PCOS is a hormonal imbalance. It inhibits ovulation, resulting in irregular periods, increased androgen (male hormone) production, and symptoms such as acne, undesired hair growth, and weight gain.

It can lead to insulin resistance, obesity, and cardiovascular problems, among other health issues affecting women’s reproductive health.

We need an integrated approach to deal with PCOS. Choosing the most suitable birth control option is important for reducing the intensity of symptoms and long-term health issues with reproductive health.

PCOS occurs when there is a hormonal imbalance that interrupts the normal functioning of the ovaries, leading to irregular or absent menstrual periods and the formation of small cysts on the ovaries. While the real cause of PCOS is unknown, a mix of genetic and environmental factors appears to be responsible.

Women with PCOS typically have greater amounts of androgens (male hormones), symptoms may include acne, hirsutism (excessive hair growth), and infertility.

Combined Oral Contraceptives: They are the most often used type of birth control for PCOS. They contain estrogen and progesterone, which help regulate periods and lower testosterone levels.

Benefits: Extremely effective in preventing pregnancy (over 99% with perfect use), it regulates menstrual cycles, reduces symptoms of PCOS such as acne and unwanted hair growth, and is conveniently taken in a daily dose.

Concerns: It can result in unusual blood clots, nausea, breast soreness, and mood swings. If you smoke or are at high risk of bleeding, you should not choose this option.

Progestin-Only Pills: If you are unable to take estrogen, these pills are a good substitute as they solely contain progestin. People who are at high risk of blood clots or who are breastfeeding should use it.

Benefits: Compared to COCs, these pills have fewer side effects. They are an ideal choice for women who are breastfeeding.

Concerns: They are relatively less successful (about 98% when used perfectly) in preventing pregnancy than COCs. It is less successful in relieving PCOS symptoms and can result in irregular bleeding.

IUDs: This is a T-shaped device that fits into the uterus. It produces progesterone constantly for several years (depending on the kind) and prevents pregnancy by thickening the cervical mucus and delaying ovulation.

Benefits: When performed appropriately, this method is 99% effective at preventing pregnancy. Its effects last from three to 10 years. It shortens or ends periods completely. It may also reduce the symptoms of PCOS.

Considerations: Healthcare providers should set up and remove IUDs. It can cause irregular bleeding at first. It is not suitable for everyone (for instance, those who want regular periods).

Every woman has various needs and wants. After carefully considering the options below, choose the one that best meets your needs.

Medical History: Inform your doctor if you have any pre-existing medical illnesses or risk factors that may influence your choice of birth control method. If you have a history of blood clots, you should avoid estrogen-containing contraceptives and choose progesterone-containing alternatives.

Severity of PCOS Symptoms: You should identify which symptoms worry you the most. Selecting an approach should be determined by overcoming those issues.

Level of Effectiveness: Choose a birth control option that suits your lifestyle choices. For example, women who often miss taking a daily pill may prefer long-acting reversible contraceptives like IUDs or implants.

Lifestyle and Preferences: When deciding on a birth control method, assess your everyday routine. Consider whether you are comfortable with insertion methods. Also, make sure to examine if the approach will affect the desired regularity of periods.

Talk with Your Healthcare Provider: Talk with a healthcare provider about your birth control options who specializes in women's reproductive health. They can provide specific recommendations based on your individual health needs and goals.

Birth control options can help manage PCOS symptoms and maintain menstrual regularity. You should follow a thorough PCOS treatment strategy that includes lifestyle changes like weight control and regular exercise.

Others can get relief from diet changes or specific supplements. You should consider all of your options before deciding which one is ideal for you.