To treat PCOS, you need to know what’s driving it. In other words, you need to know your type of PCOS.
You could have insulin-resistant PCOS, post-pill PCOS (which is temporary), inflammatory PCOS, or the far less common adrenal PCOS.
The copper IUD or coil (ParaGard) is a non-hormonal method of birth control. Its main advantage over hormonal methods is that it contains no contraceptive drugs and therefore permits natural, ovulatory cycles.
Hormonal IUDs are different from all types of hormonal birth control in that they do not suppress ovulation and therefore can permit natural cycling.
Other benefits of hormonal IUDs are that they can dramatically decrease menstrual flow and relieve symptoms of endometriosis.
A menstrual cycle is, by definition, an ovulatory cycle in which ovulation is the main event and progesterone is made.
Any other kind of bleed is either an anovulatory bleed or a pill-bleed — neither of which are real menstrual cycles. Ovulatory cycles are the only way to make progesterone which is important for general health, not just for making a baby.
Vitex (also called chaste tree or chasteberry) is a herbal medicine prepared from the berries of the Mediterranean tree Vitex agnus-castus. In ancient times, it was used to suppress the libido of monks, hence the name. Fortunately, it does not have that effect on women.
Vitex is effective medicine for breast pain, irregular periods, premenstrual mood symptoms, and some types of acne.
The progestins of contraceptive injections and implants can cause depression, weight gain, and irregular menstrual bleeding.
Side effects occur because: 1) progestins are not progesterone, and 2) progestins at that dose can suppress ovulation and cause anovulatory bleeding. Keep reading to learn the difference between a real period, an anovulatory bleed, and a pill-bleed.