Emphasizing this. Endocrinologists won't tell you whether contraceptives are going to get the job done for contraception, but they will almost always have a deeper understanding of the endocrinal effects, and PCOS or cycle modification is not a "contraceptive" indication. Any time you can find a combined practice or doctors who seem enthusiastic about sharing your labs with a specialist, that's a good sign.
The evidence on whether birth control is less effective in the obese (or the merely overweight) isn't clear and tends to go back and forth every year as new studies are added. The largest ones yet have narrowed in on the idea that there's not any difference, but no one really agrees on who to sample, what factors to control for, etc.
Men do have a say in that, because it's less about the pill itself and more about better water treatment, at least that's the solution that seems feasible (as opposed to changing prescription habits, getting rid of certain medications etc). But that's OT for this thread. They're pretty overprescribed but even curbing that, I don't think the problem would be solved entirely as there are still industrial residues and the livestock industry dumping estrogens and xenoestrogens.
No idea since I've never had much of a sex drive because lol antidepressantsI always thought hormonal birth control reduced your sex drive. Then again I'm learning there are about as many hormonal controls as there are jellybean flavors. On the one hand no condom feels breddy gud, but then conversely you're also not as hot n ready anymore...Is this a common thing? If you go off and on it, do you notice a change in sex drive?
I have to say though, with the internet, you have access to like 8 million different condom types, and believe it or not, after some trial and error you can find some good ones.
Man... I feel the same way. The pill made me really sick though, so IUDs got pushed at me heavily last time I went to the doc. Tried the ring instead, but that thing basically made me bleed constantly.
The female body is surprisingly resilient to be able to handle daily-constant bleeding for months.
Is it possible that you've just been given too high of a hormonal dosage? There are low-dosage pills out there like LoLoestrin.
When I was on the mini pill (progesterone), I was so depressed that I couldn't function. The combo pill sucked for the first week or so (morning sickness and mood swings) but those side affects stopped. I'm grateful there's no history of strokes in my family or I wouldn't have ever been prescribed the combo pill.
My boss reacted badly to the mini pill too. She had angry outbursts for years until she switched to the combo pill. I feel bad for her. She started the mini pill when she was a teen to deal with her months long periods and had no idea that they were the cause of her angrily pushing everyone close to her away until she got older and switched medication. PCOS shouldn't exist.
Not pcos related but birth control related: I moved somewhere where accidental, unwanted pregnancies are common. One day, birth control came up in conversation andyou'd be surprised how many people don't know their insurance covers birth control. That's their fault though. They could've at least ASKED their doctor.
Edit:
I'm mad that it took a random YouTube video to teach me this. My gynecologist did not mention how food affects pcos ONCE.
What kind of doctors y'all even going to.
My best guess as to why I wasn't told about how insulin plays a part in pcos, is because I'm not overweight. It still would've been nice to know though.
Probably, since lean PCOS is a bitch. The usual strategy of "just lose weight" doesn't apply. It's still worthwhile to avoid refined carbs and potentially work in intermittent fasting and strength training though.
