Oral Contraceptives in Polycystic Ovary Syndrome

Birth control pills (Oral contraceptives) should not be used in the treatment of polycystic ovary syndrome. Birth control pills, unfortunately, are frequently used in women with polycystic ovary syndrome, although they do not treat the basic problems in polycystic ovary syndrome.


Long term use without taking an occasional break from birth control pills is not true in the treatment of polycystic ovary syndrome. Long term use  of birth control pills generally masks the actual problems such as polycystic ovary syndrome and early menopause. For this reason, women who have been using birth control pills for many years may have a risk to face irregular periods and not becoming pregnant when they stop taking birth control pills.

Birth control pills induced bleedings are not real periods. In a real period of a woman; a small sac called follicle containing an egg grows and then becomes a mature follicle in the ovary. Ovulation occurs when the mature follicle ruptures and the egg is released out. But, follicle containing an egg does not grow and ovulation does not occur while women are using birth control pills as well as in women with polycystic ovary syndrome.
Obese and overweight women with polycystic ovary syndrome using birth control pills have an increased risk of deep vein thrombosis, cellulitis, varicose veins, insulin resistance, gaining weight (water retention), psychiatric disorders like depression, pancreatitis, gallstones, cholecystitis and breast cancer.

Birth control pills particularly which are used for the treatment of polycystic ovary syndrome may cause death in women who are overweight or obese and have blood clotting disorders.
Hypothalamus and Hypophysis which are located in the brain send messages to ovaries to control the menstrual periods. Hypothalamic-hypophysial-ovarian axis usualy is not mature by 16 years of age. For this reason, use of birth control pills under the age of 16 may block the maturation of hypothalamic-hypophysial-ovarian axis.

There is a link between birth control pills use and breast cancer. The breast cancer risk is highest in the women who started using birth control pills as teenagers and who used birth control pills for longer years prior to first full time pregnancy.

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