Women and girls end up with suicidal ideation all the time when going through the trial and error process of finding the right hormone combination. There’s dozens of different formulations of hormonal contraceptive pills and it can be extremely difficult to find the one that will work for you with the least amount of side effects.

The suicidal ideation is so common that it just gets lumped into the fast-forward list of side effects alongside the potential for life-threatening blood clots and other things.