Starting a new hormonal contraceptive pill can cause short-term symptoms and side effects that may influence exercise, but these often attenuate over time or can be managed by switching to a different pill.

“And you're making the point that uh hormone based uh pill contraception um is making changes in hormones of at least that magnitude. And and so there's no reason to expect that it should impact um at least ability. I can think of motivation to train um ability somehow like if it relates somehow to contractile ability the muscles or or tendon um uh tendon strength or something and then the actual adaptation like so it sounds like none of these things block the adaptation to exercise the increase in muscle size or strength or both. Is that right?”