Do Birth Control Pills Increase Breast Size?
- Duly Care
- May 28
- 5 min read
Birth control pills are a method of contraception chosen by countless women worldwide. Many women are curious about how birth control pills affect the body. One common question is: Do birth control pills increase breast size? To answer this, it’s important to understand what breasts are, what affects their size, and how birth control pills interact with these factors.
Key Takeaways:
Breasts are made of adipose tissue, glandular tissue, and connective tissue. Their size is mostly influenced by genetics, hormones, age, weight, pregnancy, and the menstrual cycle.
Birth control pills are hormonal medications taken daily to prevent pregnancy. These contain synthetic hormones that mimic the natural hormones estrogen and progesterone. There are two main types of birth control pills: Combined Oral Contraceptive Pills (COCPs) and Progestin-Only Pills (POPs).
Birth control pills may cause temporary breast fullness due to water retention and hormonal changes, especially in the early months. This effect varies from person to person and usually goes away once the body adjusts to the pills.
COCPs are more likely to cause breast changes than POPs. However, choosing a pill should depend on health needs. Always consult a doctor to find what is best for you.
What are Breasts?

Breasts, commonly known as boobs, are located on the chest and are primarily composed of three types of tissue: adipose tissue, glandular tissue, and connective tissue.
Adipose tissue is the fat tissue that determines much of the breast's size and shape. Glandular tissue includes the lobules (milk-producing glands) and ducts (tubes that carry milk to the nipple), and is specialised for producing and secreting milk. Connective tissue, including ligaments and fibrous tissue, supports and holds the breast structure in place. The proportion of these tissues can vary from person to person and changes with age, hormonal fluctuations, pregnancy, and body weight.
Breast size is mainly determined by genetics (inherited traits from the woman's biological family). However, other factors also play a role:
Hormones: Estrogen and progesterone, which are natural hormones in the body, influence breast development and changes.
Age: During puberty and early adulthood, breasts grow in response to hormonal shifts during these phases.
Body weight: Because breasts contain fat, weight gain or loss can affect their size.
Pregnancy: Hormonal changes and milk production during pregnancy often make breasts larger.
Menstrual cycle: Some people notice breast swelling or tenderness before their period due to hormonal changes.
In short, breast size isn’t fixed - it can change over time because of natural changes in hormone levels, body fat, and life stages.
What are Birth Control Pills?
Birth control pills are hormonal medications taken daily to prevent pregnancy. These pills contain synthetic versions of the natural hormones estrogen and progesterone.
There are two main types of birth control pills available to women:
Combined Oral Contraceptive Pills (COCPs): These are the most commonly used pills and contain both estrogen and progestin.
Progestin-Only Pills (POPs): These pills, also known as mini-pills, contain only progestin (the synthetic version of progesterone). These are often recommended for women who cannot take estrogen.
Can Birth Control Pills Make Breasts Bigger?

Birth control pills can cause temporary breast enlargement in some women, especially during the first few months of use. However, this effect is not the same for everyone, and it usually does not last long.
Here is why this happens:
Hormonal Changes in the Body: When starting birth control pills, especially COCPs, the levels of estrogen and progestin in the body increase. These hormones are involved in breast development. These can cause the glandular tissue and blood flow in the breasts to expand slightly, leading to a fuller feeling or appearance.
Fluid Retention: A common side effect of hormonal pills is fluid retention, also called water retention. This happens when the body holds on to more water than usual, often due to hormone shifts. When water is held in the tissues of the breasts, they may feel swollen or heavier. This is similar to what happens to many people just before their periods. Fluid retention is not fat gain, and it usually goes away after a few months as the body adjusts to the pill.
Body Weight Changes: Some people notice small changes in weight after starting birth control. However, most studies show that weight gain from birth control is not typically due to fat gain. If any fat gain does occur, it may be mild and spread across different areas of the body, including the breasts. Any small increase in breast size due to fat storage is not caused directly by the pill - it is a result of how the body responds to hormone shifts or appetite changes in a few individuals.
In most cases, the change in breast size is not permanent. Any breast enlargement from the pill usually goes away after a few months, once the body adapts to the new hormone levels. If there is any slight increase in size due to fat gain, it might last longer, but this is not a guaranteed or common effect of the pill.
Which Birth Control Pill Increases Breast Size the Most?
There is no specific pill designed to increase breast size. Some people believe that COCPs may cause more noticeable breast swelling than POPs due to the presence of estrogen. However, the effect is mild, varies from person to person, and cannot be predicted.
Conclusion
Birth control pills may cause temporary breast fullness in some women due to hormonal changes and fluid retention. However, the effect is usually small, short-term, and varies from person to person. No pill can guarantee breast growth, and using birth control solely for this reason is usually not medically advised.
What truly matters is choosing a birth control pill that supports one’s reproductive health and overall well-being. If you are considering the birth control pill for any reason, it is best to consult a doctor who can guide you based on your goals, health history and lifestyle.
Frequently Asked Questions (FAQs)
Does switching from a progestin-only pill to a combined oral contraceptive pill change breast size?
A switch might lead to temporary changes, as COCPs contain estrogen, which can influence breast tissue more than POPs. Consult a doctor before switching between pills.
Can birth control pills cause breast pain along with size changes?
Yes. Some people experience breast tenderness or soreness due to fluid buildup or hormone changes, especially in the first few months of pill use.
Are breast changes a sign that the pill is working?
No. Breast size changes are a possible effect, not a sign of effectiveness. The pill’s success in preventing pregnancy is not linked to breast size.
Should people with naturally larger breasts avoid birth control pills?
Breast size should not be a reason to avoid the pill. A doctor can help decide which pill is safest and most appropriate.
Important
This blog, including its text, images, and infographics, is for educational purposes only and not a substitute for professional medical advice. For personalised advice, always consult a doctor.
Further Reading
For more details on this or related topics, refer to the papers listed in references below, or check out the other blogs on our website dulycare.in.
References
UK National Health Service. Combined Contraceptive Pill. 2023. https://www.nhs.uk/conditions/contraception/combined-contraceptive-pill
The Faculty of Sexual and Reproductive Healthcare. Combined Hormonal Contraception. 2023. https://www.fsrh.org/standards-and-guidance/documents/combined-hormonal-contraception/
Patient. Combined Oral Contraceptive Pill: First Prescription. 2023. https://patient.info/doctor/combined-oral-contraceptive-pill-first-prescription#ref-4
International Journal of Endocrinology & Metabolism. Non-Contraceptive Benefits of Oral Hormonal Contraceptives. 2013. https://ijem.sums.ac.ir/article_4158.html
World Health Organisation (WHO). Family planning/contraception methods. Accessed on 5 May 2025. https://www.who.int/news-room/fact-sheets/detail/family-planning-contraception
JAMA. Contraception Selection, Effectiveness, and Adverse Effects: A Review. 2021. https://jamanetwork.com/journals/jama/fullarticle/2787541
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