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HomeAnswersObstetrics and GynecologypcosI have hirsutism, cystic acne, and heavy periods. Why?

Do birth control pills help manage PCOS and endometriosis?

The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Answered by

Dr. Sameer Kumar

Medically reviewed by

iCliniq medical review team

Published At January 27, 2023
Reviewed AtJune 14, 2024

Patient's Query

Hello doctor,

I have hirsutism, cystic acne, and painful heavy bleeding periods. I consulted a gynecologist, and she gave me birth control pills. I told her I wanted to become pregnant. I also expressed concerns about endometriosis and PCOS. I am confused because I am trying to become pregnant. I do not want to prevent pregnancy. I feel I am not releasing an egg when I ovulate, and I need to know if I need hormones. Kindly give your suggestions.

Thank you.

Answered by Dr. Sameer Kumar


Welcome to icliniq.com.

I understand your concern.

Your concern about PCOS (polycystic ovary syndrome), and endometriosis (a condition in which the tissue that lines the uterus grows outside the uterus) should first be investigated and established. I suggest you perform the following tests to diagnose PCOS and endometriosis:

1. A hormonal profile.

2. Ultrasound of the pelvis.

3.A diagnostic laparoscopy (if required) is performed to evaluate endometriosis.

In both conditions, the treatment involves OC (oral contraceptive) pills, either in combination or pure progesterone pills. If the cycles are anovulatory, I suggest you plan pregnancy after treating the ovulation problem. I also suggest ovulation induction to induce ovulation with drugs for a higher success rate.

I hope this helps you.

Thank you.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Sameer Kumar
Dr. Sameer Kumar

Obstetrics and Gynecology

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