked to various factors, including hormonal changes. Many wonder whether birth control pills contribute to or worsen a yeast infection. To understand this, we must first explore what causes a yeast infection and how birth control pills work.
Key Takeaways
A yeast infection results from an imbalance in the vaginal microbiome, often triggered by factors such as antibiotic use, hormonal fluctuations, a weakened immune system, high-sugar diets, and wearing tight or non-breathable clothing.
Birth control pills are oral contraceptives that contain hormones designed to prevent pregnancy. They are available in two types: Combined Oral Contraceptive Pills (COCPs) and Progestin-only Pills (POPs).
Birth control pills, especially those containing estrogen, may influence vaginal health by altering vaginal pH, increasing glycogen production (which serves as food for yeast), and slightly weakening immune responses in the vaginal area.
Preventing a yeast infection while using birth control pills involves maintaining good hygiene, wearing breathable clothing, reducing sugar intake, staying hydrated, and incorporating probiotics into the diet to support a balanced vaginal microbiome.
Understanding Yeast Infection

A yeast infection, also known as vulvovaginal candidiasis, occurs when there is an overgrowth of a fungus called Candida albicans in the vagina. This fungus naturally exists in the body without causing harm, but an imbalance in the vaginal microbiome can lead to an overgrowth, resulting in symptoms like:
Intense itching and irritation in the vaginal area
Thick, white vaginal discharge (often described as resembling cottage cheese)
Redness and swelling around the vulva
A burning sensation, especially during urination or intercourse
What Causes a Yeast Infection?
A yeast infections is common and can be triggered by several factors, including:
Antibiotic use, which disrupts the balance of bacteria and fungi in the vagina
Hormonal fluctuations due to pregnancy, birth control use, or menstruation
Weakened immune system
High-sugar diets, which can promote fungal growth
Wearing tight or non-breathable clothing, which creates a moist environment for fungi to thrive
Understanding Birth Control Pills

Birth control pills are oral contraceptives that contain synthetic versions of the natural hormone estrogen and progesterone. These pills prevent pregnancy by stopping the release of an egg from the ovary (a process called ovulation), thickening the cervical mucus to block sperm from reaching the egg, and thinning the uterine lining to prevent implantation of the fertilised egg.
There are two main types of birth control pills:
Combined Oral Contraceptive Pills (COCPs): These contain both estrogen and progestin. They are the most commonly prescribed oral contraceptives and are highly effective in regulating the menstrual cycle and preventing pregnancy.
Progestin-Only Pills (POPs): Also known as the “mini-pill,” these contain only progestin and do not include estrogen. They are used by breastfeeding women and women who cannot take estrogen due to medical reasons
How Birth Control Pills May Contribute to a Yeast Infection

There is no definitive evidence proving that birth control pills directly cause a yeast infection. However, the hormonal changes they induce may create conditions that make a yeast infection more likely.
Here's how birth control pills and yeast infection may be linked:
Hormonal changes and vaginal pH: Estrogen in birth control pills may influence the vaginal environment by affecting the balance of bacteria and fungi in the vagina. A higher estrogen level may promote glycogen production in vaginal cells, providing an ideal food source for Candida to multiply.
Weakened immune response: Some research suggests that changes in estrogen and progestin levels may slightly suppress immune function in the vaginal area, making it easier for yeast to overgrow.
Altered vaginal microbiome: A healthy vagina contains a mix of bacteria and fungi that keep each other in check. The presence of estrogen may sometimes encourage an imbalance in this ecosystem, increasing susceptibility to yeast infections.
Common Concerns about Birth Control Pills and Yeast Infections

Can Changing Birth Control Methods Cause Yeast Infections?
Switching birth control methods can lead to temporary hormonal fluctuations, which may alter vaginal health. If a person experiences recurrent yeast infections after changing birth control methods, it might be helpful to consider options with lower estrogen levels or non-hormonal contraceptive methods.
Are some birth control pills less likely to cause a yeast infection?
Combined oral contraceptive pills may be more likely to cause yeast infections compared to progestin-only pills. This is due to the estrogen component in these pills that may influence the vaginal ecosystem, potentially creating conditions favorable for yeast overgrowth. Some women find that switching to a lower-estrogen formulation or progestin-only pills reduces their risk of infections.
Will stopping birth control pills stop yeast infections?
If birth control pills are contributing to recurrent yeast infections, stopping them may help rebalance the vaginal microbiome. However, individual responses vary, and it’s important to discuss contraceptive alternatives with a doctor.
How to Prevent a Yeast Infection While Using Birth Control Pills

To maintain vaginal health while using birth control pills, consider these preventive measures:
Maintain good hygiene: Wash the vaginal area with water and avoid scented soaps or feminine washes.
Wear breathable clothing: Opt for cotton underwear, and avoid tight-fitting pants that trap moisture.
Balance your diet: Reduce sugar intake, as high sugar levels can encourage yeast overgrowth.
Use probiotics: Consuming probiotic-rich foods like yogurt or taking probiotic supplements can help maintain a healthy vaginal microbiome.
Stay hydrated: Drinking plenty of water helps flush out toxins and maintain overall health.
Conclusion
While birth control pills do not directly cause yeast infections, the hormonal changes they induce may create conditions that make infections more likely. Factors like increased estrogen levels, changes in the vaginal microbiome, and weakened immune responses can contribute to yeast overgrowth.
If recurrent yeast infections occur while using birth control pills, considering alternative contraceptive methods or taking preventive measures can help maintain vaginal health. Consulting a doctor is always recommended for personalized advice.
Frequently Asked Questions
Can taking probiotics help prevent yeast infections while on birth control pills?
Probiotics can help maintain a balanced vaginal microbiome by promoting the growth of beneficial bacteria, which may reduce the risk of yeast infections. Including probiotic-rich foods like yogurt or taking supplements can be beneficial.
Do birth control pills affect the effectiveness of antifungal treatments for yeast infections?
Birth control pills do not directly interfere with antifungal medications, but some oral antifungals may interact with hormonal contraception, potentially reducing its effectiveness. It’s best to consult a doctor when using both.
How to prevent a yeast infection?
While multiple factors contribute to yeast infections, wearing breathable clothing, reducing sugar intake, and maintaining good hygiene are particularly effective in preventing fungal overgrowth.
Does an emergency contraceptive pill increase the risk of a yeast infection?
Similar to birth control pills, an emergency contraceptive pill (also known as the morning-after pill) contains a high dose of hormone that can temporarily alter vaginal pH and microbiome balance. While it doesn't directly cause yeast infections, it may create an environment where yeast overgrowth is more likely for some individuals.
Important
This blog, including its text, images, and infographics, is for educational purposes only and not a substitute for professional medical advice. For personalized advice, always consult a doctor.
Further Reading
For more details on this or related topics, refer to the papers listed in references below, or check out the other blogs on our website dulycare.in.
References
US Centers for Disease Control and Prevention (CDC). Candidiasis Basics. Accessed on 2 February 2025. https://www.cdc.gov/candidiasis/about/index.html#:~:text=Candida%20only%20causes%20symptoms%20and,the%20throat%20into%20the%20gut
American Family Physician. Vaginitis: Diagnosis and Treatment. 2 February 2025. https://pubmed.ncbi.nlm.nih.gov/29671516/
Clinical Microbiology Reviews. Epidemiology of Invasive Candidiasis: A Persistent Public Health Problem. 2007. https://pubmed.ncbi.nlm.nih.gov/17223626/
Disease Model and Mechanisms. The relationship between sex hormones, the vaginal microbiome and immunity in HIV-1 susceptibility in women. 2018. https://journals.biologists.com/dmm/article/11/9/dmm035147/53636/The-relationship-between-sex-hormones-the-vaginal
Cell Reports. Estrogen promotes innate immune evasion of Candida albicans through inactivation of the alternative complement system. 2022. https://pmc.ncbi.nlm.nih.gov/articles/PMC8755443/
mSphere. Daily Vaginal Microbiota Fluctuations Associated with Natural Hormonal Cycle, Contraceptives, Diet, and Exercise. 2020. https://pmc.ncbi.nlm.nih.gov/articles/PMC7343982/
Frontiers in Microbiomes. The impact of contraceptives on the vaginal microbiome in the non-pregnant state. 2023. https://www.frontiersin.org/journals/microbiomes/articles/10.3389/frmbi.2022.1055472/full?utm_source=chatgpt.com
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