Polycystic ovary syndrome, or PCOS, is a hormonal disorder that’s one of the most common causes of infertility in women.
Approximately one in every 10 women of childbearing age is affected by PCOS, making it an extremely common condition. If you have PCOS, you may experience a variety of symptoms that can affect everything from your mood to your skin, weight and menstrual cycle.
While there currently isn’t a cure for PCOS, most symptoms can be treated using medication, including several hormonal methods of birth control.
Below, we’ve explained what PCOS is, how it can develop and the effects it can have on your health and fertility. We’ve also explained how you can treat PCOS using hormonal methods of birth control such as the pill, patch and other contraceptives.
Polycystic ovary syndrome, or PCOS, is a hormonal disorder that affects women. It develops when a woman’s ovaries or adrenal glands produce overly high levels of male sex hormones, which are commonly referred to as androgens.
This excessive production of androgens can cause a range of symptoms and health problems, including infertility.
If you have PCOS, you may experience difficulties ovulating. Your period may come sooner or later than expected, or you may only have a few periods every year. In some cases, you may completely stop getting your period for several months at a time.
Most symptoms of PCOS are caused by high androgen levels. In addition to an irregular period and other issues related to the menstrual cycle, other common symptoms of PCOS include the following:
Because of its effects on your menstrual cycle, PCOS may lead to the development of cysts on your ovaries. If you no longer get your period, you may be unable to become pregnant.
PCOS typically affects women of childbearing age, with most cases occurring between the ages of 15 and 44. Many women with PCOS begin to notice symptoms in their 20s or 30s, often after experiencing difficulties becoming pregnant.
Currently, experts aren’t completely aware of why PCOS develops. However, research indicates that several factors may play a role, including excessive insulin production, androgens, genetics and certain types of low-grade inflammation.
Although birth control doesn’t cure polycystic ovary syndrome, certain forms of hormonal birth control can help to manage and provide relief from PCOS symptoms.
Several different forms of birth control are used to treat PCOS. The most common is the birth control pill. If you have PCOS, using a birth control pill can help to relieve your symptoms and make living with PCOS significantly easier.
Most women with PCOS use a combination birth control pill that contains synthetic versions of the hormones progestin and estrogen. Some combination pills offer additional benefits, such as preventing acne breakouts.
In certain cases, using a combination pill may not be appropriate for you. For example, if you’re older than 35, a smoker or are just sensitive to the effects of estrogen, your healthcare provider may instead recommend using a progestin-only birth control pill, or “mini-pill.”
Other hormonal forms of birth control can also be used to treat PCOS. For example, options like the patch, ring (NuvaRing®), injection (Depo-Provera®) and hormonal IUD (Mirena®) can all be used to treat the symptoms of PCOS.
Although many most women opt to use the combination birth control pill, there’s no “best” form of birth control for treating PCOS in everyone.
Each form of birth control offers specific advantages and disadvantages, from convenience and ease of use to effectiveness. You can learn more about the strengths and weaknesses of each form of hormonal birth control in our detailed guide to birth control options.
Non-hormonal forms of birth control, such as the copper IUD, sponge, diaphragm and condoms, do not target the androgen hormones that contribute to PCOS and have no noticeable effect on PCOS symptoms.
In addition to hormonal forms of birth control, several other medications are commonly used to treat PCOS. These include:
If you have PCOS, it’s important to talk to your healthcare provider about using birth control or a different type of medication to manage your symptoms. Used as prescribed, medications can be highly effective at controlling your PCOS symptoms and improving your quality of life.
In addition to using medication, you may also want to try the following techniques to make your PCOS symptoms easier to manage:
If you have PCOS, it’s important to talk to your healthcare provider. Several forms of hormonal birth control can be used to treat PCOS, including the birth control pill, patch, ring, injection and even the hormonal IUD.
Used as prescribed, hormonal birth control may help to bring your symptoms under control and bring regularity to your menstrual cycle.
If birth control isn’t effective, other options are available. Based on your specific symptoms and general health, your healthcare provider may recommend taking another form of medication or implementing lifestyle changes to make your PCOS symptoms less severe.