Managing PCOS: The Impact of Birth Control on Natural Menstrual Cycles

Taking contraceptive pills for polycystic ovary syndrome (PCOS)?

Hello Doctor, I have been diagnosed with polycystic ovary syndrome (PCOS) for about a year and a half.
My last natural menstrual period was a year and a half ago (during this time, I took birth control pills and medications to induce menstruation).
The last time I took Dailian was in September; I completed one pack and then stopped.
On December 21, I unexpectedly had a natural menstrual period, but I did not have one in January.
Then, on February 17, I had another natural menstrual period.
If I start taking birth control pills again to regulate my cycle and treat acne, will it negatively affect the natural cycle that has been difficult to initiate? Thank you!

Niming, 20~29 year old female. Ask Date: 2020/02/18

Dr. Cao Guotao reply Obstetrics and Gynecology

Hello, taking birth control pills is also a way to manage this condition.
If you want to get pregnant later, you can use other methods to address it, so there's no need to worry.
Wishing you good health.

Reply Date: 2020/02/18

More Info

Managing Polycystic Ovary Syndrome (PCOS) can be quite complex, especially when it comes to understanding the impact of birth control on natural menstrual cycles. PCOS is a common hormonal disorder that affects women of reproductive age and is characterized by irregular menstrual cycles, excess androgen levels, and polycystic ovaries. The management of PCOS often involves a combination of lifestyle changes, medication, and sometimes hormonal treatments.

In your case, it seems that you have experienced a significant gap in your natural menstrual cycles, with the last one occurring a year and a half ago. The fact that you have had some natural cycles recently, particularly after stopping the birth control pill (Diane), indicates that your body may be beginning to regulate itself. This is a positive sign, as it suggests that your hormonal balance might be improving.

When considering whether to resume birth control pills, it is essential to weigh the benefits and potential drawbacks. Birth control pills can help regulate menstrual cycles, reduce androgen levels, and manage symptoms such as acne and excessive hair growth. However, introducing hormonal contraceptives again could potentially disrupt the natural cycle that seems to be re-establishing itself.
If you start taking birth control pills again, it may suppress your natural hormonal fluctuations, which could hinder the progress you've made in achieving regular cycles. This is particularly important to consider if your goal is to conceive in the future. Birth control pills work by providing a steady dose of hormones that prevent ovulation, which means that while they can help manage symptoms, they may not be conducive to restoring your natural ovulatory function.

On the other hand, if your primary concern is managing symptoms like acne, and you feel that the benefits of taking the pill outweigh the risks of disrupting your natural cycle, it may be worth discussing with your healthcare provider. They can help you evaluate your specific situation, including the severity of your symptoms and your long-term reproductive goals.

In addition to medication, lifestyle changes such as maintaining a healthy diet, engaging in regular physical activity, and managing stress can also play a crucial role in managing PCOS. These changes can help improve insulin sensitivity, regulate menstrual cycles, and promote overall hormonal balance.

Ultimately, the decision to resume birth control pills should be made in consultation with your healthcare provider, who can provide personalized advice based on your medical history, current symptoms, and future reproductive plans. They may also suggest alternative treatments for acne that do not involve hormonal contraceptives, allowing you to maintain your natural menstrual cycle while addressing your skin concerns.

In summary, while birth control pills can be effective in managing PCOS symptoms, they may also interfere with the natural menstrual cycle that appears to be re-establishing itself. It is crucial to have an open discussion with your healthcare provider to determine the best course of action tailored to your individual needs and goals.

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