Contraceptives can affect a woman’s sexual pleasure — expert

Vaginal lubrication during sexual intimacy can be influenced by hormonal contraceptives, says sexologist Dr Mpume Zenda. One of the side effects is vaginal dryness and irritation.

Zenda says the dryness and irritation can affect not only the vaginal canal but also the external genital area, or vulva.

Decreased lubrication

“Yes, it is possible that some individuals may experience decreased lubrication with prolonged use of hormonal birth control,” she said.


“Consider switching [contraceptive] methods if this occurs, as lower oestrogen levels can lead to reduced natural vaginal moisture.”

Zenda did not rule out other factors. A person’s overall physical, mental health, lifestyle factors, and the quality of the sexual relationship can also be one of the causes of decreased natural lubrication.

Many ways to alleviate dryness 

Zenda further shared tips on how to alleviate vaginal dryness.

­“Women need to prioritise regular intimacy and focus more on foreplay. Discuss the possibility of changing your contraceptive method with your healthcare provider,” she said.

“Enhance your overall health and well-being by adopting a healthy lifestyle and nurturing your relationship and mental health. Don’t hesitate to use as much lubrication as needed.”

Moreover, additional lubricants are also frequently used by men who have sex with men and sex workers, according to the World Health Organisation (WHO).


According to their survey, 93% of men who have sex with men use additional lubricants (59% always and 74% in at least 80% of sexual encounters) regardless of condom use.

Harmful chemicals in lubricants 

“Female sex workers also report high rates of additional lubricant use with condoms. These women most frequently apply the additional lubricant.”

A warning from the WHO is on the scented lubricants that might be harmful.

“Numerous harmful chemicals can be included in flavors, fragrances, and aromas.  These include carcinogens, reproductive toxins and allergens.

“The WHO recommends using a lubricant with a pH of 4.5 and an osmolality below 1,200 mOsm/kg. Carefully examine the ingredients list for your lubricant. Also the healthiest lubricant for your sexual life is likely to be a simple one,” WHO shared.

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