SupplementalOnline Materials

Estrogenic and Progestogenic Effects of Hormonal Contraceptives in Relation to Sexual Behavior: Insights into Extended Sexuality

Contents

Table S1. Effects on frequency of sexual intercourse, Study 1: Adding method of delivery

Table S2. Effects on frequency of sexual intercourse, Study 1: Adding sociosexual orientation

Table S3. Effects on sexual behaviors other than intercourse, Study 1

Table S4. Effects on frequency of sexual intercourse, Study 2: Adding method of delivery

Table S5. Effects on frequency of sexual intercourse, Study 3: Adding sociosexual orientation

Table S6. Effects on frequency of sexual intercourse, Study 2: Adding rating of partner loyalty/faithfulness

Table S7. Effects on sexual behaviors other than intercourse, Study 2

Table S8: Effects on frequency of sexual intercourse, combined samples

Table S9: Effects on frequency of sexual intercourse, combined samples: One week per participant

Table S10: Effects on frequency of sexual intercourse, combined samples: 2-day and 7-day analyses

Table S11: Effects on frequency of sexual intercourse, combined samples: Pill-users only

Table S12: Effects on frequency of sexual intercourse, combined samples: Progestins with varying dosages only

Table S13: Effects on frequency of sexual intercourse, combined samples: Alternative androgenic effect variable

Table S14: Effects on frequency of sexual intercourse, combined samples: Androgenic effects removed

Table S15: Effects on frequency of sexual intercourse, combined samples: EE x P interactions included

Table S16. Effects on sexual behaviors other than intercourse, combined samples

Table S17. Effects in simplified analyses that include only EE OR P, combined samples

Table S18. Correlations between predictors, Study 1 and Study 2

Methods for Normally Ovulating Women

Table S19. Effects on frequency of sexual intercourse, Study 1: Normally ovulating women

Table S20. Effects on frequency of sexual intercourse, Study 1: Normally ovulating women excluding days 1-5

Table S21. Effects on frequency of sexual intercourse, Study 1: Normally ovulating women

Table S22. Effects on frequency of sexual intercourse, Study 1: Normally ovulating women excluding days 1-5

Table S1

Effects on frequency of sexual intercourse, Study 1: Adding method of delivery

Effect b t p

Loyalty/Faithfulness .054 .88.878

Ethinyl Estradiol (EE).032 .30.768

Progestin (P)-.026-.24.813

Androgenic Activity (A)-.056 -.90.368

EE x Loyalty/Faithfulness-.250-2.07.039

P x Loyalty/Faithfulness .220 2.02.045

A x Loyal/Faithfulness .058 .84.400

Pill vs. Other Delivery.317 1.59.114

Notes.

Bold: p < .05

df: 265

All variables are z-scored, except for Pill vs. Other Delivery (coded 1, 0, respectively).

Table S2

Effects on frequency of sexual intercourse, Study 1: Adding sociosexual orientation

Effect b t p

Loyalty/Faithfulness .0701.06.292

Ethinyl Estradiol (EE).066 .61.540

Progestin (P)-.034-.31.754

Androgenic Activity (A)-.039 -.63.529

EE x Loyalty/Faithfulness-.328 -2.49.013

P x Loyalty/Faithfulness .310 2.54.012

A x Loyal/Faithfulness.107 1.45.148

SOI.101 1.43.152

EE x SOI-.186-1.45.148

P x SOI.204 1.90.059

A x SOI.140 2.04.042

Notes.

Bold: p < .05

df: 256

All variables are z-scored.

Table S3

Effects on sexual behaviors other than intercourse, Study 1

Masturb. Sex Fant. Stim. Part. StimbyPart Orgasm

Effect b p b p b p b p b p Loyalty/Faithfulness -.214 .001 -.115 .068 .054 .005 -.030

Ethinyl Estradiol (EE)-.103 .088 .118 .067 -.039

Progestin (P).039 -.086 -.029 .045 .058

Androgenic Activity (A) .078 -.127 .048 -.087 -.083 .002

EE x Loyalty/Faithfulness .049 -.328 .008 -.122 -.195 -.113

P x Loyalty/Faithfulness .099 .145 .112 .127 .040

A x Loyal/Faithfulness-.046 .188 .008 .069 .028 .020

df error 263 255 261 260 263

Notes.

Bold: p < .05. Italics: p < .10. No other p-values shown.

All variables are z-scored.

Table S4

Effects on frequency of sexual intercourse, Study 2: Adding method of delivery

Effect γ t p

Loyalty/Faithfulness .032 .42.674

Ethinyl Estradiol (EE).1511.10.275

Progestin (P)-.146 -.99.322

Androgenic Activity (A)-.183-2.52.013

EE x Loyalty/Faithfulness-.455-2.81.006

P x Loyalty/Faithfulness .466 2.73.008

A x Loyal/Faithfulness.147 2.07.041

Pill vs. Other Delivery.280 1.36.176

Week-.032 -3.40.001

Notes.

Bold: p < .05; italics: p < .10

df: 87.7 – 110.6, except Week, where df = 506.4

All variables are z-scored, except for Pill vs. Other Delivery (coded 1, 0, respectively) and Week (1-12)

Table S5

Effects on frequency of sexual intercourse, Study 2: Adding sociosexual orientation

Effect γ t p

Loyalty/Faithfulness .042 .51.613

Ethinyl Estradiol (EE).1751.26.211

Progestin (P)-.067-.44.663

Androgenic Activity (A)-.148-1.95.054

EE x Loyalty/Faithfulness-.409-2.46.015

P x Loyalty/Faithfulness.4032.22.029

A x Loyal/Faithfulness .166 2.30.024

SOI .074 .99.325

EE x SOI-.135 -.92.354

P x SOI.132 .70.486

A x SOI .178 2.08.039

Week-.032-3.42.001

Notes.

Bold: p < .05; italics: p < .10

df: 84.7 – 161.0, except Week, where df = 499.0

All variables are z-scored, except Week (1-12)

Table S6

Effects on frequency of sexual intercourse, Study 2: Adding rating of partner loyalty/faithfulness

Effect γ t p

Self Loyalty/Faithfulness .041 .46.647

Ethinyl Estradiol (EE) .227 1.61.111

Progestin (P)-.118 -.80.427

Androgenic Activity (A)-.181-2.46.016

EE x Self Loyalty/Faithfulness-.528-2.46.016

P x Self Loyalty/Faithfulness.569 2.43.017

A x Self Loyal/Faithfulness .272 2.89.005

Partner Loyalty/Faithfulness-.052 -.61.543

EE x Partner Loyalty/Faithfulness-.019 .12.908

P x Partner Loyalty/Faithfulness-.154 -.82.414

A x Partner Loyalty/Faithfulness-.199-2.17.033

Week-.033-3.44.001

Notes.

Bold: p < .05; italics: p < .10

df: 84.2 – 100.3, except Week, where df = 504.6

All variables are z-scored, except Week (1-12)

Table S7

Effects on sexual behaviors other than intercourse, Study 2

Masturb. Sex Fant. Stim. Part. Stim by Part Orgasm

Effect γ p γ p γ p γ p γ p Loyalty/Faithfulness .041 .026 -.025 -.012 -.045

Ethinyl Estradiol (EE).215 .340 .028 .239 .087 .279 .036 .102

Progestin (P)-.238 -.184 -.140 -.212 -.206

Androgenic Activity (A)-.012 -.136 -.093 -.086 -.051

EE x Loyalty/Faithfulness-.243 .190 -.293 .078 -.432 .007 .014

P x Loyalty/Faithfulness .393 .041 -.084 .343 .050 .431 .010 .271

A x Loyal/Faithfulness .078 -.116 .072 .102 -.058

Week .002 -.018 -.034 .002 -.029 .006 -.010

Notes.

Bold: p < .05. Italics: p < .10. No other p-values shown.

df: 73.6 to 122.3, except for Week, where df = 55.6 – 519.1

All variables are z-scored, except Week (1-12)

Table S8

Effects on frequency of sexual intercourse, combined samples

Effect γ t p γ t p

Loyalty/Faithfulness .050 .88.380 .052 .93.352

Ethinyl Estradiol (EE).1031.13.258 .112 1.25.213

Progestin (P)-.043 -.44.659-.080 -.81.421

Androgenic Activity (A)-.090-1.76.080-.119-2.21.028

EE x Loyalty/Faithfulness-.346-3.09.002-.327-2.93.004

P x Loyalty/Faithfulness .337 2.98.003 .3482.98.003

A x Loyal/Faithfulness .098 1.70.089 .106 1.78.076

Week-.031 -3.68 >.001-.030-3.49.001

Age-.128-2.55.011

Notes.

Bold: p < .05; italics: p < .10

df: 299.9 – 362.5, except Week, where df = 546.0; with age controlled: 289.7 – 356.6; week: 540.0

All variables are z-scored, except Week (1-12)

Table S9

Effects on frequency of sexual intercourse, combined samples: One week per participant

Effect γ t p

Loyalty/Faithfulness .035 .54.587

Ethinyl Estradiol (EE).1181.17.244

Progestin (P)-.067-.61.540

Androgenic Activity (A)-.117-1.98.049

EE x Loyalty/Faithfulness-.381-3.01.003

P x Loyalty/Faithfulness .353 2.76.006

A x Loyal/Faithfulness .117 1.74.083

Notes.

Bold: p < .05

df: 357

All variables are z-scored.

For participants in Study 2, only the first week’s survey included.

Table S10

Effects on frequency of sexual intercourse, combined samples: 2-day and 7-day analyses

Mixed model Poisson regressions

2-day7-day 2-day 7-day

Effect γ p γ p b p b p Loyalty/Faithfulness .059 .039 .080 .046

Ethinyl Estradiol (EE).178 .036 .062 .223 .014 .041

Progestin (P)-.085 -.023 -.124 -.016

Androgenic Activity (A)-.088 .063 -.088 -.107 .049 -.079 .015

EE x Loyalty/Faithfulness-.310 .003 -.327 .004 -.333 .007 -.305<.001

P x Loyalty/Faithfulness .307 .003 .317 .005 .337 .006 .275<.001

A x Loyal/Faithfulness .089.080 -.097 .051 .087 .081 .027

Week-.028 .007 -.030 <.001

Notes.

Bold: p < .05. Italics: p < .10. No other p-values shown.

df mixed model: 169.9 to 367.6, except for Week, where df = 539.2-756.0

N in Poisson regressions: 365. For Study 2 participants, only first weekly survey included.

All predictor variables are z-scored, except Week (1-12). 2-day and 7-day reports are counts.

Table S11

Effects on frequency of sexual intercourse, combined samples: Pill-users only

Effect γ t p

Loyalty/Faithfulness .062 .95.344

Ethinyl Estradiol (EE).087 .88.378

Progestin (P)-.101 -.84.401

Androgenic Activity (A)-.107-1.95.052

EE x Loyalty/Faithfulness-.415-3.32.001

P x Loyalty/Faithfulness .436 2.94.004

A x Loyal/Faithfulness .1121.79.074

Week-.033 -3.24 .001

Notes.

Bold: p < .05; italics: p < .10

df: 261.5 – 319.3, except Week, where df = 389.5

All variables are z-scored, except Week (1-12)

Table S12

Effects on frequency of sexual intercourse, combined samples: Progestins with varying dosages only

Effect γ t p

Loyalty/Faithfulness .0981.55.122

Ethinyl Estradiol (EE).530 .88.074

Progestin (P)-.423 -.84.084

Progestin Type-.568-1.87.063

EE x Loyalty/Faithfulness-.225-1.86.064

P x Loyalty/Faithfulness .273 2.23.027

Week-.025 -2.60 .010

Notes.

Bold: p < .05; italics: p < .10

df: 228.06 – 261.03, except Week, where df = 408.8

All variables are z-scored, except Progestin Type (1,2) and Week (1-12)

Progestin Type: 1 = levonorgestrel, 2 = desogestrel/etonogestrel

Table S13

Effects on frequency of sexual intercourse, combined samples: Alternative androgenic effect variable

Effect γ t p

Loyalty/Faithfulness .051 .91.365

Ethinyl Estradiol (EE).1001.11.266

Progestin (P)-.058 -.59.558

Androgenic Activity (A)-.096-1.81.071

EE x Loyalty/Faithfulness-.350-3.13.002

P x Loyalty/Faithfulness .362 3.09.002

A x Loyal/Faithfulness .1101.84.066

Week-.033 -3.68 >.001

Notes.

Bold: p < .05; italics: p < .10

df: 296.6 – 363.6, except Week, where df = 546.3

All variables are z-scored, except Week (1-12)

Table S14

Effects on frequency of sexual intercourse, combined samples: Androgenic effects removed

Effect γ t p

Loyalty/Faithfulness .067 1.19.365

Ethinyl Estradiol (EE).065 .72.266

Progestin (P)-.007 -.08.558

EE x Loyalty/Faithfulness-.272-2.57.011

P x Loyalty/Faithfulness .275 2.53.012

Week-.031 -3.68 >.001

Notes.

Bold: p < .05; italics: p < .10

df: 327.5 – 374.3, except Week, where df = 548.0

All variables are z-scored, except Week (1-12)

Table S15

Effects on frequency of sexual intercourse, combined samples: EE x P interactions included

Effect γ t p

Loyalty/Faithfulness-.002 -.03.978

Ethinyl Estradiol (EE).0971.06.292

Progestin (P)-.011 -.10.920

Androgenic Activity (A)-.084-1.57.118

EE x Loyalty/Faithfulness-.358-3.16.002

P x Loyalty/Faithfulness .404 2.96.003

A x Loyal/Faithfulness .1141.88.061

EE x P .029 .46.644

EE x P x Loyalty/Faithfulness .058 .82.410

Week-.031 -3.68 >.001

Notes.

Bold: p < .05; italics: p < .10

df: 294.8 – 360.4, except Week, where df = 544.3

All variables are z-scored, except Week (1-12)

Table S16

Effects on sexual behaviors other than intercourse, combined samples

Masturb. Sex Fant. Stim. Part. Stim by Part Orgasm

Effect γ p γ p γ p γ p γ p Loyalty/Faithfulness -.104 .049 -.053 -.020 -.001 -.018

Ethinyl Estradiol (EE)-.005 .172 .062 .161 .060 .146 .094 .010

Progestin (P)-.039 -.126 -.062 -.036 -.026

Androgenic Activity (A).036 -.136 .011 -.088 .068 -.081 .099 -.015

EE x Loyalty/Faithfulness-.038 -.156 -.179 .090 -.286 .008 -.043

P x Loyalty/Faithfulness .071 .079 .170 .050 .245 .025 .115

A x Loyal/Faithfulness-.015 -.062 .057 .057 -.021

Week.004 -.016 -.036<.001 -.031 .001 -.011

Notes.

Bold: p < .05. Italics: p < .10. No other p-values shown.

df: 231.2-393.7, except for Week, where df = 46.8 – 710.7

All variables are z-scored, except Week (1-12)

Table S17

Effects in simplified analyses that include only EE OR P, combined samples

Effect γ t p

EE only

Loyalty/Faithfulness .064 1.13.260

Ethinyl Estradiol (EE).0531.01.315

EE x Loyalty/Faithfulness-.044 -.79.432

Week-.031 -3.63 >.001

P only

Loyalty/Faithfulness .062 1.11.270

Progestin (P).040 .71.478

P x Loyalty/Faithfulness .040 .69.491

Week-.031 -3.61 >.001

Notes.

Bold: p < .05

df: 325.1 – 351.3, except Week, where df = 548.0, 548.2, respectively

All variables are z-scored, except Week (1-12)

Table S18

Correlations between predictors, Study 1 and Study 2

L/fEEPAAge

Loyalty/faithfulness --04 01-09 06

EE-06 -82-03-00

P 0781 --09-05

A-02 07-06 --19

Age 03-01-01-19 -

Notes. Bold: p < .05. Italics: p < .10.

Decimal places omitted. Study 1 below the diagonal; Study 2 above the diagonal. Study 2 includes only reports from week 1. N for Study 1 = 274, except for age, where N = 272. N for Study 2 = 91.

Methods for Normally Ovulating Women

Based on reports of first day of last menstruation, current day, and typical cycle length, continuous measures of conception probability were calculated using methods described in Gangestad et al. (2016).

Analyses were run on (a) overall reports and (b) all days excluding days 1-5 (putative menstruating days), both with and without controlling for sociosexual orientation (SOI).

Reference

Gangestad, S. W., Haselton, M. G., Welling, L. L. M., Gildersleeve, K., Pillsworth, E. G., Burriss, R. L., Larson, C. M., & Puts, D. A. (2016). How valid are assessments of conception probability in ovulatory cycle research: Evaluations, recommendations, and theoretical implications. Evolution and Human Behavior, 37, 85-96.

Table S19

Effects on frequency of sexual intercourse, Study 1: Normally ovulating women

Effect b t p b t p

Loyalty/Faithfulness-.023 -.16.876.050 .40 .695

Conception Risk (CR)-.185-1.28.205-.205 -1.39.171

CR x Loyalty/Faithfulness-.273-1.87.068-.332 -2.27 .028

SOI-.093 -.66 .511

SOI x CR.150 1.13.265

SOI x Loyalty/Faithfulness-.259 -1.60 .116

Notes.

Bold: p < .05; italics: p < .10

df: 50 and 43 for analyses excluding and including SOI, respectively

All variables are z-scored.

Table S20

Effects on frequency of sexual intercourse, Study 1: Normally ovulating women excluding days 1-5

Effect b t p b t p

Loyalty/Faithfulness.050 .27.790.195 1.04 .307

Conception Risk (CR)-.323-2.00.052-.303 -1.90.065

CR x Loyalty/Faithfulness-.354-1.88.066-.484 -2.60 .013

SOI-.019 -.10 .918

SOI x CR.103 .66.516

SOI x Loyalty/Faithfulness-.409 -2.01 .052

Notes.

Bold: p < .05; italics: p < .10

df: 42 and 36 for analyses excluding and including SOI, respectively

All variables are z-scored.

Table S21

Effects on frequency of sexual intercourse, Study 2: Normally ovulating women

Effect γ t p γ t p

Loyalty/Faithfulness.264 1.37.174.484 2.23 .030

Conception Risk (CR).026 .27.789-.012 -.12.905

CR x Loyalty/Faithfulness-.127-.82.416-.051 -.28 .781

SOI.294 2.15 .040

SOI x CR.053 .66.507

SOI x Loyalty/Faithfulness-.157 -.82.415

Notes.

Bold: p < .05

N of women: 39 and 38 for analyses excluding and including SOI, respectively

df: 69.6 – 167.1 and 29.3 – 163.8 for analyses excluding and including SOI, respectively

All variables are z-scored.

Table S22

Effects on frequency of sexual intercourse, Study 2: Normally ovulating women, excluding days 1-5

Effect γ t p γ t p

Loyalty/Faithfulness.409 1.65.106.573 2.23 .031

Conception Risk (CR).012 .11.915-.042 -.35.723

CR x Loyalty/Faithfulness-.143 -.79.432-.023 -.11 .915

SOI .279 1.96 .061

SOI x CR.073 .81.420

SOI x Loyalty/Faithfulness-.017 -.06 .949

Notes.

Bold: p < .05; italics: p < .10

N of women: 36 and 36 for analyses excluding and including SOI, respectively

df: 39.9 – 129.1 and 27.8 – 131.3 for analyses excluding and including SOI, respectively

All variables are z-scored.