Managing PCOS: Differences Between Diane-35 and Birth Control Pills

Menstrual regulation and contraception?

Hello, doctor.
I have symptoms of polycystic ovary syndrome (PCOS).
The doctor prescribed me DIANE-35 S.C.
TAB and NOVAMINE 5mg.
What is the difference between using these medications for menstrual regulation and using birth control pills (like Yaz) for the same purpose? When I asked my gynecologist, they mentioned that the dosage of "estrogen and progestin" in birth control pills is higher and may not be good for the body.
Would you recommend purchasing birth control pills on my own for menstrual regulation? Previously, I consulted other gynecologists who provided a one-month supply and agreed to let me buy the pills over the counter for menstrual regulation, but this doctor insists on prescribing only a 10-day supply and does not recommend self-purchasing birth control pills for this purpose.
Therefore, I would like to ask how to best manage the symptoms of polycystic ovary syndrome.

., 20~29 year old female. Ask Date: 2018/11/06

Dr. Huang Jianzhong reply Obstetrics and Gynecology

The symptoms of polycystic ovary syndrome (PCOS) can be managed with medications such as DIANE-35 S.C.
TAB and NOVAMINE 5mg.
What is the difference between using these medications for menstrual regulation and using birth control pills (like YAZ) for the same purpose? Answer: There is not much difference.
When I consulted with a gynecologist, they mentioned that the doses of "estrogen and progestin" in birth control pills are higher, which may not be good for the body.
Should I consider purchasing birth control pills for menstrual regulation on my own? Answer: It is possible.
I previously consulted another gynecologist who provided a one-month supply and agreed to let me buy the medication over the counter for menstrual regulation.
However, this particular doctor insists on prescribing only a 10-day supply and does not recommend self-purchasing birth control pills for menstrual regulation.
Therefore, I would like to ask the doctor how to best manage the symptoms of polycystic ovary syndrome.
Answer: Self-purchasing medication from the pharmacy for menstrual regulation.

Reply Date: 2018/11/06

More Info

Managing Polycystic Ovary Syndrome (PCOS) can be complex, and the choice of medication is crucial for effective treatment. In your case, you have been prescribed Diane-35 and Novamine, and you are curious about how these differ from standard birth control pills, particularly in terms of their effects on managing your menstrual cycle and PCOS symptoms.

Diane-35 is a combination oral contraceptive that contains two hormones: ethinyl estradiol (an estrogen) and cyproterone acetate (a progestin). This medication is often prescribed for women with PCOS because it can help regulate menstrual cycles, reduce androgen levels (which can lead to symptoms like acne and excessive hair growth), and improve ovulatory function. The progestin in Diane-35, cyproterone acetate, has anti-androgenic properties, making it particularly beneficial for women suffering from hirsutism (excessive hair growth) associated with PCOS.

On the other hand, standard birth control pills, such as those containing different combinations of estrogen and progestin, can also regulate menstrual cycles and provide contraceptive benefits. However, the specific formulation and dosage of hormones can vary significantly between different brands and types of birth control pills. Some may contain higher doses of estrogen or different types of progestins, which can influence their side effects and effectiveness in managing PCOS symptoms.

Your doctor’s concern about the "heavier" doses of estrogen and progestin in some birth control pills is valid. Higher doses can lead to increased risks of side effects, including blood clots, especially in women who smoke or have other risk factors. Therefore, the choice of medication should be tailored to your individual health profile and specific symptoms.

Regarding the recommendation to self-purchase birth control pills for cycle regulation, it is generally not advisable. While some women may feel comfortable managing their own medication, it is essential to have a healthcare provider involved in the decision-making process. Self-medicating can lead to inappropriate dosing, missed diagnoses, or exacerbation of underlying conditions. Your current doctor’s approach of prescribing a limited supply (10 days) may be a way to monitor your response to the medication and adjust treatment as necessary.

For managing PCOS, it is crucial to have a comprehensive treatment plan that may include lifestyle modifications (such as diet and exercise), medication for hormonal regulation, and possibly fertility treatments if you are planning to conceive. Regular follow-ups with your healthcare provider are essential to monitor your condition and make any necessary adjustments to your treatment plan.

In summary, Diane-35 and standard birth control pills can both be effective in managing PCOS, but they have different formulations and potential side effects. It is important to work closely with your healthcare provider to determine the best treatment option for your specific situation. Avoid self-medicating and ensure that any medication you take is prescribed and monitored by a qualified healthcare professional.

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