长期以来，激素避孕对心理和性健康的影响要么被忽视，要么被认为不如心血管、代谢和癌症风险重要。近年来，由于多种原因，人们对这些影响用户生活质量的副作用越来越感兴趣。在过去的几十年中，由于避孕方法与心理和性健康之间相互作用的复杂性，使用不同的科学方法来获取关于激素避孕药对情绪和性的负面影响的类型和程度的经验证据，但没有产生明确的基于证据的陈述（患者报告结果的测量不一致、干预变量的多重性等）。基于对影响个体用户心理和性健康的生物、心理和社会文化因素的理解，以及激素避孕对个体的影响（可能对情绪和性产生负面、正面或中性影响），个性化的方法是提议将心理和性健康纳入避孕咨询和护理实践。版权所有 © 2024。由 Elsevier Ltd 出版。

The impact of hormonal contraception on mental and sexual health has long been either ignored or considered to be much less important than the cardiovascular, metabolic and cancer risks. In recent years the interest in these side effects, having an impact on the quality of life of users, has grown due to several reasons. In the last decades different scientific approaches to gain empirical evidence about the type and extent of negative effects of hormonal contraceptives on mood and sex did not result in clear evidence-based statements due to the complexity of the interaction between contraceptive methods and mental and sexual health (inconsistent measurement of patient reported outcomes, multiplicity of intervening variables etc). Based on an understanding of the biological, psychological and sociocultural factors contributing to the mental and sexual health of the individual user, and the individual impact of hormonal contraception, which can have negative, positive or neutral effects on mood and sexuality, an individualized approach is proposed to integrate mental and sexual health into the practice of contraceptive counselling and care.Copyright © 2024. Published by Elsevier Ltd.