My doctor put me on spironolactone to treat me for PCOS, but from what I read it doesn't. Can it? Im 29 yrs old and I was diagnosed with PCOS when I 18 yrs old, but was never treated for it. I just started seeing a new physician and she placed me on spironolactone in February. She said it would help with the PCOS and quite possibly help with the infertility. Well, I already have irregular periods as is, but after taking the meds, my period has been on since the end of February. Its driving me nuts so I stopped taking them in April. My doc said to just let the period run its course. She wants to see me again for an ob/gyn examine, but its still there. I don't know what to do besides switching doctors. Can someone help please?
Can spironolactone be used to treat PCOS?
Question posted by lrsphilly on 8 Aug 2010
Last updated on 30 October 2020 by DrDonovan
Spironolactone is an antiandrogen and is commonly used to treat acne, hair loss and hirsutism in women with PCOS. Often it is combined with a birth control tablet.
I was diagnosed at about 13/14 years old with PCOS and my gyno put me on spironolactone too, which I've been on almost 10 years now. He's quite reputable (one of the best in his field before he retired) and said that the primary use for it was to clear excess fluid, but it had a side-effect of blocking the effect of testosterone in the body. I was put on the pill at the same time so I can't reliable attribute all changes to spironolactone, but now I'm no longer getting facial hair growth like I did (extended sideburns and under the jaw/neck hair), and my arm and leg hair is much thinner and my skin is less problematic.
I was prescribed this, but there was no noticeable change for me. I stopped taking it after 3 months.
Spironolactone is commonly used to treat many of the symptoms associated with PCOS such as acne, hair loss and increased hair on the face.
It is a very well known medication for PCOS. Usually it is combined with an oral contraceptive in order to help with regular menstrual cycles. This is important for women with PCOS as irregular periods are a key feature of PCOS. Spironolactone when used alone causes irregular periods in up to 80% of women.
The drug must never be used by women trying to get pregnant as it can harm a fetus. In fact, it is not used for fertility issues in women with PCOS. Treatment options for infertility include clomiphene, metformin laparoscopic ovarian drilling, gonadotropins, and assisted reproductive technology.
1. Comparison of desogestrel/ethinyl estradiol plus spironolactone versus cyproterone acetate/ethinyl estradiol in the treatment of polycystic ovary syndrome: A randomized controlled trial.
Leelaphiwat et al. Journal
J Obstet Gynaecol Res. 2014 Oct 15.
2. Role of the combination spironolactone-norgestimate-estrogen in Hirsute women with polycystic ovary syndrome.Hagag et al.
J Reprod Med. 2014 Sep-Oct;59(9-10):455-63.
Jeff Donovan MD PhD FRCPC FAAD
US & Canadian board-certified Dermatologist
I was diagnosed with PCOS about 10 years ago. I take spironolatone and B/C pills to help with symptoms. I already have kids and I am not looking to get pregnant so I'm not sure about the fertility thing.
I've been treated for PCOS for 27 years. The standard treatment is a specific type of birth control, Spironolactone, as well as, Metformin(glucophage) All are used to treat some of the syptoms of pcos each in specific ways. The Spiro is used to lower androgen uptake that causes excess hair growth, and scalp hair loss, and acne. There is no cure per se. If your doctor is knowledgable about pcos-good, however, finding a good Endrocronologist is very benefical. Yes, Spiro often does facilitate pregnancy! However, you DO NOT WANT to get pregnant while on it, as it may cause serious side affects for the baby. Knowledgable doctors who understand PCOS DO NOT prescribe Spiro w/out Birth Control Pills for the affore mentioned reason! Metformin may be a better choice for possibly getting your periods on tract to then conceive as it lowers high insulin levels which is often present with pcos'ers.
Also, good nutrition and fitness can help with insulin levels. I would look for a doctor who understands the use of these three meds for PCOS. Anyway, PCOS issues vary among woman and needs may be sligthly different, so having a doctor who really understands it and what your goal is regarding fertility is so important.
Hope this helps,
Spironolactone, is a dieuretic (sp?). In other words, a fluid pill that helps you to get excess fluid off your body. It has nothing to do with fertilitly one way or the other. The only thing I can think of is that she gave you the Dyazide (the brand name for spironolactone) is because she felt you maybe were retaining fluid because of your PCOS. Have you notice a change in your weight around your period? That is the only thing I am able to think of. If I was you I would look for a new Dr. You didn't say if she was actually a gyn or not. If she is only a family Dr or internist I would definitely see a gyn.,myself. Hope I was of some help.
- Spironolactone uses and safety info
- Spironolactone information for Healthcare Professionals (includes dosage details)
- Side effects of Spironolactone (detailed)
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