The short version appears to be that every form does different things in every one, and you need to be proactive in monitoring how you respond and changing if necessary. PCOS women are often offered birth control as first line therapy. Before going on birth control for a year and half, I never experienced hair loss or irregular periods. You probably felt a few changes when you started taking birth control pills, like nausea or tender breasts.So it makes sense that you may feel different again when you stop taking them. Ever since I stopped taking it Oct 2019, my hair has continued to thin out to where I’m seeing scalp and my cycles are long between 38-44 days. it is IMPORTANT to know NOT to start and suddenly stop taking the pill without consulting your doctor (unless you suffer serious side effects; in which case you should immediately stop and contact your doctor). Hair Loss/Thinning. Your body naturally wants (and needs) your hormones to be balanced, so it is working hard to get things right again (but it can take a while). The breakouts you are having after stopping birth control pills is your body’s reaction to sudden change in hormones. There have been a lot of discussions of birth control in the forums. For most women, normal ovulation resumes within a month or two, and one study found that 20% of women were able to get pregnant one cycle after stopping birth control. But for anyone out there with PCOS prescribed to birth control…. ″Most women won't see a significant net effect on their hair after stopping birth control pills," Josh Klein, MD, chief medical officer at Extend Fertility in New York City previously told Health. Low estrogen and progesterone after stopping birth control pill. Birth control withdrawal hair loss should improve after a few months when a woman begins to ovulate and resume with her regular menstrual cycle. Post-pill acne is especially common if you started taking birth control to ease acne symptoms in the first place but I’ve had several patients who’d never experienced acne prior, and discovered the misery of it in their late 20s and 30s after stopping the pill. Aside from getting more rapid control of your PCOS symptoms or choosing oral contraception for pregnancy prevention, there are situations when the birth control pill is necessary. If you have irregular cycles with heavy periods, or if you are overweight AND have heavy periods, you could be at risk for precancerous changes in your uterine lining, a condition known as endometrial hyperplasia. PCOS symptoms can be managed with diet, lifestyle and supplement interventions. FWIW, I take bc pills for PCOS, and it hasn't had any noticeable effect on my weight loss. But birth control is only one part of a successful treatment process. 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