Options for Managing Periods with PCOS

Polycystic Ovary Syndrome (PCOS) is a common condition caused by a combination of genetic and environmental factors. The ovaries of someone with PCOS are very sensitive to levels of insulin, and this sensitivity can cause the ovaries to work differently than people without PCOS. When someone has PCOS, the ovaries do not release an egg (ovulate) each month. Without regular ovulation individuals may have no periods, skipped periods, irregular periods, or very heavy and long bleeding. For people who have irregular periods, treatment is recommended to prevent excessive bleeding and to keep the lining of the uterus healthy.

There are many options for managing periods with PCOS. All of the treatments contain progestin, which keeps the lining of the uterus thin and protects it from future problems. The one you choose will depend on what is important to you. Some things to consider in making this decision are:

• Do you have bothersome acne, and do you want an option that helps with this?
• Do you have concerns about extra hair on your face and body, or thinning of your hair on your head, and do you want an option that helps with this?
• How do you feel about taking a medication each day, or would you rather use something that is longer acting?
• When someone is using hormonal therapy, the lining of the uterus stays thin and healthy. Unlike when not on hormonal therapy, it is very safe to have fewer periods or none at all. Do you want an option that can help you safely have fewer or no menstrual periods?
• What else is important to you about your option to keep the uterus healthy?

Below are some treatment options based on individual symptom concerns. For more information, and to make an appointment to discuss your options, call our clinic.