Limited research doesn’t provide a clear cut answer on taking both CBD and birth control at the same time.

CBD is not recommended while using birth control pills because it may nullify its contraceptive effect on your body. However, other birth control methods like IUDs and condoms may not be affected by CBD.

You should always consult with your doctor before deciding on taking CBD for more accurate and specific information on your entire situation. 

Can I Take CBD And Birth Control Pills?

You can take CBD and Birth Control Pills under a set of specific circumstances, and the green light must come from a doctor because there may be a moderate risk. 

Cannabidiol (CBD) and tetrahydrocannabinol (THC) can help your body process hormonal contraceptives more quickly. 

When taking CBD or THC, hormonal contraception such as the pill may not be successful, and you may become pregnant if you do not use other types of birth control. 

According to a study from the National Library of Medicine, CBD interfered with estrogen receptors in rats. 

The study found that high concentrations of CBD may affect the efficacity of estrogen pills. 

Therefore, make sure your healthcare providers are aware that you are taking both medications simultaneously. 

When taking CBD or THC, you can use a non-hormonal form of birth control or a backup form of birth control (e.g. condoms). 

Emergency contraception can also be ineffective and you may require a higher dose than usual. 

Do not start, stop, or adjust the dosage of any medication without first consulting your doctor.

Does CBD Affect The Efficacy Of Birth Control Pills?

Unfortunately, no experimental studies have been conducted to determine whether cannabis or its components (such as CBD and THC) reduce the effectiveness of birth control pills, patches, or rings. 

This may be because, since 1999, “medical cannabis” has only been allowed on a state-by-state basis, and not all states have signed on.  

While some studies showed that CBD inhibits estrogen, a study from Life Sci in 2011 found that CBD may reduce the rate at which birth control pills are metabolized. 

A slower metabolism means that CBD inhibits enzymes that break down birth control hormones. 

The study suggests that birth control hormones may be present in the body for longer periods of time and in higher concentrations. 

Theoretically, the longer presence of birth control hormones will increase the effectiveness of contraceptives but could also lead to undesirable side effects. 

With two opposing studies, we conclude that further research is required to determine if CBD can be consumed with birth control pills. 

CBD And Hormone Balance

The endocannabinoid system (ECS) and hormone processes are related, according to research in the Handbook of Experimental Pharmacology in 2019. 

The most important hormone in the birth control pill is progestogen. 

Progestogens are lab-produced progesterones which are a sex hormone in the female body. 

The International Journal of Reproductive Medicine published a study that concluded progestogen is an essential hormone in birth control pills.

Moreover, progestogens are used to decrease the concentration of luteinizing hormones to stop the ovulation process. 

According to the Journal of Ovarian Research in 2019, the endocannabinoid system has a direct impact on the female reproductive system. 

The researchers found that long exposure to CBD may defer the sexual maturation of the reproductive system in women. 

The delay may result in disruptions in the menstrual cycle and a decrease in the production of sex hormones. 

The findings, therefore, add up to the argument that CBD may increase the effectiveness of birth control pills. 

Does CBD Affect Fertility?

There is no concrete proof that CBD may affect fertility. 

CBD has received very little research when it comes to fertility. 

There is currently insufficient evidence to support the argument that CBD will help raise or resolve infertility or fertility issues. 

However, a review from the Iranian Journal of Basic Medical Sciences in 2017, showed that the levels of anandamide increase with ovulation. 

As we know, anandamide levels increase with CBD by inhibiting its transporter-mediated reuptake and degradation by FAAH as proposed by the Current Psychiatry Report.

Anandamide is a hormone produced by the female body and has a direct influence on the menstrual cycle, from ovulation to fertilization. 

During ovulation, high concentrations of anandamide are found in the female body and are associated with successful pregnancies. 

Moreover, the endocannabinoid system directly interacts with the production of anandamide levels in women. 

Yet, while high concentrations of anandamide are useful for ovulation, they may interfere with the fertilization process of the egg and sperm. 

Only a few studies have analyzed the effects of CBD on the complex interactions of anandamide with the female reproductive system. 

Thus, CBD consumption can either boost or interrupt fertility in women. 

Pairing CBD And Other Contraceptives

Many contraception, such as IUDs and condoms, should not be affected by cannabidiol since they do not interact with the hormonal balance in your body.

Progesterone-only preparations could be the better option when combining CBD with an oral birth control pill. 

However, please consult a medical professional to determine the appropriate course of action for you. 

Keep in mind that adding more substances to the mix may exacerbate the problem, resulting in more negative side effects or an increased risk of pregnancy. 

Tobacco use and excessive alcohol use are both likely to reduce the efficacy of birth control. 

If you’re using CBD but do not want to start or expand your family, progesterone-only pills are said to be a more stable choice. 

Since the Journal of Pharmacology and Experimental Therapeutics study shows that cannabinoids have the potential to disrupt estrogen and progesterone production. 

However, in the case of progesterone, it takes high CBD concentration to disrupt it, and therefore we can assume that at low to mild CBD concentrations, progesterone levels should stay constant, as mentioned in the Cannabis and Cannabinoid Research Journal.

Despite the fact that research into this is at best hazy, it is still best to be vigilant. 

You should talk to your doctor if you are thinking of taking progesterone-only tablets. 

The main function of progesterone is to inhibit ovulation by lowering luteinizing hormone levels. 

When luteinizing hormone levels rise, the ovulation process begins. 

In addition, you may even consider using a non-hormonal coil or condoms. 

However, despite your choices, you should consult your own physician to know if it may interfere with other medications you are taking.