JAMA Press Release

Samantha Herndon
CORE: Collaborative for Reproductive Equity
University of Wisconsin-Madison

When It Comes to Contraceptive Use, Sexual Impacts Matter: UW-Madison CORE Director Jenny Higgins and Colleagues Publish New Study in JAMA Internal Medicine

This week at University of Wisconsin-Madison, Professor and CORE Director Jenny Higgins and colleagues published a new article in JAMA Internal Medicine, a major peer-reviewed journal put out by the American Medical Association. The paper is titled Association Between Patients’ Perceptions of the Sexual Acceptability of Contraceptive Methods and Continued Use Over Time.” 

Contraception, which is one of the most commonly used healthcare products in the United States, is a sexual product and not just a public health good: it allows people to engage in sexual activity without experiencing unwanted pregnancies. But contraceptive research, education, and clinical care rarely consider the birth control’s sexual acceptability—that is, how contraceptives affect people’s sexual experiences, and how those effects may shape use over time. 

Higgins and colleagues’ new study in JAMA Internal Medicine sheds light on this important issue–and suggests that contraceptives’ effects on people’s sex lives can have major consequences for birth control practices. 

Led by CORE Director Jenny Higgins, a research team from the University of Wisconsin-Madison and the University of Utah conducted a study of 2,000 people who started a new contraceptive method and could switch or discontinue their method at any time for free. They found that at one month, about half of contraceptive clients reported that their method had led to a positive impact on their sex life (26% said it “improved my sex life a lot,” 27% “improved my sex life a little), 30% reported no sexual change, and one in six reported a negative sexual impact (2% said it “has made my sex life a lot worse,” 14% “has made my sex life a little worse”). 

The team then examined how these sexual impacts at one month helped predict people’s continued use of their contraceptive method at six months. They found that those who reported a negative impact on their sex life were upwards of three times as likely to discontinue or switch their method compared to people who reported a positive sexual impact. And this effect on contraceptive use over time was much stronger than factors that we more commonly consider: changes in vaginal bleeding, physical side effects such as headaches or bloating, and psychological side effects such as changes in mood. 

“Our study shows that people’s sexual experiences of their contraceptive method seem to matter a lot in whether people like their method and use it over time,” said Higgins, the study’s lead author. “It’s important that we pay more attention to sexual acceptability in our contraceptive research, clinical care, and education.” For example, both clinicians and educators could emphasize that patients’ sexual experiences of their methods are important and encourage them to find a method that works for them, sexually and otherwise. “It’s also great news that contraception seems to have a positive sexual impact on so many people’s sex lives,” Higgins said. “And I urge those people who think their method is a sexual detractor to keep trying other methods—they deserve to find one that they like!” 


CORE, the Collaborative for Reproductive Equity, is a research center within the Department of Obstetrics and Gynecology at the University of Wisconsin’s flagship Madison campus. CORE investigators conduct and translate rigorous, interdisciplinary research to inform policies and programs so that all people in Wisconsin have access to the full range of high-quality, evidence-based reproductive health information and services.