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Are hormonal pills for PCOD safe long-term and do they affect weight, mood, or fertility?

4 months ago

I’ve been prescribed hormonal pills for PCOD, but I’m not sure to take them or not. Its honestly a fear about the side effects. Do these medicines cause weight gain, mood changes, or future fertility issues? Is it safe to stay on them for years?

Asked By Seema | Female | Age 26

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4 months ago

Answers (1)

Dr. Samhitha Alukur

MBBS, DGO, DNB, FRM, DMAS, FMAS | 11 Years Experience Overall

Answered 17/07/2025

It is very common to feel unsure about starting hormonal pills. These medicines are often used to regulate periods, improve acne, and reduce hair growth. Most women tolerate them well, though some may notice temporary side effects like mild weight changes or mood fluctuations. The important part is that they do not cause permanent fertility problems. In fact, they can help protect the uterus by preventing the lining from thickening too much. Once you stop taking them, your natural cycles usually return. Long-term use is generally considered safe if you have regular follow up and monitoring. If you remain worried, you can discuss other options or even try the pills for a short time to see how your body responds before making a final decision.

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