Medication advice (spironolactone and birth control)
This is going to be a word salad, so I apologize in advance. I was diagnosed with PCOS a year ago based on irregular periods and physical symptoms. I started taking spironolactone then and titrated my dose up to 100 mg per day. A few months later, my doctor dropped my dose to 50 mg per day at night only because I was having pretty bad tremors and some dizzy spells.
I also have had right-side abdominal pain off and on for two and a half years, and the pain is worse when I’m on my period. I had an abdominal ultrasound this week to look for ovarian cysts, and the images were described as “remarkably normal” by my doctor. She then prescribed me the lowest dose of tri-lo-sprintec (birth control) to take until I could get in with an OBGYN to discuss possible endometriosis.
Per my doctor, I also started titrating up the spironolactone earlier this month and am now taking 75 mg per day, with a goal of getting back to 100 mg per day to help with my physical PCOS symptoms. I am seeing an OBGYN in early September, and she said it is completely up to me if I start the birth control now or wait until after that appointment.
I know this is a lot of information, but does anyone have thoughts on if I should start the birth control now or wait until after my OBGYN appointment? I am leaning towards waiting, mostly so I can tell if the spironolactone is helping my acne and hair growth and to make sure I’m not having adverse side effects from upping that med.
Thank you in advance!