Hi Dr Paula, I’d really appreciate if you could advise me on what type of pill I should be taking. I’ve been on Maexeni (150/30 mcgs Levonorgestrel/ Ethinylestradiol) for some years, I stopped about a year ago (not because of any side effects, I just wanted a break).
I believe to have PCOS- a couple of years ago an ultrasound showed a cyst on my ovary, I’ve had irregular periods ever since I stopped taking COC (my last one was 4-5 months ago), my skin because oilier accompanied by acne, I developed some chest hair and my hair also started becoming progressively thinner. I’ve done a blood test a week ago, my results came back normal- besides my testosterone levels which is at 2.2 nmol/L.
I believe to have androgenic alopecia too, but I haven’t been diagnosed yet- it’s a bit hard scheduling an appointment with a derm these days. (More precisely, I believe to have both AGA and chronic telogen effluvium).
I am concerned both about my hair loss and no periods, and would definitely like to avoid getting pregnant. So I would like to start tackling the problem. Would an oral contraceptive with less androgenic progestins be the right solution for me, what brands would you recommend and how could I get one during these difficult times if I can’t go to a clinic?
I am a 31yr old female, a light smoker (up to 10 a day)- but planning to quit because I know I shouldn’t be both smoking and taking the pill at the same time.
Thank you very much for your time and advice.