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Doctor insights on: How To Diagnose Pcos While On The Birth Control Pill

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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

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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What is the best birth control pill for someone with PCOS and a penicillin alergy?

What is the best birth control pill for someone with PCOS and a penicillin alergy?

Birth control: Oral contraceptives with minimum 20 mcg ethinyl estradiol (higher doses may be needed in some)and a progestin like desogesterel/drosperinone are used after discussing risks and benefits with patients. Discuss it more with your physician. ...Read more

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Could I be pregnant? I have pcos, and was late taking a birth control pill a day before having unprotected sex. Also on metformin for pcos.

Could I be pregnant? I have pcos, and was late taking a birth control pill a day before having unprotected sex. Also on metformin for pcos.

Take the test: If you want to know if you are pregnant, take a test. In today's world you do not need to wonder if you are pregnant or not based on symptoms. Pregnancy tests are available at any pharmacy and in minutes you will have your answer. They can detect a pregnancy 7-10 days after conception. The best time to take one is when you miss your period. ...Read more

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I have pcos and my testosterone level also high. Can I intake flaxseed and birth control pill together?

I have pcos and my testosterone level also high. Can I intake flaxseed and birth control pill together?

Unclear: Based on the current body of research, it is unclear whether flaxseed will significantly reduce the effectiveness of birth control pills or not. These trials are difficult to conduct because flaxseed products are not as tightly regulated as pharmaceuticals and it is difficult to gauge how much of the active ingredient you are consuming. Probably better to avoid if you are worried. ...Read more

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The only reason I am on birth control pill is due to pcos related hair loss, will adding saw palmetto help hair loss or will it counter birth control.

The only reason I am on birth control pill is due to pcos related hair loss, will adding saw palmetto help hair loss or will it counter birth control.

Saw palmetto: There is no evidence that it will help your hair, but evidence that it may interfere with your birth control. Are you on Metformin for the real problem with PCOS and testosterone? That being insulin resistance. If not suggest it to your physician or see an endocrinologist. Your best bet would be to see a dermatologist for help with your hair loss. ...Read more

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I have pcos and irregular periods and hirsutism and hairfall. Can I intake flaxseed and birth control pill together?

I have pcos and irregular periods and hirsutism and hairfall. Can I intake flaxseed and birth control pill together?

You can: But there will be no benefit. Which birth control pill? Some are better than others for PCOS. You probably also should take SPIRONOLACTONE, Possibly metformin, possibly dustasteride or finasteride. Usually weight loss is very beneficial for PCOS. ...Read more

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I have diagnoses of pcos all symptoms included. Should I take combo birth control pill or only progesterone? Never tried provera, (medroxyprogesterone) will it be better for me?

I have diagnoses of pcos all symptoms included. Should I take combo birth control pill or only progesterone? Never tried provera, (medroxyprogesterone) will it be better for me?

Androgenic: Provera (medroxyprogesterone) is a Progesterone which gets converted to weak androgens and can further complicate pcos. The androgens produced by the ovaries will not be suppressed by Progesterone alone. Combination ocp's are preferable, certain ones are better than others. A gynecologist or endocrinologist are good resources. ...Read more

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What's the purpose in being put on the birth control pill for one month after a miscarriage? I am 30, have pcos and want to try again asap.

No benefit: There would be very little reason to use the pill for one month after a miscarriage. You could use some other form of birth control for the short term. ...Read more

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Do you think I should stop taking birth control pill to check for symptoms of pcos?

No: Unless you desire to get pregnatn I don't recommend that you stop your bcp's. Unless you are having side effects or there is another reason for stoping them. I would discuss this issue with your gyn. Whty do you want to stop? Do you want to get pregnant? Other methods of treatment for pcos? Etc etc. ...Read more

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I'm a 17 year old female. Which is the best Birth Control pill to reduce PCOS symptoms?

I'm a 17 year old female. Which is the best Birth Control pill to reduce PCOS symptoms?

Depends: It depends on a lot of things like which symptoms you are trying to control and your health history. Pills are probably the most used but you should talk to your doctor about your options. ...Read more

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What is the best birth control pill that can treat pcos?

What is the best birth control pill that can treat pcos?

Varies: Almost any birth control pill will regulate the cycle in women with pcos. For many women, the very low dose pills are more likely to result in spotting and breakthrough bleeding. ...Read more

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No pcos, but still dheas is high 519. Metformin increased the level. Should I only take birth control pill to reduce the level? Or combine any med?

No pcos, but still dheas is high 519. Metformin increased the level. Should I only take birth control pill to reduce the level? Or combine any med?

Doctor: Unfortunately I suggest think you probably talk to the doctor that prescribed the metformin in the first place. If you have not seen the doctor recently consider seeing somebody so that they can check and review all lab work. ...Read more

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My cycle has just gone over 100 days. I have polycystic ovaries (not syndrome). Recently stopped birth control pill. Is this detrimental to my health?

My cycle has just gone over 100 days. I have polycystic ovaries (not syndrome). Recently stopped birth control pill. Is this detrimental to my health?

No, but see your doc: You mention you're not sure if your pregnant. So doing a home pregnancy test would be helpful, and calling or seeing your OB/GYN or PCP would be good. So they can follow you on this and keep a record on you. ...Read more

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Is any brand of birth control pill safe for someone with a Protein S deficiency, in treating PCOS?

Birth control: Pills do not TREAT PCOS, they only mask the irregular periods. To actually treat the basic metabolic problem of insulin resistance you need diet, exercise, weight loss and many women improve with metformin. Other drugs are useful in certain situations. ...Read more

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If you have polycystic ovaries ultrasound (but no other signs such as obesity, acne etc), will it make it worse if not taking birth control pill?

If you have polycystic ovaries ultrasound (but no other signs such as obesity, acne etc), will it make it worse if not taking birth control pill?

Not worse: Birth control pills can be used to regulate the cycles in people who have PCOS who are not cycling regularly. Not taking them will not make PCOS but the cycles will still be irregular, ...Read more

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What are the side effects of Yaz (drospirenone and ethinyl estradiol) birth control pill in treating pcos and acne? In dilemma as to whether I should start or not.

What are the side effects of Yaz (drospirenone and ethinyl estradiol) birth control pill in treating pcos and acne? In dilemma as to whether I should start or not.

Clotting and emboli: Acne develops after one has periods because of hormonally induced changes to the skin with more oils. Taking birth control pills helps to regulate this and can decrease acne. But even low dose estrogen birth control pills increases the risk of deep venous clots (DVT) and can risk the emboli to the lungs. A family history of clots is a contraindication. Hydration decreases risks of forming clots. ...Read more

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My doctor recently recommended I use Yaz (drospirenone and ethinyl estradiol) for birth control as I have irregular periods and pcos. What is a good birth control pill to take?

My doctor recently recommended I use Yaz (drospirenone and ethinyl estradiol) for birth control as I have irregular periods and pcos. What is a good birth control pill to take?

Multiple choices: If you have irregular periods and pcos, you can choose any birth control pill. Yaz (drospirenone and ethinyl estradiol) has been associated with higher rates of vte, or clots in the leg veins, which could be serious. You can choose one of the lo estrin or lo orthotricyclen pill. If you have increased facial, neck hair due to pcos, you can take spironolactone in addition to the pill. ...Read more

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On sept 2012, I had dheas level 395, on jan 2013 level was 430. I started taking metformin 2000mg. And also birth control pill. Help me to diagnose?

On sept 2012, I had dheas level 395, on jan 2013 level was 430. I started taking metformin 2000mg. And also birth control pill. Help me to diagnose?

Incomplete info: It would appear that your doctor believes that you have "polycystic ovarian syndrome", pcos. The dheas levels go along with, as does the metformin and birth control pills. Pcos has more to do with how Insulin hormone (regulating sugar levels) works in your body. It results in irregular periods, failure to ovulate and a strong tendency to diabetes. You are on the correct meds. ...Read more

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Would you still get the 'fake' period if you become pregnant while on the birth control pill?

Would you still get the 'fake' period if you become pregnant while on the birth control pill?

No: You will not get a menses if you are pregnant. You might get bleeding early in pregnancy due to implantation but after the first couple weeks you will not bleed if you have a normal pregnancy. ...Read more

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I am currently on the birth control pill. Does taking folic acid tablets affect the pill in anyway?

I am currently on the birth control pill. Does taking folic acid tablets affect the pill in anyway?

No: Folic acid is given to reduce neural tube defects (spina bifida). More common in Irish. Can be detected by U/S. Anyhow if you are taking BCP's correctly you should not be getting pregnant. You should be getting plenty of folate from green leafy veggies. ...Read more

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I am on the birth control pill and I have been bleeding every other week like a normal period I don't know what's wrong?

I am on the birth control pill and I have been bleeding every other week like a normal period I don't know what's wrong?

Side effect...: This could be a side effect we call breakthrough bleeding. It happens when the hormone dose is too low. Contact your doctor. It may be that simply changing the pill will fix this. ...Read more

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I am currently on the birth control pill, and I have to take doxycycline 100mg. For at least 2 weeks so should I be concerned?

I am currently on the birth control pill, and I have to take doxycycline 100mg. For at least 2 weeks so should I be concerned?

No problem: You can safely take birth control pills and doxycycline. The antibiotic has not been shown to decrease the effectiveness of your contraceptive pills. The american college of obstetricians and gynecologists has stated that Doxycycline and similar medications do not affect oral contraceptive steroid levels. As well, they say it is not necessary to use a back-up method while using both medicines. ...Read more

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Lately when I wake up I feel like I wanna throw up. I'm on the birth control pill. Me and my bf have been playing lately should I be concerned?

Take preg test: It sounds to me like you are worried that you might be pregnant. Check a pregnancy test and find out. If it is negative you can see your doctor to discuss morning nausea. ...Read more

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I've been on the birth control pill for a week and a half now while having unprotected sex. Can it cause spotting? Just ending period a week ago.

I've been on the birth control pill for a week and a half now while having unprotected sex. Can it cause spotting? Just ending period a week ago.

Breakthrough bleed: Breakthrough bleeding (bleeding at the wrong time) is very common on birth control. It happens in about 1/3 of users. Its no big deal and usually self corrects over time. If you are not satisfied or it continues to happen then consider using a different birth control method. It is a common side effect and does not mean something is wrong or that the pill is not working. ...Read more

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In the past 6 months I have seen my period just three times. I have been on the birth control pill postinor2. Please I need to know what is wrong?

In the past 6 months I have seen my period just three times. I have been on the birth control pill postinor2. Please I need to know what is wrong?

Probably normal: Usually when using that medicine as birth control people do not have periods at all. Make sure you take the medicine every day and at nearly the same time each day. ...Read more

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I'm on the birth control pill been taking if for almost a month I got my period but it's been over a week now can it be related to the pill? Normal?

I'm on the birth control pill been taking if for almost a month I got my period but it's been over a week now can it be related to the pill? Normal?

Yes: It's very common to have menstrual irregularities in the first few months on the pill. If you are bleeding heavily, you should go see your doctor. Otherwise, just wait it out and keep taking the pill. Usually by 3 months from when you started your pill your periods will have evened out. ...Read more

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I've been having period like bleeding for the past week. I am on the birth control pill, have been taking it faithfully. Its not my period week. Help?

I've been having period like bleeding for the past week. I am on the birth control pill, have been taking it faithfully. Its not my period week. Help?

Bleeding: Break through bleeding is what you are having. That's irregular bleeding on the pill. If you started the pill recently, just keep taking it and it usually will go away. If you've been on the pill for awhile, then it can be related to other problems. You should see your doctor. ...Read more

Dr. Jeff Livingston
2,399 Doctors shared insights

Contraception (Definition)

Contraceptiion is a means of preventing conception (or fertilization). There are hormonal and non hormonal methods of preventing sperm and egg from meeting. Talk to your doctor or clinic about what options are best for you. There are short acting methods (condoms, pills, patch, ring) and long ...Read more


Dr. Lynne Weixel
4 Doctors shared insights

Birth Control (Definition)

Also known as contraception, birth control is a method to prevent pregnancy. Some methods of birth control include a vasectomy, tubal ligation, oral contraceptive pills, vaginal rings, hormone injections, condoms, diaphragms, sponges, ...Read more