Why the Pill Can Make PCOS Worse

by | Sep 8, 2025 | Articles

September is Polycystic Ovary Syndrome (PCOS) Awareness Month, so let’s shine a light on this often misunderstood condition.

🤝You are not alone.
Did you know that around 1 in 30 women of reproductive age in the UK are recorded as having PCOS? That’s roughly 3.5% and experts believe the true number is even higher, because so many cases go undiagnosed.

PCOS is one of the most common hormonal conditions women face, yet it’s still widely misunderstood. And it’s not just about periods or fertility. PCOS can affect your energy, mood, metabolism, skin, and long-term health risks.

😊The good news? With the right support, you can feel so much better. In clinic, I’ve worked with many women who’ve gone from struggling with fatigue, cravings, acne and irregular cycles to feeling energised, clear-headed, and back in control of their health again.

💊 Why the Pill Can Make PCOS Worse
So many women are told: “Just go on the pill.” But while the pill can help manage symptoms in the short term, it’s not always the answer and sometimes it can make things worse.

Here’s why, according to hormone experts:

  • It doesn’t treat the root cause. The pill suppresses ovulation and creates a withdrawal bleed- this isn’t a real period.
  • It can worsen insulin resistance. Some pills increase blood sugar dysregulation, already a key driver in PCOS.
  • It can trigger inflammation. The pill alters gut health, nutrient absorption, and raises oxidative stress.
  • It delays proper diagnosis. When symptoms are masked, many women don’t discover they have PCOS until years later, often when struggling with fertility.

That doesn’t mean there’s no place for the pill but it does mean it’s not a long-term fix. Supporting your hormones naturally helps you build resilience and restore balance.

💡 Your Quick PCOS Guide: The 4 Types
PCOS isn’t one-size-fits-all. It shows up differently for each woman, and that’s why identifying your type matters.

1️⃣ Insulin-resistant PCOS
The most common type, linked to blood sugar imbalances.
👉 Clues: Sugar cravings, energy crashes, weight gain around the middle.

2️⃣ Post-pill PCOS
A temporary androgen “rebound” after stopping the pill.
👉 Clues: Irregular cycles, acne flare-ups, oily skin.

3️⃣ Inflammatory PCOS
Driven by chronic inflammation and immune imbalance.
👉 Clues: Fatigue, skin issues, headaches, food sensitivities.

4️⃣ Adrenal PCOS
Less common, stress-driven PCOS.
👉 Clues: Elevated DHEA (not testosterone), anxiety, “wired but tired” feeling.

By identifying which type (or types) you have, we can build a personalised plan that works with your body, not against it.

🌿 Balance your blood sugar

  1. Pair protein and healthy fats with carbs at every meal. This stabilises energy, supports ovulation, and calms cravings.
  2. Reduce inflammation
    Eat colourful vegetables, add omega-3s (salmon, walnuts, flax), and use anti-inflammatory spices like turmeric and ginger. Reduce sugar, ultra-processed foods and trans fats.
  3. Support stress resilience
    Deep breathing, walking in nature, or yoga can reduce cortisol spikes that worsen PCOS symptoms. Small, daily habits really do add up.

🥣 PCOS-Friendly Breakfast Recipe: Chia & Berry Power Bowl

This blood sugar-balancing breakfast is packed with fibre, protein, and healthy fats to keep you full and energised.

Ingredients (serves 1):

  • 2 tbsp chia seeds
  • 125ml unsweetened almond milk (or milk of choice)
  • 0.5 tsp cinnamon
  • 0.5 tsp vanilla extract
  • 1 scoop protein powder (optional, for extra balance)
  • Toppings: a few berries, crushed walnuts, or pumpkin seeds

Method:

  1. Mix chia seeds, milk, cinnamon, and vanilla in a jar or bowl.
  2. Stir well, leave for 5 minutes, then stir again to prevent clumping.
  3. Cover and refrigerate overnight (or at least 2 hours).
  4. In the morning, top with berries and nuts/seeds.

💡 Tip: Batch-prep this the night before for a quick, hormone-friendly breakfast that helps you start your day balanced and nourished.

💜 PCOS can feel overwhelming but you don’t have to navigate it alone. With the right nutrition, lifestyle shifts, and personalised support, you can restore balance and feel like you again.

If you’d like to explore how I can support you  Book a free 15 mins call to discuss how I can help you.

Other Ways I Can Support You

  • Your Perimenopause Survival Guide–DOWNLOAD HERE
  • Find out about my 1:1 packages HERE

 

Best wishes

Lucy

 

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