- My doctor says that birth control can help regulate the hormones and the monthly cycles. In fact, if you are trying to get pregnant and have PCOS, if you take the birth control for a few months and then go off of it, you may be able to get pregnant (more) easily. Some women with PCOS that get pregnant, have the baby and then want to get pregnant again a few months later can experience more difficulty the second time if they don't go back on the pill first. But as I understand it, at the same time you take the pill, you manage your diet, exercise and you may also be taking metformin. Without doing these other things, the pill can mask the PCOS symptoms and those symptoms can be getting worse without you even knowing it.
- Your body doesn't need all the sugar you eat. So, picture something like this... your body uses insulin to grab the excess sugar you ingested and basically send it down a shoot and out the body (I know, it's not scientific, but it kind of illustrates what happens). When you have insulin resistance, the shoots are really rusty and the insulin can't get the sugar out easily. Things start to back up at the shoot. Your body produces more insulin to try to get the sugar out and it doesn't really help the situation - it's kind of like trying to unclog a plugged up sink drain by running more water from the faucet. Perhaps in theory more water pressure would bust the clog loose, but what really happens is you end up flooding your sink AND your bathroom and your drain is still clogged. That's what's happening in the body.
- So, now your body has too much insulin and too much sugar in it and your blood sugar levels start peaking and crashing. And you start craving more sweets and carbs. He said that the excess insulin can also increase your testosterone levels.
- A drug called metformin is commonly prescribed for diabetes, but it can also help with the insulin resistance. Metformin sort of greases up the shoots so the insulin can get the sugar out without more easily. However, the drug forces your body to stop absorbing the sugars and carbs at a certain threshold, so if you keep eating them, your body will not absorb them and you can experience unpleasant things like diahrrea, etc because you ate too many sugars/carbs.
I've been off the birth control pill for almost a month now. So far my weight has been pretty steady and I haven't been losing weight as easily. My hormones have been a little funky with more frequent mood swings, but I'm pretty aware of them which is helping. The part I am struggling with the most is being super fatigued at the end of the work day. It's getting better, but it sucks and I'm not happy with it. The acne is at bay so far and I'm hoping that some of this may just be my body getting used to the hormone changes because I went off the pill. It would be nice if next month is easier. Or if I were pregnant next month. That would be nice too. :)