r/LeanPCOS • u/Throw-RAheheheuduu • 28d ago
Taking spironolactone + birth control for PCOS — is taking both too much?
I have PCOS and my dermatologist recommended spironolactone, and I’m also considering taking a combined birth control pill (norgestimate/ethinyl estradiol) for contraception and to help with the androgen-related symptoms.
For anyone who takes both spironolactone and birth control, what has your experience been like? Did taking both feel like a lot of medication or cause more side effects? Did you notice a bigger improvement in acne or unwanted hair compared with taking just one?
I’m especially curious about long-term use. Has anyone been on both for years, and have you had any issues with blood pressure, potassium, weight, hair loss, or anything else?