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Are birth control pills the only option for PCOS?

Hormonal Conditions PCOS
DOCTOR’S ANSWER (1)

No, it isn’t. Treatment of PCOS depends on what your current concerns are. As you have been given the pill, I assume you’re not planning to get pregnant anytime soon. The next thing to determine is what type of symptoms you’re experiencing.

If you have symptoms of excess male hormones (acne, facial hair, scalp hair loss), medications can be given to treat these symptoms. This can include medications to block the effect of testosterone (eg spironolactone), medications to improve insulin sensitivity (metformin) and the oral contraceptive pill.

If the concern is the lack of periods, metformin can help to improve the regularity of periods (I find that a dose of 1500mg daily is pretty effective). Whilst waiting for it to regulate, progesterone tablets can be given to help you shed the lining of the womb periodically to reduce the risk of overexuberant growth of the womb lining which may in turn increase the risk of womb cancer. If you are overweight, losing weight will help all of your symptoms.


Dr Marilyn Lee
MBBS, MRCP, FAMS

Marilyn Lee Endocrine & Medical Clinic

 

38 Irrawaddy Road #06-52

Mount Elizabeth Novena Specialist Centre
Singapore 329563


788 views 4 Sep 2018
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