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Doctor insights on: Contraceptives Pcos

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Dr. Dennis Higginbotham
1,246 doctors shared insights

Polycystic Ovarian Syndrome (Definition)

Pcos is a metabolic disorder affecting 8-10% of women that may cause irregular periods, acne or increased hair growth, infertility or subfertility, and increases the risk of diabetes. To diagnose pcos, we need 2 out of 3 of: 1. Irregular or no periods 2. Acne, hair growth and/or blood tests showing too much male-type hormones (androgens) 3. Ultrasound showing large ovaries ...Read more


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My gynecologist prescribed contraceptives for my PCOS. I've to take the pills for a 3-month period. It is true than when you stop them, you get fat?

My gynecologist prescribed contraceptives for my PCOS. I've to take the pills for a 3-month period. It is true than when you stop them, you get fat?

No, that: Is not true. One of the most common features of PCOS, however, is obesity. Have you discussed use of metformin with your GYN? It can help reduce insulin resistance, which is the basic metabolic problem in PCOS. ...Read more

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I have PCOS and I am on contraceptive pills. Will my contraceptive pills plus PCOS reduce chances of getting pregnant?

I have PCOS and I am on contraceptive pills. Will my contraceptive pills plus PCOS reduce chances of getting pregnant?

Contraceptive: Means to "prevent pregnancy" so contraceptive pills by themselves are suppose to keep you from getting pregnant. PCOS does not make you more likely to get pregnant on pills. Good wishes. ...Read more

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Had sex 10 days ago. I'm 5 days late. 2 pregnant tests says negative. Is it late to take a contraceptive pill? I have pcos!

Had sex 10 days ago. I'm 5 days late. 2 pregnant tests says negative. Is it late to take a contraceptive pill? I have pcos!

It is too late to : Take a post-intercourse contraceptive. You are probably not pregnant, but if you menses are delayed it can be due to pcos, stress or other factors -- as well as pregnancy. If you reach about 10 days late, try another hpt of have your doctor check lab if you're really worried. If you practiced protected sex, you wouldn't have to worry about this or hiv/ std infections either. ...Read more

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Missed period, have Linea nigra, tests negative. 6 months on contraceptive pills for treating PCOs. Is there possibility for me getting pregnant?

Missed period, have Linea nigra, tests negative.  6 months on contraceptive pills for treating PCOs.  Is there possibility for me getting pregnant?

PCOs: Hi, Usually people with PCOs need help from infertility doctors to get pregnant. As you might already know the periods are very irregular in people with PCOs so being said that it's more likely that you're period irregular rather than pregnancy. You always can repeat the pregnancy test. ...Read more

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What are some alternatives to hormonal contraceptives in order to control pcos?

What are some alternatives to hormonal contraceptives in order to control pcos?

Natural health & PCO: There is no pharmaceutical or natural 'cure' for pcos, but maintaining healthy weight (or losing weight) can improve the profile and some quality-of-life issues. There's evidence, but no 'proof, ' that diets with low glycemic-index may help: this is a topic of ongoing research and is worth watching. Prescription meds from a doctor, such as clomipghene can help with trying to get pregnant. ...Read more

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I have polycystic ovarian syndrome, I read it causes infertily and diabetes? And they said I'll be treated with contraceptives all my life?!?!

I have polycystic ovarian syndrome, I read it causes infertily and diabetes? And they said I'll be treated with contraceptives all my life?!?!

Not true: Pcos can be associated with irregular menses and the attendant risk to fertility as well as an increased risk of Insulin insensitivity and diabetes. But there are many treatments to decrease the risk of diabetes and increase fertility. See an endocrinologist. ...Read more

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Ttc with pcos but doctor put me on contraceptive pill, for what?

Ttc with pcos but doctor put me on contraceptive pill, for what?

Contraceptive pill: If you are still planing to have a baby your doctor should not put you on a contraceptive pill.
If you are still having intercourse but do not wish to have a child, a contraceptive pill is the appropriate one. ...Read more

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Slim, PCOS. I don't want to use contraceptive pills, trying to conceive. How to regulate cycles without side effects?

Slim, PCOS. I don't want to use contraceptive pills, trying to conceive. How to regulate cycles without side effects?

Have patience.: PCOS usually improves with time. But if conception is among your short term plans see a competent gyn. Who can help you by inducing ovulation and guide you to conceive sooner! ...Read more

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I have pcos, the doctors said i jave to be treated contraceptives(all my life) + metformin (3months) is this a good treatment protocol?

PCOS is Complex: The management of pcos is complex. Note that I did not say treatment but management. There are various presentations to this rather complex disease and depending on what the patient / doctors are shooting for, management can differ. Contraceptive pills help regulate the cycles and also improve hair growth. Metformin is helpful in improving Insulin sensitivity. Significant weight loss is helpful. ...Read more

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Will the contraceptive injection help regulate my period when I have polycystic ovaries, as the pill is not regulating them?

Will the contraceptive injection help regulate my period when I have polycystic ovaries, as the pill is not regulating them?

Maybe: Remember, of you are under 20, there is an increased risk of breast cancer from using birth control pills. If you don't need them to prevent pregnancy, and only to control cycles, consider regular exercise 30 mins moderate intensity 4 days/wk, metformin, and 10 days of Progesterone only on day of cycle 18-28. If you do need birth control, too, consider Mirena (levonorgestrel) iud instead of shots. ...Read more

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Im23y virgin I have milky discharge from nipples with oligomenorrhea I had take contraceptive+metformine for 2y for suspected pcos stop it before 6m

Need Full Evaluation: The assumption first is a problem with prolactin, the milk hormone. A fertility specialist can helps sort the hormonal issues out, as you may not actually have pcos. Although some women with pcos have a mildly elevated prolactin, it usually is not high enough to cause symptoms. It would be helpful to take a step back and actually do more testing. ...Read more

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Hi, I suffer from hirsutism because pcos and I use the pill. Flutamide associated with contraceptive pill is really effective? Are there better drugs?

Hi, I suffer from hirsutism because pcos and I use the pill. Flutamide associated with contraceptive pill is really effective? Are there better drugs?

Metformin: Metformin will help reduce Insulin resistance, which is the cause of pcos. Can induce normal menses and fertility. Flutamide or spironolactone can reduce testosterone if elevated. Contraceptive only regularize periods and make you infertile. Check w/your doctor. ...Read more

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Why do I often have large blood clots during my period? I have PCOS and are taking contraceptives.

Why do I often have large blood clots during my period? I have PCOS and are taking contraceptives.

Ultrasound: If you are on oral contraceptives and continue to have heavy bleeding, it may indicate that there is something structural that is preventing your uterus from getting rid of blood in an organized fashion. Sometimes fibroids and polyps can lead to irregular bleeding, alternatively your heavy periods could be related to a hormonal issue. Consider a consult to discuss more of your history. ...Read more

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Do I need a prescription in order to purchase oral contraceptives? Radiologist said I needed them in order to treat polycystic ovaries

Do I need a prescription in order to purchase oral contraceptives? Radiologist said I needed them in order to treat polycystic ovaries

Yes: Oral contraceptives (birth control pills) are hormone pills and are not over-the-counter, regardless of what the reason is for using the pills. One should see her primary care doctor or an Ob-Gyn doctor to be evaluated, and then started on oral contraceptives if needed. ...Read more

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PCOS — Facial hair growth, weight gain (currently 135lbs but was 150), absent period (1+yrs) but can't take oral contraceptives. How to treat?

PCOS — Facial hair growth, weight gain (currently 135lbs but was 150), absent period (1+yrs) but can't take oral contraceptives. How to treat?

Consult GYN: How was PCOS diagnosed? Hormone test and Ultrasound? If you have high Androgen you can take Spironolactone. Why can't you take OCP? There are different types are available including patch. It is NOT normal to NOT have period for one year. There may be other reasons for not having period like Anorexia, Thyroid problem, Anemia etc. ...Read more

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Secondary amenorrhea: ok weight, no pcos, NT pregnant, high testosterone, no thyroid prob. Why? How to treat? Gynae said hi dose of contraceptive pil?

Secondary amenorrhea: ok weight, no pcos, NT pregnant, high testosterone, no thyroid prob. Why? How to treat? Gynae said hi dose of contraceptive pil?

You have PCOS !: Based on your statement that you don't have pcos but have high testosterone is quite contradictory, as high testosterone in women with irregular menses is the very definition of pcos. Having said that, women with pcos do not need high estrogen, as pcos is a condition that affects ovulation (progesterone release) rather than estrogen production. Only in certain conditions that high estrogen is need. ...Read more

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I have pcos I am taking oral contraceptives how long I can take them as when I stop them I get acne and hirsuitism and missed periods?

I have pcos I am taking oral contraceptives how long I can take them as when I stop them I get acne and hirsuitism and missed periods?

Spironolactone : You may want to discuss the types of ocps and their relative adrogenic properties. Many with pcos use spironolactone for its anti-androgen properties in combatting the acne associated with pcos. ...Read more

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Ihave pcos 44"l m getting treatment of metformin,oral contraceptive pill from 8 month how much time it will take to cure. M 26. Iwant pregnency sugge?

A "cure" like bacon: PCOS is never cured, rather it is managed like bacon is "cured" by preserving the ovaries "freshness" and function for long term use. As to how long that takes, that depends on when you want to get pregnant and use the ovaries for ovulation. They still may need to be "jump started" with an ovulation induction drug when you are ready for conception. ...Read more

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What birth control can you take for pcos?

Any hormonal: Any oral contraceptive pill should help to regulate the menstrual cycle for a woman with pcos — in addition to providing contraception. The "mini-pill", which is a Progesterone only pill will not be as effective for most women. Other forms of contraception (shots, barriers, iud's, implants, etc) should still be effective for contraception. ...Read more

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What is the best method of birth control for pcos if you need one?

What is the best method of birth control for pcos if you need one?

The one you use. : The Best form of birth control is the one that you will consistently use and use correctly. If the pill is freq missed then another method such as a nuvaring, implanon, or iud may be better. Pco is generally adeq. Addressed with any of the hormonal options. ...Read more

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Is taking birth control the "correct" way to treat pcos? I think of it as masking it and not finding out what the underlying problem is....

Is taking birth control the "correct" way to treat pcos? I think of it as masking it and not finding out what the underlying problem is....

Insulin resistance: The main underlying cause of pcos is Insulin resistance. Treating this is the best way to cure pcos. This means exercise, diet changes to improve Insulin sensitivity, and weight loss. Sometimes medications. Birth control pills control periods so you will not be at greater risk for uterine cancer or heavy periods, which is also important. ...Read more

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I have polycystic ovary syndrome (pcos) and will start birth control soon. Will I lose weight?

I have polycystic ovary syndrome (pcos) and will start birth control soon. Will I lose weight?

Probably not: Ocp's are an effective way to manage pcos. However, ocp's do not cause weight loss. Many women think that ocp's cause weight gain, but that is not supported in the very large studies done to evaluate weight changes on birth control pills. ...Read more

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I have pcos. On metformin. Can't take birth control, react badly to them, even mini-pill. Is there anything else I can try, even otc, that might help?

I have pcos. On metformin. Can't take birth control, react badly to them, even mini-pill. Is there anything else I can try, even otc, that might help?

Weight loss: The most important thing someone can do with pcos is to lose weight if weight is an issue. For most patients with pcos there is a direct correlation between weight gain and menstrual irregularity. ...Read more

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What's the birth control pill should I be on if I have PCOS? How many to take in a day? And for how long should I take it? Primolut N 10mg? 1x3 day??

What's the birth control pill should I be on if I have PCOS? How many to take in a day? And for how long should I take it? Primolut N 10mg? 1x3 day??

There are many: Different formulations for birth control that you could use for PCOS. The most suitable ones are those with very low estrogen and moderate amounts of progestin. The presence of progestin will help to kickstart your menstrual cycle and keep it regular. Thanks for trusting in HealthTap. ...Read more