The Truth About The Oral Contraceptive Pill (‘The Pill’) and PCOS
Millions around the world have Polycystic Ovary Syndrome, which causes an imbalance in the levels of sex hormones and other hormones produced in cysters’ bodies. PCOS can cause a gamut of health problems, including:
- Weight gain
- Excessive levels of androgens, often referred to as “male” hormones
- Cysts on the ovaries
- Infertility, particularly due to the lack of ovulation
- Pain in the pelvis
- Increased growth of hair on the face and body
- Thinning hair on the head
- An increased risk of sleep apnoea
To treat this syndrome, physicians will commonly prescribe the oral contraceptive pill for PCOS, on the theory that it can restore hormonal balance and provide relief for the symptoms that accompany PCOS. However, the US National Library of Medicine notes that few studies have been conducted to support this practice, and their results have been inconclusive. On the contrary, other data suggest that the use of oral contraceptive pills for PCOS could actually cause more harm than good.
The Metabolic Risks Associated with the Oral Contraceptive Pill
Using the birth control pill is a standard treatment for PCOS, as it can regulate menstrual bleeding and lower the risk of uterine cancer. However, research shows a significant downside: these pills can worsen glucose homeostasis and insulin resistance.
Since insulin resistance is already a core issue for many with PCOS, using a treatment that makes it worse is concerning. Over the long term, this may increase the risk of developing type 2 diabetes and heart disease. Notably, long-term use of the oral contraceptive, regardless of the presence of PCOS, also increases the risk of prediabetes.
In addition to this, research published in Frontiers in Global Women’s Health found “the use of combined oral contraceptives was associated with higher fasting blood glucose levels, mean arterial pressure, and body mass index” compared to those not taking oral contraceptives.
This also raises a critical question for me: could prescribing the pill to young girls for period pain be a contributing factor to the rising rates of PCOS? It’s a possibility that warrants serious attention.
Oral Contraceptive Pills and Venous Thromboembolism
Potentially lethal venous thromboembolism is another risk associated with the use of oral contraceptive pills, regardless of whether they are used for PCOS symptoms or for birth control. However, the risk increases further for those with PCOS.
When deep vein thrombosis occurs, a blood clot forms in the deep veins of the body. These clots are hard to detect and cause a greater threat when they travel through the bloodstream and block the flow of blood to the lungs (a pulmonary embolism) or other vital organs. If not detected and effectively treated, death can result.
Oral Contraceptive Pills, Stroke, and Heart Attack
The BMJ compared the non-use of hormonal contraception with the current use of oral contraceptives containing oestrogen and progestin. They found an association between taking the pill for ischaemic stroke and myocardial infarction (heart attack).
Oral Contraceptives and an Increase in Oestrogen Dominance
Many cysters also struggle with oestrogen dominance, a condition in which the body produces a relative or absolute excess in the female hormone, oestrogen, while lacking the appropriate levels of progesterone to create balance. Adding a synthetic oestrogen in the form of the oral contraceptive pill may worsen this problem.
The Use of Oral Contraceptives and Ovulation
Oral contraceptives can stop ovulation completely. While some cysters opt to stop ovulation and menstruation as a matter of choice, this should be considered carefully. Progesterone deficiency, resulting in excessive levels of oestrogen, impacts the body. Migraine headaches, tender and lumpy breasts, clotted and heavy periods, and fluid retention are linked with high oestrogen and low levels of progesterone in the body.
Oral Contraceptives: An Informed Choice
For many, the oral contraceptive is considered wonderful. Liberating, even. However, it’s essential you have sufficient information to make an informed choice.
Oral contraceptives may compound PCOS problems, contributors, or risks. This conventional medical treatment may or may not reduce symptoms associated with this syndrome and present serious repercussions.
While I recommend a natural, holistic approach, your choice is yours alone. With valid information, you can make an informed choice. That’s what matters.
From PCOS to perfect health, with love,
Dr. Rebecca Harwin
The PCOS Expert
Chiropractor & Bestselling Author of
Conquer Your PCOS Naturally
www.ConquerYourPCOSNaturally.com
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