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How does birth control lower bioavailable testosterone in PCOS patient? I have PCOS high bio test. and wondering which BC pill is best for this case.

1 doctor weighed in
Dr. Arqam Zia
Internal Medicine - Endocrinology

In brief: See below

1) PC pills ( OCP) promotes negative feedback on production of LH , causing a decreased synthesis of androgens by ovaries.
2) bioavailable T means: free testosterone and T bound to albumin. usually total testosterone or calculated Free T is measured and monitored for PCOS 3) for PCOS use OCP Norgestimate , Desogestrel or Norethindrone that has less intrinsic androgenic activity

In brief: See below

1) PC pills ( OCP) promotes negative feedback on production of LH , causing a decreased synthesis of androgens by ovaries.
2) bioavailable T means: free testosterone and T bound to albumin. usually total testosterone or calculated Free T is measured and monitored for PCOS 3) for PCOS use OCP Norgestimate , Desogestrel or Norethindrone that has less intrinsic androgenic activity
Dr. Arqam Zia
Dr. Arqam Zia
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