Should You Take Vitamin E While on Birth Control Pills?

Is it necessary to take vitamin E while using oral contraceptives?

I have been taking birth control pills for over a year to prevent pregnancy and regulate my menstrual cycle.
My menstrual pain and irregularity have decreased to almost none, but my menstrual flow has also become less.
I am a patient with polycystic ovary syndrome (PCOS), and seven years ago, after undergoing tumor removal surgery, my doctor suggested that I try birth control pills to regulate my cycle and reduce the recurrence rate of tumors.
However, after taking them for over a year, my menstrual flow has changed over the past five to six months from initially having seven days of bleeding, with only two days of bright red blood (the other days were brown or dark red), to now having only four days of bleeding, which ranges from brown to almost none (and the amount is decreasing each day).
I estimate that at the most, when I don’t change my pad all day, I would only fill one and a half pads at most.
Recently, when I bought Marvelon (the purple one), the pharmacist suggested that I take it with vitamin E to potentially increase menstrual flow and reduce future infertility or miscarriage risks.
However, I found some information online indicating that excessive intake could increase the likelihood of other health issues.
Given my situation, how much vitamin E should I consider taking? Or is my regular dietary intake sufficient? If I need to take vitamin E supplements, how should I read the labels to distinguish between necessary and unnecessary ingredients? Thank you for your help.

Wen, 20~29 year old female. Ask Date: 2016/12/23

Dr. Zhang Kunmin reply Obstetrics and Gynecology

A physician cannot administer treatment, prescribe medication, or provide a diagnosis without a personal examination.
Hello, the contraceptive pill has the effect of suppressing endometrial hyperplasia (making it more difficult for a fertilized egg to implant).
As the source of menstrual flow decreases, the menstrual volume naturally reduces, and it is not due to blood retention in the body.
In medical practice, there is no specific recommendation to take vitamin E.
Thank you! Wishing you peace and health, Dr.
Chang.

Reply Date: 2016/12/23

More Info

When considering the use of vitamin E while on birth control pills, especially for someone with a history of polycystic ovary syndrome (PCOS) and previous tumor surgery, it is essential to approach this matter with caution and a thorough understanding of both the benefits and potential risks.

Vitamin E is a fat-soluble vitamin known for its antioxidant properties and its role in immune function. Some studies suggest that vitamin E may help improve menstrual flow and alleviate some symptoms associated with hormonal imbalances. However, the evidence is not definitive, and the effects can vary significantly from person to person. In your case, where you have noticed a decrease in menstrual flow and changes in the characteristics of your menstrual blood, it is understandable that you are seeking ways to address these concerns.

While some healthcare providers may recommend vitamin E to potentially enhance menstrual flow, it is crucial to consider the dosage. The recommended dietary allowance (RDA) for vitamin E for adults is about 15 mg (22.4 IU) per day. High doses of vitamin E, particularly above 400 IU per day, have been associated with an increased risk of bleeding, especially in individuals taking anticoagulant medications or those with certain health conditions. Therefore, if you are considering supplementing with vitamin E, it is advisable to stay within the recommended limits and consult with your healthcare provider for personalized advice.

In terms of dietary intake, focusing on a balanced diet rich in vitamins and minerals is always a good strategy. Foods high in vitamin E include nuts (such as almonds and hazelnuts), seeds (like sunflower seeds), spinach, and avocados. Incorporating these foods into your diet can help you meet your nutritional needs without the risks associated with high-dose supplementation.

Regarding the use of birth control pills, they can sometimes lead to lighter periods or even amenorrhea (absence of menstruation) in some women. This is particularly common in women with PCOS, as hormonal contraceptives can help regulate menstrual cycles but may also suppress ovulation and reduce menstrual flow. If you are concerned about the changes in your menstrual cycle, it is essential to discuss these changes with your healthcare provider. They may recommend monitoring your symptoms or adjusting your birth control method if necessary.

In summary, while vitamin E may have some benefits, it is essential to approach supplementation carefully, especially in the context of hormonal contraceptives and your medical history. A balanced diet is often sufficient to meet your nutritional needs, and any supplementation should be done under the guidance of a healthcare professional. If you have specific concerns about your menstrual health or the effects of your birth control, do not hesitate to reach out to your doctor for further evaluation and personalized recommendations.

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