Ovarian hormones, hormonal contraceptives and reward processing
Andrew M Novick1, Erin R Weinhold1, C Neill Epperson1
1Department of Psychiatry, University of Colorado Anschutz Medical Campus, Aurora, Colorado, USA.
Bjpsych Advances
|June 29, 2026
Summary
Ovarian hormones like estradiol and progesterone significantly impact brain reward processing. Hormonal contraception may disrupt these functions, potentially affecting mood and sexual desire.
Area of Science:
- Neuroendocrinology
- Neurobiology of Reward
Background:
- Ovarian hormones play a crucial role in brain function, particularly in reward processing.
- Reward processing encompasses motivation, response to, and learning about rewards.
Purpose of the Study:
- To provide an overview of how ovarian hormones influence reward function.
- To focus on the impact of hormonal contraception derivatives on reward processing.
Main Methods:
- Literature review and synthesis of existing research on ovarian hormones and reward function.
- Analysis of studies investigating the effects of estradiol, progesterone, and allopregnanolone on reward pathways.
- Examination of research on hormonal contraception and its neurobiological effects.
Main Results:
- Estradiol generally promotes reward functions, while progesterone often inhibits them.
- Allopregnanolone's effects on reward are concentration-dependent, following an inverted-U pattern.
- Hormonal contraception may interfere with reward neurobiology, potentially causing mood and sexual desire changes.
Conclusions:
- Ovarian hormones significantly modulate reward processing in the brain.
- Hormonal contraception warrants further investigation for its effects on mood and sexual desire.
- Understanding these mechanisms has implications for menopausal hormone therapy, contraception side effects, and substance use disorder treatments.
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