Do You Need to Stop Birth Control Pills Before PCOS Blood Tests? - Obstetrics and Gynecology

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Do I need to stop taking medication before blood tests for polycystic ovary syndrome (PCOS)?


About six months ago, I went to the hospital to check on my irregular menstrual cycle.
The doctor diagnosed me with polycystic ovary syndrome (PCOS) and recommended that I take oral contraceptive pills.
I was advised to return to the hospital for blood tests after six months.
However, I forgot to ask the doctor whether taking oral contraceptive pills would affect the results of the blood tests.
Should I stop taking the medication before the blood draw?

Jo, 20~29 year old female. Ask Date: 2019/06/01

Dr. Lin Manying reply Obstetrics and Gynecology


Hello Ms.
Jo: Regarding your inquiry, here are the responses: 1.
No, it will not happen.
2.
You should wait six months after finishing the contraceptive pills before having your blood drawn.
Hualien Hospital, Ministry of Health and Welfare, cares about your health.

Reply Date: 2019/06/01

More Info


When it comes to testing for Polycystic Ovary Syndrome (PCOS), the timing of your blood tests in relation to your use of birth control pills is an important consideration. Birth control pills, particularly those containing estrogen and progestin, can influence hormone levels in your body, which may affect the results of certain blood tests used to diagnose PCOS.

PCOS is characterized by hormonal imbalances, and common tests include measuring levels of hormones such as testosterone, luteinizing hormone (LH), and follicle-stimulating hormone (FSH). Birth control pills can suppress the production of these hormones, potentially masking the symptoms of PCOS. Therefore, if you are currently taking birth control pills, it is generally recommended to stop taking them for a period before undergoing blood tests for PCOS. This allows your hormone levels to return to their natural state, providing a more accurate assessment of your condition.

Typically, healthcare providers suggest discontinuing birth control pills at least 2-4 weeks prior to testing. This timeframe can vary depending on individual circumstances, so it is crucial to discuss this with your healthcare provider. They can provide personalized advice based on your specific situation and the tests that will be performed.

In addition to hormonal blood tests, your doctor may also recommend other evaluations such as an ultrasound to assess the appearance of your ovaries and the thickness of the endometrial lining. These tests can provide additional information about your reproductive health and help confirm a diagnosis of PCOS.

If you have concerns about stopping your birth control pills, especially if you rely on them for contraception or to manage other symptoms, it’s essential to communicate this with your healthcare provider. They can help you weigh the benefits and risks and may suggest alternative approaches to manage your symptoms while still obtaining the necessary diagnostic information.

In summary, it is advisable to stop taking birth control pills before undergoing blood tests for PCOS to ensure accurate results. However, the exact timing and approach should be discussed with your healthcare provider to tailor the plan to your individual needs and circumstances. Always prioritize open communication with your healthcare team to ensure the best outcomes for your health.

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