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Effects of hormonal contraceptives on mental rotation and verbal fluency
Abstract
Cognitive abilities, such as verbal fluency and mental rotation, are most sensitive to changes in sex steroids but poorly studied in the context of hormonal contraceptive usage. Therefore, we investigated the performance of mental rotation and verbal fluency in young (21.5±1.8 years) healthy oral contraceptive (OC) users (23 women) and non-users (20 women) during the follicular, ovulatory and luteal phases of the menstrual cycle. Salivary 17β-estradiol, progesterone and testosterone levels were assayed to evaluate hormonal differences between groups and the phases of the menstrual cycle. To assess the effects of progestins having androgenic/anti-androgenic properties, OC users were subdivided into the third and new generation OC users. In addition, positive and negative affects as factors possibly affecting cognitive performance were evaluated. Salivary 17β-estradiol and progesterone levels were significantly lower in hormonal contraception users. Level of salivary testosterone was slightly lower in the OC users group with significant difference only during ovulatory phase. Naturally cycling women performed better on verbal fluency task as compared to OC users. Subjects who used the third generation (androgenic) OCs generated significantly fewer words as compared to new generation (anti-androgenic) OC users and non-users. The third generation OC users demonstrated significantly longer RT in MRT task as compared to non-users. The MRT, verbal fluency and mood parameters did not…
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“Griksiene and Ruksenas (2011) found verbal and spatial performance differences between women using different types of hormonal birth control”
From Factors Related to Mean Score Group Differences on Cognitive Ability Tests: A Systematic Review (2025) · cites this paper as Griksiene and Ruksenas (2011)
In the citing paper
“several papers detail oral contraceptive use and type influences CAT performance on verbal and spatial task (Griksiene & Ruksenas, 2011;Hampson et al., 2022)”
From Factors Related to Mean Score Group Differences on Cognitive Ability Tests: A Systematic Review (2025) · cites this paper as Griksiene & Ruksenas, 2011
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Salivary testosterone does not predict mental rotation performance in men or women
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Cited by
Sorted by citations
The new science of cognitive sex differences
Miller, D. I., & Halpern, D. F. (2014) · Trends in Cognitive Sciences · doi:10.1016/j.tics.2013.10.011 · Cited by 610
Sex differences in cognitive impairment and Alzheimer’s disease
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“On the other hand, women in high estradiol phases of the menstrual cycle have better verbal fluency (femaletype cognition) than those in low estradiol phases, and naturally cycling women have better verbal fluency than women using oral contraceptives (Griksiene and Ruksenas, 2011; Hampson, 1990).”
BackgroundToffoletto, S., Lanzenberger, R. R., Gingnell, M., Poromaa, I. S., & Comasco, E. (2014) · Psychoneuroendocrinology · doi:10.1016/j.psyneuen.2014.07.025 · Cited by 331
Sundström Poromaa, I., & Gingnell, M. (2014) · Frontiers in Neuroscience · doi:10.3389/fnins.2014.00380 · Cited by 291
“Again, a number of methodological concerns have been identified in the studies; several studies suffer from low power (Hausmann et al., 2000; Solis-Ortiz and Corsi-Cabrera, 2008), two studies report on a visuospatial composite score (Hampson, 1990; Gordon and Lee, 1993), and one study involved repeated, daily testings…”
BackgroundMethodInfluentialPetersen, N., Kilpatrick, L. A., Goharzad, A., & Cahill, L. F. (2013) · NeuroImage · doi:10.1016/j.neuroimage.2013.12.016 · Cited by 205
“tasks differ in women using oral contraceptives (OCs; Griksiene and Ruksenas, 2011), as does the pattern of memory retention for recall of an emotional story (Nielsen et al.”
Metadata
- Authors
- Griksiene, R., & Ruksenas, O.
- Venue
- Psychoneuroendocrinology
- Publisher
- Elsevier BV
- Published
- 2011-09
- Volume
- 36
- Issue
- 8
- Pages
- 1239-1248
- ISSN
- 0306-4530 (ISSN-L)
- OpenAlex
- W2011880684
- Cited by
- 128
- References
- 0
- Citations by year
- 2026: 4 · 2025: 10 · 2024: 4 · 2023: 9 · 2022: 16 · 2021: 9 · 2020: 16 · 2019: 9 · 2018: 9 · 2017: 5 · 2016: 10 · 2015: 6 · 2014: 10 · 2013: 9 · 2012: 1
- FWCI
- 6.61
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Psychoneuroendocrinology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Reproductive Health and Contraception
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Endocrinology › Estrogen and related hormone effects
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Spatial Cognition and Navigation
- Keywords
- oral contraceptives, mental rotation, verbal fluency, progestins, androgenic progestins, salivary estradiol, salivary progesterone, salivary testosterone, menstrual cycle phases, cognitive performance, spatial ability, mood, young women
- MeSH terms
- Adult, Affect, Contraceptives, Oral, Hormonal, Female, Humans, Male, Mental Processes, Neuropsychological Tests, Rotation, Space Perception, Task Performance and Analysis, Verbal Behavior, Young Adult
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