Birth control causes extreme hunger??

Options
I've been on birth control since I was 15. It'll be 14 years in February. Ever since I have went on them for endometriosis and PCOS back then I have had issues with being constantly hungry. This has caused me a ton of fluctuations with my weight. I was started on Ortho-Tri-Cyclen (taken off of that after 2 years due to 6 straight months of bleeding), then moved to Yasmin (taken off of that after 5 years due to all the recalls), and then almost 7 years ago was put on Seasonique.

My question is, is it normal to be constantly starving?? I can literally eat an entire large pizza and a whole chocolate chip cookie cake (just a random example), and then keep eating like I haven't eaten at all. I always feel weak and starving. I was doing really well and had lost 70lbs, but now I've gained back 30 because I couldn't take the constant hunger anymore (especially after exercise) and a ton of stress happened in life, so I started eating badly again.

Replies

  • aSearch4Me
    aSearch4Me Posts: 397 Member
    Options
    My PCOS & insulin-related issues cause a similar reaction in me, but it was even WORSE when I was on BCP (ortho tri cyclen lo). I gained 80 pounds over 3 years on BCP when it was started for irregular cycle, with no changes in diet & I constantly felt hungry.

    Really, the only way for me to combat this is to lower the amount of carbs I eat. The "constant need to feed" goes away for me at no more than 20% of my diet being carbs (& then mainly veggie or sweet potato based, not grain, sweets or fruits), although I lose weight more predictably if I drop my carbs lower.

    If you haven't experimented with lowering the amount of carbs you eat (maybe not going "low carb" unless it looks like it is the best path for you), you might want to check into it?
  • ContentedBeauty
    ContentedBeauty Posts: 21 Member
    Options
    I'm interested if anyone knows anything about this because they say birth control does not cause weight gain, however, each time I go on it I gain significant weight. I think I also feel more hungry on birth control than when I am not.
  • KnitOrMiss
    KnitOrMiss Posts: 10,104 Member
    Options
    That constant hunger is more a sign of insulin resistance than of your birth control. And PCOS is often caused by IR, even if the IR is not diagnosed. So, honestly, I'd get the IR tested. That is a FASTING INSULIN test, not glucose. Your glucose readings can have no bearing on your insulin numbers, or they can show a problem, so they are not a good diagnostic tool. Fasting insulin is as simple a test as fasting glucose, it's just not an automatic test. I would request it as soon as possible.

    As with @aSearch4Me, I only gained control over my constant hunger with dropping carbs (a dietary change recommended by my PCP for years before my endo seconded the recommendation), and it's been a life-altering choice for the better. I won't go into everything here, but my quality of life is better now than I ever remember before. I'm 39.

    But it is really easy for one slip-up or carb creep to put me back in "hungry-hungry-HUNGRY" mode. My body treats an apple or banana like a Snicker's bar, so I can't have much of any of it. Even strawberries (one of the lower sugar fruits) triggers carb cravings, so I'm mostly fruit-free these days, and happier for it...

    I have never really noticed major weight gain with being on Birth Control Pills, though I've been on them off and on for years. I've been on a steady incline with weight my whole life, and so honestly, I hadn't noticed whether BCP made it worse. Though, looking back, I did gain 25+ pounds after getting back on BCP three years ago, and increased hunger, but I also went from being single, recovering from a bitter divorce, to dating a former high school love and learning to cook all over again. So I can't isolate the change...

    I know that PCOS, and IR, are hormonally sourced and driven, so it stands to reason that increasing hormones (BCP) would increase the conditions/therefore the hunger. I wonder if anyone has actually had IR TRIGGERED by the BCP?

    I was on Ortho-Tri-Cylcen-Lo, and that was the worst thing ever for me. I was PMSing 24/7/365. I had to get a stronger form to survive and to stop bleeding, because it was like the slightest stress had me bleeding and ugh... I'm on Microgestin now, continuously, and love it. I have a friend who takes Seasonique, and loves it, too...
  • loribethrice
    loribethrice Posts: 620 Member
    Options
    I started on Ortho Tri Cyclen (had to be switched due to 6 straight months of bleeding) and then was on Yasmin (removed me for safety reasons since it was almost recalled) and have now been on Seasonique for the past 7 years (works well mine breakthrough bleeding at times).

    I did the South Beach Diet when an endo doctor put me on it, but I found that I was constantly exhausted, especially when I exercised. I also have an eating disorder called ARFID which makes it difficult for me since I can only eat certain foods. I switched to just staying less than or exact with my carbs that I was permitted each day and that seemed to work with the weight gain. Although if I go over my calories or my carbs I will start immediately gaining again. It's a frustrating struggle that drives me insane.

    No one has ever brought up an insulin test...I was just given a glucose meter with test strips to try for a while but it didn't seem to give them the information they wanted.
  • KnitOrMiss
    KnitOrMiss Posts: 10,104 Member
    Options
    Fasting Insulin is a test most docs associate with diabetes, but you can be insulin resistant without having diabetes. In many cases, insulin resistance can CAUSE PCOS, which is what happened for me. Looking back now, I can see the signs of IR even before I was 10 years old, now that I know how it presents...

    A fasting insulin test is as simple to do as a fasting glucose test, but it must be done in a lab. If you have PCOS and a decent endocrinologist (other docs might as well), they shouldn't hesitate at giving you this test. My results indicated that I was insulin resistant but not yet pre-diabetic, but on the path. Don't hesitate to request this test.

    It could make all the difference in how you treat yourself.
  • loribethrice
    loribethrice Posts: 620 Member
    Options
    When I see my PCP next I will ask her if she'll order this for me. I know my A1C levels are normal because I've had those tested multiple times, so at least I know the diabetes part is out.
  • KnitOrMiss
    KnitOrMiss Posts: 10,104 Member
    Options
    And my insulin levels were out of control while my A1c and fasting glucose were level... :)