What Birth Control for PCOS

[ladybug78]

I never had regular periods but wasn't diagnosed with PCOS until I was trying to get pregnant.  I had bloodwork done and had an elevated LH FSH ratio.  Had twins via IVF.  Now I'm done reproducing and just wondering whether or not I should try to manage my hormone levels.
The husband is getting a vasectomy, so contraception isn't really an issue.  

I'm 28 years old and haven't had any symptoms of PCOS.  I have a little more body hair than I want, but nothing dramatic and I'm content with the way things are as long as they don't get worse!  I have ovarian cysts, but never knew it until I had an ultrasound, so I don't really care about managing that.  

I guess what I'd like to know, from any PCOS experts out here, is

A) at my current age of 28.. are PCOS symptoms likely to worsen with time or am I likely to get new symptoms as I get older?

B) are there any particular birth controls that would prevent this from happening?

If I were choosing a birth control w/o having PCOS, I'd likely opt for a mirena IUD ... but that's a progestin birth control and I know that PCOS symptom that I most want to avoid getting (excess hair growth) is linked to higher testosterone/progesterone levels.. so maybe I should go on a birth control that contains estrogen?  

Any thoughts? experience?
In the past, I've been on OTC, which I hated because it cause mood swings every weekend!
OC - which was fine, although I hate taking a daily pill
Seasonale - which was good.. daily pill *****.. but I liked only getting my period infrequently
nuva-ring - good, but a little weird.

[Sexykeme78]

What you mean by bleeding too much? Do you mean it will come on time and bleed for days then it suppose too? Just curious

[msniki412]

No, it's the same disorder....but with many different symptoms. My periods were irregular, however I always got them each month...I would just bleed too much. So many of us have very different symptoms, so that is why it's hard to pin point if you are really suffering from PCOS....which makes it hard for a doctor to dertimine PCOS.

If you do have PCOS, I'd suggest you go on Yasmin. It will help with your symptoms and give you a period each month.

[ladybug78]

Thanks for repsonding.  Yasmin has been turning up in a lot of my searching.  My periods are totally irregular.. I'd probably only get 1 a year w/o the birth control.  I thought it was because I was an athlete when I was younger.. then I went on birth control.. when I came off - years later - they were still out of whack and i was trying to get pregnant.. so I got it investigated and got the PCOS dx.  I was on metformin while I was trying to get pregnant and it didnt seem to have much of an effect.  I even tried clomid to get me to ovulate and that didn't do anything.. so we ended up going to IVF.  
It's probably not a big deal what kind of BC I use.. since I was on all kinds of other stuff before knowing I had PCOS w/o any problems.  Just now that I know what the problem is.. I want to make sure to use a BC that will be best for counteracting the issue at hand.  Mostly just don't want to load up on progesterone if that's going to exacerbate the symptoms or anything.. *sighs*
I hate that PCOS is a "syndrome".. so it's probably a bunch of different disorders with similar symptoms.. and so hard to pin down a one-size-fits-all treatment!  

[msniki412]

Yasmin is normally toe best choice for PCOS. I was on it 2 years along with Metformin. I came off of it in August 2009 and started having regular periods on my own. If you dont have many symptoms, can I ask why you need birth control? Are your periods irregular? Too much bleeding? Just wondering, because if your periods are normal...then you don't need birth control. Maybe Metformin, as it helped with my cycles.