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Are oral contraceptive pills safe for treating polycystic ovaries?

Dr B Shakuntala Baliga MD (AIIMS), FICOG
Professor and Senior Consultant Gynecologist & Colposcopist
Mazumdar-Shaw Center for Cancer Research & Narayana Hrudayalaya Multispecialty Hospital, Bangalore

Q: I am a 32 years old woman having polycystic ovaries syndrome (PCOS) for the last several years. The doctor prescribed me Janya Pills for 6 months. I got my periods regularly during that time. After that I did not take the pills for 2 months and still got the periods on time. But last month I never got my periods so I consulted the doctor again. She gave me Deviry for 7 days, after which I will get my periods within 5 days and once I get my period I have been asked to take Rasmin from the day 3 of my menstruation. I am getting married next month and since I will be going out for the honeymoon, the doctor has asked me to continue taking Rasmin for the second course once I finish the first course of 21 pills. Is it safe to be on contraceptive pills for such a long time? I have put on a lot of weight within the last 3-4 years. Is Rasmin safe? Would I be able to conceive? Please advise.

A:For the next few months you can take these oral contraceptive pills (OCPs). This is one of the newer OCP, which is good for women with PCOS. Women with PCOS and menstrual irregularities do have a problem with conceiving as anovulation is noted in women. However, I suggest you should not waste more time, as you are already 32 years of age. Once you return from honeymoon you should seriously consider planning a pregnancy. Chances of spontaneous conception decrease with advancing age. You may require ovulation induction. Please consult an experienced gynaecologist - preferably an infertility specialist when you decide to plan a pregnancy.