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Real members of myPCOSteam have posted questions and answers that support our community guidelines, and should not be taken as medical advice. Looking for the latest medically reviewed content by doctors and experts? Visit our resource section.

I have had PCOS for about 8 years and I recently just stopped birth control about 5 months ago due to the side effects. I’m now on a testosterone blocker to help manage my unwanted hair and acne. Is it possible that after stopping birth control my drive for intimacy decreases? And how can I go about improving that?

September 1
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myPCOSteam

Struggling with intimacy is something many people with PCOS can relate to, so you're definitely not alone in this. PCOS affects hormones, self-esteem, and emotional wellbeing — all of which play a big role in how connected you feel to a partner.

Stopping birth control can absolutely affect your drive for intimacy. When you Show Full Answer

Struggling with intimacy is something many people with PCOS can relate to, so you're definitely not alone in this. PCOS affects hormones, self-esteem, and emotional wellbeing — all of which play a big role in how connected you feel to a partner.

Stopping birth control can absolutely affect your drive for intimacy. When you stop hormonal birth control, your body goes through a readjustment period as it tries to regulate hormones on its own. This can take several months and may cause noticeable changes in mood and desire.

There's also something called "post-pill PCOS" — where PCOS symptoms that were previously masked by birth control become more noticeable after stopping it. This hormonal shift can contribute to emotional and physical changes, including reduced intimacy drive. Being on a testosterone blocker adds another layer to consider. While it helps manage unwanted hair and acne, lowering testosterone levels can also reduce libido, since testosterone plays a role in sex drive for everyone.

Here are some steps worth exploring with your healthcare provider:

- Review your current medications — ask whether your testosterone blocker dosage could be contributing to reduced libido
- Hormone level testing — getting a full hormone panel can help identify imbalances that may be affecting your drive
- Mental health support — depression and anxiety are common with PCOS and can significantly impact intimacy; speaking to a therapist can help
- Open communication with your partner — sharing what you're going through can reduce pressure and strengthen connection

It's really worth bringing all of this up with your doctor, as they can help tailor a plan that balances managing your PCOS symptoms without compromising your quality of life.

September 1

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